Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Washington
What 10 hospitals in Washington charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220), from 2024 Medicare claims.
Average charge
$318,907
Hospital list price billed
Average payment
$61,129
Medicare + patient + other payers
Medicare paid
$43,955
Average per stay
State rank
#28 of 33
1 = lowest average payment
Hospitals in Washington billed an average of $318,907 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 5.2 times the average total payment of $61,129. That payment is 10% above the U.S. average of $55,508.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $61,129Billed $318,907
About 19¢ was paid for every $1 hospitals in Washington billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Washington:
Washington hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
Every Washington hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Swedish Medical Center/Cherry HillSeattle | 57 | $443,909 | $81,579 | $43,342 |
| University of Washington Medical CtrSeattle | 48 | $265,787 | $66,858 | $45,414 |
| Virginia Mason Medical CenterSeattle | 29 | $233,241 | $51,690 | $48,068 |
| St Joseph Medical CenterTacoma | 29 | $399,942 | $49,547 | $44,632 |
| Providence Sacred Heart Medical CenterSpokane | 27 | $211,874 | $47,891 | $39,682 |
| St Michael Medical CenterBremerton | 23 | $429,985 | $59,361 | $52,218 |
| Tacoma General HospitalTacoma | 23 | $266,170 | $58,799 | $41,960 |
| Peacehealth St Joseph Medical CenterBellingham | 21 | $303,845 | $67,508 | $40,389 |
| Kadlec Regional Medical CenterRichland | 15 | $212,072 | $45,136 | $39,045 |
| Overlake Hospital Medical CenterBellevue | 14 | $249,333 | $41,590 | $40,074 |
Lowest and highest payments in Washington
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Overlake Hospital Medical CenterBellevue, WA | $41,590 |
|---|---|
| Kadlec Regional Medical CenterRichland, WA | $45,136 |
| Providence Sacred Heart Medical CenterSpokane, WA | $47,891 |
| St Joseph Medical CenterTacoma, WA | $49,547 |
| Virginia Mason Medical CenterSeattle, WA | $51,690 |
Highest
| Swedish Medical Center/Cherry HillSeattle, WA | $81,579 |
|---|---|
| Peacehealth St Joseph Medical CenterBellingham, WA | $67,508 |
| University of Washington Medical CtrSeattle, WA | $66,858 |
| St Michael Medical CenterBremerton, WA | $59,361 |
| Tacoma General HospitalTacoma, WA | $58,799 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Washington?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220) at 10 hospitals in Washington was billed at $318,907 on average, while the average total payment was $61,129, of which Medicare paid $43,955. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Washington, average charges were 5.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.