Comprehensive Observation Services in Washington
What 46 hospitals in Washington charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.
Average charge
$22,407
Hospital list price billed
Average allowed
$2,802
Medicare's payment + patient's share
Medicare paid
$2,225
Average per service
State rank
#40 of 49
1 = lowest average payment
Hospitals in Washington billed an average of $22,407 for comprehensive observation services, about 8.0 times the average medicare-allowed amount of $2,802. That payment is 6% above the U.S. average of $2,634.
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 $2,802Billed $22,407
About 13¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: comprehensive observation services
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Overlake Hospital Medical CenterBellevue | 644 | $20,728 | $2,765 | $2,196 |
| Providence Regional Medical Center EverettEverett | 609 | $24,123 | $2,781 | $2,213 |
| Kadlec Regional Medical CenterRichland | 550 | $21,367 | $2,714 | $2,153 |
| Peacehealth St Joseph Medical CenterBellingham | 540 | $26,577 | $2,934 | $2,335 |
| Skagit Valley HospitalMt Vernon | 391 | $26,664 | $2,745 | $2,184 |
| St Michael Medical CenterBremerton | 365 | $35,161 | $2,940 | $2,338 |
| Providence Sacred Heart Medical CenterSpokane | 355 | $13,398 | $2,729 | $2,170 |
| University of Washington Medical CtrSeattle | 310 | $15,246 | $2,734 | $2,177 |
| Providence St Peter HospitalOlympia | 293 | $27,515 | $2,743 | $2,183 |
| Legacy Salmon Creek Medical CenterVancouver | 280 | $17,435 | $2,834 | $2,249 |
| Olympic Medical CenterPort Angeles | 250 | $12,864 | $2,933 | $2,335 |
| S W Washington Medical CenterVancouver | 231 | $29,582 | $2,800 | $2,217 |
| Valley Medical CenterRenton | 227 | $21,711 | $2,724 | $2,158 |
| Evergreenhealth Medical CenterKirkland | 224 | $15,031 | $2,721 | $2,151 |
| Providence Centralia HospitalCentralia | 222 | $25,456 | $3,020 | $2,407 |
| Confluence Health HospitalWenatchee | 220 | $14,373 | $2,953 | $2,351 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 216 | $19,490 | $2,717 | $2,141 |
| St Francis Community HospitalFederal Way | 212 | $29,578 | $2,744 | $2,171 |
| Swedish Medical CenterSeattle | 203 | $23,378 | $2,899 | $2,301 |
| Island HospitalAnacortes | 165 | $12,674 | $2,754 | $2,191 |
| Peachealth St John Medical CenterLongview | 164 | $27,647 | $2,990 | $2,371 |
| St Anthony HospitalGig Harbor | 163 | $32,033 | $2,765 | $2,189 |
| St Joseph Medical CenterTacoma | 156 | $31,510 | $2,749 | $2,175 |
| Tacoma General HospitalTacoma | 154 | $20,456 | $2,689 | $2,114 |
| Providence Holy Family HospitalSpokane | 151 | $16,065 | $2,747 | $2,189 |
| Swedish IssaquahIssaquah | 146 | $17,323 | $2,765 | $2,197 |
| Yakima Valley Memorial HospitalYakima | 135 | $15,388 | $2,908 | $2,309 |
| Virginia Mason Medical CenterSeattle | 131 | $13,329 | $2,724 | $2,167 |
| Providence St Mary Medical CenterWalla Walla | 127 | $15,593 | $2,919 | $2,326 |
| Highline Medical CenterBurien | 118 | $30,087 | $2,758 | $2,188 |
| Deaconess Medical CenterSpokane | 116 | $18,864 | $2,728 | $2,170 |
| Grays Harbor Community HospitalAberdeen | 113 | $25,852 | $2,951 | $2,351 |
| Capital Medical CenterOlympia | 97 | $28,716 | $2,728 | $2,154 |
| Swedish Edmonds HospitalEdmonds | 94 | $27,044 | $2,795 | $2,227 |
| Valley Hospital & Medical CenterSpokane | 75 | $18,979 | $2,718 | $2,159 |
| St Clare HospitalLakewood | 71 | $32,671 | $2,758 | $2,181 |
| Trios HealthKennewick | 67 | $25,875 | $2,747 | $2,188 |
| Swedish Medical Center/Cherry HillSeattle | 62 | $15,210 | $2,900 | $2,303 |
| Cascade Valley HospitalArlington | 57 | $22,064 | $2,756 | $2,188 |
| Evergreenhealth MonroeMonroe | 56 | $16,084 | $2,756 | $2,187 |
| Samaritan HospitalMoses Lake | 48 | $18,750 | $2,893 | $2,295 |
| Harborview Medical CenterSeattle | 46 | $40,275 | $2,747 | $2,189 |
| Toppenish Community HospitalToppenish | 41 | $29,383 | $2,641 | $2,070 |
| Multicare Covington Medical CenterCovington | 23 | $19,406 | $2,699 | $2,129 |
| Auburn Regional Medical CenterAuburn | 13 | $20,477 | $2,625 | $2,056 |
| Seattle Children's HospitalSeattle | – | – | – | – |
Lowest and highest allowed amounts in Washington
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Auburn Regional Medical CenterAuburn, WA | $2,625 |
|---|---|
| Toppenish Community HospitalToppenish, WA | $2,641 |
| Tacoma General HospitalTacoma, WA | $2,689 |
| Multicare Covington Medical CenterCovington, WA | $2,699 |
| Kadlec Regional Medical CenterRichland, WA | $2,714 |
Highest
| Providence Centralia HospitalCentralia, WA | $3,020 |
|---|---|
| Peachealth St John Medical CenterLongview, WA | $2,990 |
| Confluence Health HospitalWenatchee, WA | $2,953 |
| Grays Harbor Community HospitalAberdeen, WA | $2,951 |
| St Michael Medical CenterBremerton, WA | $2,940 |
Comprehensive Observation Services in other states
Questions
How much does comprehensive observation services cost in Washington?
In 2024 Medicare data, comprehensive observation services (APC 8011) at 46 hospitals in Washington was billed at $22,407 on average, while the average medicare-allowed amount was $2,802, of which Medicare paid $2,225. 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 service in Washington, average charges were 8.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.