facebook tracking Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o cost in Washington: 8 hospitals compared (DRG 023)

Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in Washington

What 8 hospitals in Washington charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.

DRG 023 Inpatient 2024 Medicare data
Average charge $222,888 Hospital list price billed
Average payment $58,402 Medicare + patient + other payers
Medicare paid $48,833 Average per stay
State rank #29 of 38 1 = lowest average payment

Hospitals in Washington billed an average of $222,888 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 3.8 times the average total payment of $58,402. That payment is 3% above the U.S. average of $56,603.

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 $58,402Billed $222,888

About 26¢ was paid for every $1 hospitals in Washington billed for this stay.

Washington hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o

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
Providence Sacred Heart Medical CenterSpokane 81 $153,807 $51,259 $45,438
Harborview Medical CenterSeattle 59 $258,770 $68,774 $59,228
Swedish Medical Center/Cherry HillSeattle 38 $304,303 $67,181 $53,088
Tacoma General HospitalTacoma 33 $183,434 $52,282 $44,149
St Joseph Medical CenterTacoma 23 $252,636 $53,464 $35,107
Providence Regional Medical Center EverettEverett 19 $246,150 $53,739 $42,521
Virginia Mason Medical CenterSeattle 13 $206,588 $57,210 $54,043
Valley Medical CenterRenton 13 $282,299 $62,445 $50,561
Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o: all states All Washington hospitals Washington hospital finances
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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.

Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states

Georgia · $59,554 Minnesota · $55,813 New Jersey · $58,754 North Dakota · $56,043 Oregon · $59,875 Pennsylvania · $55,367 South Carolina · $55,026 Wisconsin · $55,014

Questions

How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in Washington?

In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 8 hospitals in Washington was billed at $222,888 on average, while the average total payment was $58,402, of which Medicare paid $48,833. 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 3.8 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.