What 10 hospitals in Washington charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.
Hospitals in Washington billed an average of $52,016 for disorders of the biliary tract with complications, about 4.6 times the average total payment of $11,364. That payment is 3% above the U.S. average of $10,996.
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.
About 22¢ 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:
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 |
|---|---|---|---|---|
| Virginia Mason Medical CenterSeattle | 31 | $55,745 | $11,842 | $9,097 |
| University of Washington Medical CtrSeattle | 29 | $49,718 | $12,637 | $9,147 |
| Peacehealth St Joseph Medical CenterBellingham | 23 | $51,278 | $11,061 | $8,395 |
| St Joseph Medical CenterTacoma | 20 | $64,582 | $10,929 | $7,752 |
| Tacoma General HospitalTacoma | 16 | $39,324 | $11,352 | $7,660 |
| Swedish Medical CenterSeattle | 15 | $57,028 | $11,844 | $9,797 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 15 | $33,522 | $9,867 | $7,313 |
| Skagit Valley HospitalMt Vernon | 12 | $51,306 | $10,192 | $8,772 |
| Overlake Hospital Medical CenterBellevue | 11 | $61,410 | $12,917 | $5,538 |
| St Anthony HospitalGig Harbor | 11 | $54,487 | $9,207 | $5,900 |
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.
| St Anthony HospitalGig Harbor, WA | $9,207 |
|---|---|
| Good Samaritan Hospital & Rehab CenterPuyallup, WA | $9,867 |
| Skagit Valley HospitalMt Vernon, WA | $10,192 |
| St Joseph Medical CenterTacoma, WA | $10,929 |
| Peacehealth St Joseph Medical CenterBellingham, WA | $11,061 |
| Overlake Hospital Medical CenterBellevue, WA | $12,917 |
|---|---|
| University of Washington Medical CtrSeattle, WA | $12,637 |
| Swedish Medical CenterSeattle, WA | $11,844 |
| Virginia Mason Medical CenterSeattle, WA | $11,842 |
| Tacoma General HospitalTacoma, WA | $11,352 |
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 10 hospitals in Washington was billed at $52,016 on average, while the average total payment was $11,364, of which Medicare paid $8,228. Your own cost depends on your insurance, deductible and the hospital.
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 4.6 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.