facebook tracking Endovascular cardiac valve replacement and supplement procedures with major complications cost in Washington: 13 hospitals compared (DRG 266)

Endovascular cardiac valve replacement and supplement procedures with major complications in Washington

What 13 hospitals in Washington charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.

DRG 266 Inpatient 2024 Medicare data
Average charge $234,921 Hospital list price billed
Average payment $59,956 Medicare + patient + other payers
Medicare paid $52,906 Average per stay
State rank #34 of 42 1 = lowest average payment

Hospitals in Washington billed an average of $234,921 for endovascular cardiac valve replacement and supplement procedures with major complications, about 3.9 times the average total payment of $59,956. That payment is 5% above the U.S. average of $57,249.

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 $59,956Billed $234,921

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

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Washington:

Washington hospitals: endovascular cardiac valve replacement and supplement procedures with major complications

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 273 $273,417 $64,113 $55,440
Providence Sacred Heart Medical CenterSpokane 143 $141,139 $54,170 $48,267
University of Washington Medical CtrSeattle 99 $267,683 $71,021 $61,137
St Joseph Medical CenterTacoma 65 $357,524 $60,959 $46,612
Tacoma General HospitalTacoma 58 $224,253 $54,533 $53,225
Kadlec Regional Medical CenterRichland 53 $145,112 $51,872 $50,406
Virginia Mason Medical CenterSeattle 49 $186,613 $60,787 $57,480
Providence St Peter HospitalOlympia 38 $182,711 $53,785 $48,641
St Michael Medical CenterBremerton 31 $390,012 $56,866 $55,639
Deaconess Medical CenterSpokane 31 $185,048 $50,154 $48,680
S W Washington Medical CenterVancouver 28 $182,920 $60,347 $45,716
Overlake Hospital Medical CenterBellevue 19 $240,338 $50,896 $49,522
Providence Regional Medical Center EverettEverett 18 $207,712 $61,587 $49,011
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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.

Endovascular cardiac valve replacement and supplement procedures with major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Washington?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 13 hospitals in Washington was billed at $234,921 on average, while the average total payment was $59,956, of which Medicare paid $52,906. 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 3.9 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.