facebook tracking Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Washington: 10 hospitals compared (DRG 563)

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Washington

What 10 hospitals in Washington charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.

DRG 563 Inpatient 2024 Medicare data
Average charge $37,743 Hospital list price billed
Average payment $9,038 Medicare + patient + other payers
Medicare paid $6,646 Average per stay
State rank #31 of 39 1 = lowest average payment

Hospitals in Washington billed an average of $37,743 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 4.2 times the average total payment of $9,038. That payment is 3% above the U.S. average of $8,749.

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 $9,038Billed $37,743

About 24¢ 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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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
University of Washington Medical CtrSeattle 29 $33,132 $11,357 $6,881
Providence Regional Medical Center EverettEverett 29 $35,692 $7,815 $5,893
Good Samaritan Hospital & Rehab CenterPuyallup 17 $30,964 $7,609 $6,160
Kadlec Regional Medical CenterRichland 16 $35,120 $9,706 $5,875
Providence St Peter HospitalOlympia 14 $50,818 $8,036 $6,419
Overlake Hospital Medical CenterBellevue 14 $40,761 $7,449 $6,283
S W Washington Medical CenterVancouver 13 $29,793 $7,693 $6,263
Swedish Medical CenterSeattle 12 $37,579 $10,410 $7,798
Peacehealth St Joseph Medical CenterBellingham 12 $39,985 $8,284 $7,048
Harborview Medical CenterSeattle 12 $54,701 $11,380 $9,161
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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.

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states

Questions

How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Washington?

In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 10 hospitals in Washington was billed at $37,743 on average, while the average total payment was $9,038, of which Medicare paid $6,646. 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 4.2 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.