Fractures of hip and pelvis without major complications in Washington
What 7 hospitals in Washington charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.
Average charge
$35,851
Hospital list price billed
Average payment
$7,664
Medicare + patient + other payers
Medicare paid
$6,009
Average per stay
State rank
#27 of 37
1 = lowest average payment
Hospitals in Washington billed an average of $35,851 for fractures of hip and pelvis without major complications, about 4.7 times the average total payment of $7,664. That payment is about the same as the U.S. average of $7,596.
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 $7,664Billed $35,851
About 21¢ 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: fractures of hip and pelvis 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 |
|---|---|---|---|---|
| Harborview Medical CenterSeattle | 16 | $36,408 | $9,970 | $8,055 |
| Trios HealthKennewick | 14 | $32,922 | $7,576 | $5,554 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 13 | $34,162 | $6,981 | $5,464 |
| Tacoma General HospitalTacoma | 12 | $30,817 | $7,665 | $6,227 |
| Providence Regional Medical Center EverettEverett | 11 | $30,672 | $7,235 | $5,778 |
| Yakima Valley Memorial HospitalYakima | 11 | $34,926 | $6,984 | $5,259 |
| St Anthony HospitalGig Harbor | 11 | $52,358 | $6,334 | $4,998 |
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.
Lowest
| St Anthony HospitalGig Harbor, WA | $6,334 |
|---|---|
| Good Samaritan Hospital & Rehab CenterPuyallup, WA | $6,981 |
| Yakima Valley Memorial HospitalYakima, WA | $6,984 |
| Providence Regional Medical Center EverettEverett, WA | $7,235 |
| Trios HealthKennewick, WA | $7,576 |
Highest
| Harborview Medical CenterSeattle, WA | $9,970 |
|---|---|
| Tacoma General HospitalTacoma, WA | $7,665 |
| Trios HealthKennewick, WA | $7,576 |
| Providence Regional Medical Center EverettEverett, WA | $7,235 |
| Yakima Valley Memorial HospitalYakima, WA | $6,984 |
Fractures of hip and pelvis without major complications in other states
Questions
How much does fractures of hip and pelvis without major complications cost in Washington?
In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 7 hospitals in Washington was billed at $35,851 on average, while the average total payment was $7,664, of which Medicare paid $6,009. 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 4.7 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.