Heart failure and shock with major complications in Washington
What 44 hospitals in Washington charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.
Average charge
$53,436
Hospital list price billed
Average payment
$12,124
Medicare + patient + other payers
Medicare paid
$9,971
Average per stay
State rank
#38 of 50
1 = lowest average payment
Hospitals in Washington billed an average of $53,436 for heart failure and shock with major complications, about 4.4 times the average total payment of $12,124. That payment is about the same as the U.S. average of $12,050.
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 $12,124Billed $53,436
About 23¢ 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:
Washington hospitals: heart failure and shock 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 |
|---|---|---|---|---|
| Good Samaritan Hospital & Rehab CenterPuyallup | 339 | $43,069 | $11,244 | $9,261 |
| Kadlec Regional Medical CenterRichland | 268 | $51,499 | $11,142 | $9,718 |
| Evergreenhealth Medical CenterKirkland | 256 | $57,827 | $11,074 | $9,574 |
| St Michael Medical CenterBremerton | 250 | $68,528 | $12,162 | $10,577 |
| University of Washington Medical CtrSeattle | 245 | $48,806 | $15,805 | $10,938 |
| Peacehealth St Joseph Medical CenterBellingham | 208 | $63,523 | $13,590 | $10,265 |
| Valley Medical CenterRenton | 200 | $51,659 | $11,932 | $9,693 |
| Tacoma General HospitalTacoma | 197 | $48,523 | $12,370 | $10,910 |
| Providence St Peter HospitalOlympia | 192 | $63,767 | $11,985 | $9,984 |
| Providence Regional Medical Center EverettEverett | 170 | $59,203 | $11,902 | $9,766 |
| S W Washington Medical CenterVancouver | 161 | $53,743 | $12,005 | $9,900 |
| Confluence Health HospitalWenatchee | 156 | $41,039 | $11,018 | $9,584 |
| Providence Sacred Heart Medical CenterSpokane | 152 | $57,632 | $12,934 | $9,799 |
| Yakima Valley Memorial HospitalYakima | 141 | $45,563 | $11,157 | $9,493 |
| Overlake Hospital Medical CenterBellevue | 139 | $54,923 | $10,604 | $9,082 |
| Swedish Edmonds HospitalEdmonds | 124 | $67,455 | $12,232 | $10,268 |
| Legacy Salmon Creek Medical CenterVancouver | 122 | $48,515 | $12,032 | $10,518 |
| Swedish Medical Center/Cherry HillSeattle | 121 | $63,088 | $13,848 | $10,849 |
| Peachealth St John Medical CenterLongview | 120 | $50,671 | $11,905 | $10,039 |
| Swedish IssaquahIssaquah | 119 | $57,536 | $12,004 | $9,965 |
| Skagit Valley HospitalMt Vernon | 114 | $48,535 | $12,018 | $10,609 |
| Swedish Medical CenterSeattle | 106 | $74,675 | $15,996 | $11,794 |
| St Joseph Medical CenterTacoma | 104 | $72,754 | $13,021 | $9,648 |
| St Anthony HospitalGig Harbor | 103 | $61,235 | $10,770 | $8,882 |
| Providence Holy Family HospitalSpokane | 102 | $55,190 | $10,704 | $8,904 |
| Providence St Mary Medical CenterWalla Walla | 84 | $40,681 | $10,522 | $8,877 |
| Deaconess Medical CenterSpokane | 81 | $37,978 | $10,875 | $9,164 |
| Olympic Medical CenterPort Angeles | 80 | $27,287 | $11,417 | $9,537 |
| Capital Medical CenterOlympia | 80 | $50,720 | $11,184 | $8,954 |
| St Francis Community HospitalFederal Way | 79 | $56,352 | $12,118 | $9,520 |
| Auburn Regional Medical CenterAuburn | 73 | $47,879 | $11,748 | $9,961 |
| Trios HealthKennewick | 72 | $41,828 | $11,973 | $9,893 |
| Virginia Mason Medical CenterSeattle | 70 | $52,828 | $14,832 | $11,372 |
| Valley Hospital & Medical CenterSpokane | 70 | $31,553 | $10,454 | $9,194 |
| Grays Harbor Community HospitalAberdeen | 66 | $39,527 | $11,289 | $9,979 |
| Providence Centralia HospitalCentralia | 63 | $54,896 | $11,549 | $10,021 |
| St Clare HospitalLakewood | 58 | $73,295 | $11,060 | $9,521 |
| Highline Medical CenterBurien | 54 | $64,451 | $11,815 | $10,064 |
| Evergreenhealth MonroeMonroe | 35 | $25,501 | $14,018 | $11,853 |
| Island HospitalAnacortes | 31 | $19,871 | $11,010 | $9,905 |
| Multicare Covington Medical CenterCovington | 30 | $27,969 | $11,176 | $10,143 |
| Cascade Valley HospitalArlington | 25 | $44,596 | $12,522 | $10,890 |
| Harborview Medical CenterSeattle | 24 | $97,906 | $20,474 | $15,582 |
| Samaritan HospitalMoses Lake | 18 | $40,560 | $11,928 | $9,063 |
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
| Valley Hospital & Medical CenterSpokane, WA | $10,454 |
|---|---|
| Providence St Mary Medical CenterWalla Walla, WA | $10,522 |
| Overlake Hospital Medical CenterBellevue, WA | $10,604 |
| Providence Holy Family HospitalSpokane, WA | $10,704 |
| St Anthony HospitalGig Harbor, WA | $10,770 |
Highest
| Harborview Medical CenterSeattle, WA | $20,474 |
|---|---|
| Swedish Medical CenterSeattle, WA | $15,996 |
| University of Washington Medical CtrSeattle, WA | $15,805 |
| Virginia Mason Medical CenterSeattle, WA | $14,832 |
| Evergreenhealth MonroeMonroe, WA | $14,018 |
Heart failure and shock with major complications in other states
Questions
How much does heart failure and shock with major complications cost in Washington?
In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 44 hospitals in Washington was billed at $53,436 on average, while the average total payment was $12,124, of which Medicare paid $9,971. 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 4.4 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.