facebook tracking Hip and femur procedures except major joint with complications cost in Washington: 39 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Washington

What 39 hospitals in Washington charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $96,657 Hospital list price billed
Average payment $19,123 Medicare + patient + other payers
Medicare paid $16,046 Average per stay
State rank #38 of 50 1 = lowest average payment

Hospitals in Washington billed an average of $96,657 for hip and femur procedures except major joint with complications, about 5.1 times the average total payment of $19,123. That payment is 4% above the U.S. average of $18,473.

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 $19,123Billed $96,657

About 20¢ was paid for every $1 hospitals in Washington billed for this stay.

Washington hospitals: hip and femur procedures except major joint with 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 74 $128,526 $27,922 $19,054
Providence Sacred Heart Medical CenterSpokane 67 $85,625 $18,714 $16,175
Providence Regional Medical Center EverettEverett 60 $117,106 $19,954 $15,158
Evergreenhealth Medical CenterKirkland 50 $77,290 $16,705 $15,123
Peacehealth St Joseph Medical CenterBellingham 48 $103,374 $20,361 $17,379
Valley Medical CenterRenton 48 $112,770 $18,076 $15,073
Overlake Hospital Medical CenterBellevue 45 $104,932 $16,678 $15,047
Olympic Medical CenterPort Angeles 44 $45,315 $17,727 $15,535
Kadlec Regional Medical CenterRichland 43 $84,922 $18,167 $15,274
Yakima Valley Memorial HospitalYakima 42 $64,928 $17,532 $15,713
Good Samaritan Hospital & Rehab CenterPuyallup 42 $97,255 $18,039 $14,923
University of Washington Medical CtrSeattle 40 $88,366 $22,859 $18,671
Providence St Peter HospitalOlympia 38 $131,142 $19,371 $15,259
St Michael Medical CenterBremerton 38 $129,769 $18,937 $17,013
Tacoma General HospitalTacoma 37 $98,701 $20,065 $16,269
S W Washington Medical CenterVancouver 30 $93,527 $18,679 $15,928
Trios HealthKennewick 26 $88,688 $18,599 $16,467
Confluence Health HospitalWenatchee 25 $80,905 $17,407 $15,686
Swedish Edmonds HospitalEdmonds 25 $76,609 $17,850 $15,015
St Anthony HospitalGig Harbor 25 $115,969 $16,405 $14,839
Swedish IssaquahIssaquah 25 $97,912 $17,528 $14,543
Skagit Valley HospitalMt Vernon 24 $103,804 $18,515 $16,481
Swedish Medical CenterSeattle 24 $106,768 $23,916 $17,666
Providence Holy Family HospitalSpokane 24 $78,774 $16,532 $15,275
Valley Hospital & Medical CenterSpokane 22 $76,916 $16,434 $14,951
Providence St Mary Medical CenterWalla Walla 21 $73,275 $18,073 $14,237
St Joseph Medical CenterTacoma 21 $116,490 $19,372 $14,318
St Francis Community HospitalFederal Way 20 $107,176 $18,008 $16,537
Grays Harbor Community HospitalAberdeen 19 $102,368 $18,126 $16,666
Samaritan HospitalMoses Lake 19 $84,135 $20,043 $15,760
Deaconess Medical CenterSpokane 19 $78,739 $16,660 $15,195
Auburn Regional Medical CenterAuburn 18 $97,549 $17,743 $16,474
Legacy Salmon Creek Medical CenterVancouver 18 $63,702 $18,600 $16,837
Providence Centralia HospitalCentralia 17 $91,429 $18,895 $17,335
Highline Medical CenterBurien 15 $120,002 $17,763 $16,039
Peachealth St John Medical CenterLongview 14 $99,855 $17,651 $16,021
St Clare HospitalLakewood 13 $110,418 $16,965 $15,458
Virginia Mason Medical CenterSeattle 12 $72,879 $21,446 $18,367
Capital Medical CenterOlympia 11 $119,893 $16,663 $15,328
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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.

Lowest

St Anthony HospitalGig Harbor, WA$16,405
Valley Hospital & Medical CenterSpokane, WA$16,434
Providence Holy Family HospitalSpokane, WA$16,532
Deaconess Medical CenterSpokane, WA$16,660
Capital Medical CenterOlympia, WA$16,663

Highest

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Washington?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 39 hospitals in Washington was billed at $96,657 on average, while the average total payment was $19,123, of which Medicare paid $16,046. 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 5.1 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.