facebook tracking Hip and femur procedures except major joint without complications cost in Washington: 6 hospitals compared (DRG 482)

Hip and femur procedures except major joint without complications in Washington

What 6 hospitals in Washington charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint without complications (DRG 482), from 2024 Medicare claims.

DRG 482 Inpatient 2024 Medicare data
Average charge $83,604 Hospital list price billed
Average payment $14,037 Medicare + patient + other payers
Medicare paid $11,714 Average per stay
State rank #27 of 36 1 = lowest average payment

Hospitals in Washington billed an average of $83,604 for hip and femur procedures except major joint without complications, about 6.0 times the average total payment of $14,037. That payment is 2% below the U.S. average of $14,276.

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 $14,037Billed $83,604

About 17¢ was paid for every $1 hospitals in Washington billed for this stay.

Washington hospitals: hip and femur procedures except major joint without 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
Valley Medical CenterRenton 15 $95,189 $13,887 $12,049
Overlake Hospital Medical CenterBellevue 13 $103,153 $12,868 $11,236
Trios HealthKennewick 13 $73,398 $14,561 $12,433
Providence Regional Medical Center EverettEverett 12 $75,928 $16,311 $11,209
Good Samaritan Hospital & Rehab CenterPuyallup 12 $79,202 $13,102 $11,463
Kadlec Regional Medical CenterRichland 11 $69,940 $13,540 $11,794
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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

Overlake Hospital Medical CenterBellevue, WA$12,868
Good Samaritan Hospital & Rehab CenterPuyallup, WA$13,102
Kadlec Regional Medical CenterRichland, WA$13,540
Valley Medical CenterRenton, WA$13,887
Trios HealthKennewick, WA$14,561

Highest

Hip and femur procedures except major joint without complications in other states

Questions

How much does hip and femur procedures except major joint without complications cost in Washington?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint without complications (DRG 482) at 6 hospitals in Washington was billed at $83,604 on average, while the average total payment was $14,037, of which Medicare paid $11,714. 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 6.0 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.