Hip replacement with principal diagnosis of hip fracture without major complications in Washington
What 30 hospitals in Washington charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$98,965
Hospital list price billed
Average payment
$18,886
Medicare + patient + other payers
Medicare paid
$16,430
Average per stay
State rank
#36 of 50
1 = lowest average payment
Hospitals in Washington billed an average of $98,965 for hip replacement with principal diagnosis of hip fracture without major complications, about 5.2 times the average total payment of $18,886. That payment is 3% above the U.S. average of $18,301.
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 $18,886Billed $98,965
About 19¢ 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: hip replacement with principal diagnosis of hip fracture 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 |
|---|---|---|---|---|
| Kadlec Regional Medical CenterRichland | 45 | $86,251 | $17,440 | $15,779 |
| Providence St Peter HospitalOlympia | 44 | $105,186 | $19,542 | $15,760 |
| Providence Regional Medical Center EverettEverett | 41 | $118,268 | $17,811 | $16,131 |
| Peacehealth St Joseph Medical CenterBellingham | 40 | $113,691 | $19,508 | $17,894 |
| University of Washington Medical CtrSeattle | 36 | $84,253 | $22,764 | $17,903 |
| Overlake Hospital Medical CenterBellevue | 35 | $137,950 | $18,127 | $16,577 |
| Providence Sacred Heart Medical CenterSpokane | 35 | $77,854 | $20,575 | $15,633 |
| Confluence Health HospitalWenatchee | 34 | $86,283 | $17,683 | $16,154 |
| Valley Medical CenterRenton | 32 | $128,385 | $18,856 | $15,984 |
| St Michael Medical CenterBremerton | 28 | $121,662 | $19,064 | $17,267 |
| Yakima Valley Memorial HospitalYakima | 27 | $53,431 | $17,733 | $16,012 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 26 | $92,520 | $18,655 | $15,223 |
| Tacoma General HospitalTacoma | 24 | $93,882 | $18,519 | $16,781 |
| S W Washington Medical CenterVancouver | 22 | $105,800 | $18,572 | $16,843 |
| Evergreenhealth Medical CenterKirkland | 21 | $88,537 | $17,075 | $15,620 |
| Providence St Mary Medical CenterWalla Walla | 19 | $69,484 | $17,911 | $14,504 |
| Grays Harbor Community HospitalAberdeen | 17 | $128,774 | $18,451 | $17,011 |
| Peachealth St John Medical CenterLongview | 17 | $154,857 | $18,152 | $16,520 |
| Valley Hospital & Medical CenterSpokane | 17 | $80,925 | $16,802 | $15,649 |
| Island HospitalAnacortes | 15 | $54,002 | $21,239 | $15,695 |
| Providence Centralia HospitalCentralia | 15 | $110,402 | $19,145 | $17,630 |
| Swedish Medical CenterSeattle | 15 | $114,051 | $21,409 | $18,603 |
| Legacy Salmon Creek Medical CenterVancouver | 15 | $55,970 | $18,826 | $17,224 |
| Skagit Valley HospitalMt Vernon | 13 | $96,458 | $19,418 | $17,365 |
| Olympic Medical CenterPort Angeles | 13 | $49,967 | $17,925 | $16,321 |
| Swedish IssaquahIssaquah | 12 | $130,090 | $19,417 | $17,772 |
| Virginia Mason Medical CenterSeattle | 11 | $82,122 | $23,451 | $16,500 |
| Trios HealthKennewick | 11 | $85,557 | $19,144 | $17,272 |
| Providence Holy Family HospitalSpokane | 11 | $81,062 | $16,983 | $15,472 |
| St Anthony HospitalGig Harbor | 11 | $137,235 | $16,691 | $15,059 |
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 | $16,691 |
|---|---|
| Valley Hospital & Medical CenterSpokane, WA | $16,802 |
| Providence Holy Family HospitalSpokane, WA | $16,983 |
| Evergreenhealth Medical CenterKirkland, WA | $17,075 |
| Kadlec Regional Medical CenterRichland, WA | $17,440 |
Highest
| Virginia Mason Medical CenterSeattle, WA | $23,451 |
|---|---|
| University of Washington Medical CtrSeattle, WA | $22,764 |
| Swedish Medical CenterSeattle, WA | $21,409 |
| Island HospitalAnacortes, WA | $21,239 |
| Providence Sacred Heart Medical CenterSpokane, WA | $20,575 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Washington?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 30 hospitals in Washington was billed at $98,965 on average, while the average total payment was $18,886, of which Medicare paid $16,430. 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 5.2 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.