facebook tracking Implantation of Drug Infusion Device cost in Washington: 11 hospitals compared (APC 5471)

Implantation of Drug Infusion Device in Washington

What 11 hospitals in Washington charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.

APC 5471 Outpatient 2024 Medicare data
Average charge $46,084 Hospital list price billed
Average allowed $18,669 Medicare's payment + patient's share
Medicare paid $17,037 Average per service
State rank #30 of 32 1 = lowest average payment

Hospitals in Washington billed an average of $46,084 for implantation of drug infusion device, about 2.5 times the average medicare-allowed amount of $18,669. That payment is 13% above the U.S. average of $16,462.

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 $18,669Billed $46,084

About 41¢ was paid for every $1 hospitals in Washington billed for this service.

Washington hospitals: implantation of drug infusion device

Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
S W Washington Medical CenterVancouver 19 $46,084 $18,669 $17,037
University of Washington Medical CtrSeattle – – – –
St Clare HospitalLakewood – – – –
Swedish Medical CenterSeattle – – – –
Yakima Valley Memorial HospitalYakima – – – –
St Michael Medical CenterBremerton – – – –
Providence Sacred Heart Medical CenterSpokane – – – –
Providence Holy Family HospitalSpokane – – – –
Evergreenhealth Medical CenterKirkland – – – –
Tacoma General HospitalTacoma – – – –
St Anthony HospitalGig Harbor – – – –
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Implantation of Drug Infusion Device in other states

Questions

How much does implantation of drug infusion device cost in Washington?

In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 11 hospitals in Washington was billed at $46,084 on average, while the average medicare-allowed amount was $18,669, of which Medicare paid $17,037. 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 service in Washington, average charges were 2.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.