facebook tracking Interstitial lung disease with major complications cost in Washington: 3 hospitals compared (DRG 196)

Interstitial lung disease with major complications in Washington

What 3 hospitals in Washington charged and were paid for a Medicare hospital stay for interstitial lung disease with major complications (DRG 196), from 2024 Medicare claims.

DRG 196 Inpatient 2024 Medicare data
Average charge $79,618 Hospital list price billed
Average payment $22,013 Medicare + patient + other payers
Medicare paid $15,097 Average per stay
State rank #21 of 29 1 = lowest average payment

Hospitals in Washington billed an average of $79,618 for interstitial lung disease with major complications, about 3.6 times the average total payment of $22,013. That payment is 4% above the U.S. average of $21,088.

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 $22,013Billed $79,618

About 28¢ 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: interstitial lung disease 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
University of Washington Medical CtrSeattle 22 $66,634 $28,290 $15,627
St Joseph Medical CenterTacoma 12 $91,361 $14,946 $13,613
St Michael Medical CenterBremerton 11 $92,778 $17,168 $15,655
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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 Joseph Medical CenterTacoma, WA$14,946
St Michael Medical CenterBremerton, WA$17,168
University of Washington Medical CtrSeattle, WA$28,290

Highest

University of Washington Medical CtrSeattle, WA$28,290
St Michael Medical CenterBremerton, WA$17,168
St Joseph Medical CenterTacoma, WA$14,946

Interstitial lung disease with major complications in other states

Questions

How much does interstitial lung disease with major complications cost in Washington?

In 2024 Medicare data, a hospital stay for interstitial lung disease with major complications (DRG 196) at 3 hospitals in Washington was billed at $79,618 on average, while the average total payment was $22,013, of which Medicare paid $15,097. 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 3.6 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.