facebook tracking Level 1 Abdominal/Peritoneal/Biliary and Related Procedures cost in Washington: 46 hospitals compared (APC 5341)

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Washington

What 46 hospitals in Washington charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.

APC 5341 Outpatient 2024 Medicare data
Average charge $25,297 Hospital list price billed
Average allowed $3,554 Medicare's payment + patient's share
Medicare paid $2,823 Average per service
State rank #40 of 49 1 = lowest average payment

Hospitals in Washington billed an average of $25,297 for level 1 abdominal/peritoneal/biliary and related procedures, about 7.1 times the average medicare-allowed amount of $3,554. That payment is 7% above the U.S. average of $3,323.

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 $3,554Billed $25,297

About 14¢ was paid for every $1 hospitals in Washington billed for this service.

Washington hospitals: level 1 abdominal/peritoneal/biliary and related procedures

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
University of Washington Medical CtrSeattle 94 $22,663 $3,472 $2,767
Providence St Peter HospitalOlympia 84 $22,911 $3,498 $2,779
Virginia Mason Medical CenterSeattle 83 $21,878 $3,377 $2,677
Swedish Medical CenterSeattle 80 $24,574 $3,673 $2,917
Olympic Medical CenterPort Angeles 76 $12,663 $3,719 $2,963
Confluence Health HospitalWenatchee 72 $16,247 $3,746 $2,985
Yakima Valley Memorial HospitalYakima 62 $14,127 $3,719 $2,957
Evergreenhealth Medical CenterKirkland 50 $21,197 $3,477 $2,759
St Michael Medical CenterBremerton 46 $44,501 $3,731 $2,969
Valley Medical CenterRenton 37 $32,060 $3,457 $2,739
Tacoma General HospitalTacoma 37 $35,500 $3,411 $2,687
Providence Regional Medical Center EverettEverett 36 $20,357 $3,533 $2,805
Providence Sacred Heart Medical CenterSpokane 35 $12,532 $3,472 $2,766
Kadlec Regional Medical CenterRichland 35 $18,959 $3,472 $2,766
Skagit Valley HospitalMt Vernon 34 $24,941 $3,416 $2,705
Providence Holy Family HospitalSpokane 34 $20,351 $3,472 $2,767
St Joseph Medical CenterTacoma 34 $60,051 $3,565 $2,837
Legacy Salmon Creek Medical CenterVancouver 34 $18,310 $3,466 $2,717
St Anthony HospitalGig Harbor 33 $43,578 $3,511 $2,794
Peacehealth St Joseph Medical CenterBellingham 32 $28,690 $3,719 $2,963
Island HospitalAnacortes 31 $18,863 $3,498 $2,777
Providence Centralia HospitalCentralia 31 $23,587 $3,818 $3,042
Capital Medical CenterOlympia 30 $31,901 $3,375 $2,644
Valley Hospital & Medical CenterSpokane 27 $28,035 $3,370 $2,657
Deaconess Medical CenterSpokane 25 $33,268 $3,472 $2,763
Providence St Mary Medical CenterWalla Walla 24 $25,089 $3,719 $2,963
Swedish Edmonds HospitalEdmonds 24 $18,050 $3,533 $2,811
Peachealth St John Medical CenterLongview 24 $33,309 $3,847 $3,065
Swedish IssaquahIssaquah 23 $33,333 $3,533 $2,815
Grays Harbor Community HospitalAberdeen 21 $38,629 $3,731 $2,954
S W Washington Medical CenterVancouver 21 $26,919 $3,630 $2,892
Overlake Hospital Medical CenterBellevue 18 $42,311 $3,533 $2,815
Good Samaritan Hospital & Rehab CenterPuyallup 18 $32,757 $3,407 $2,682
Harborview Medical CenterSeattle 16 $31,500 $3,472 $2,767
Cascade Valley HospitalArlington 15 $20,543 $3,533 $2,815
Evergreenhealth MonroeMonroe 15 $24,277 $3,228 $2,534
Trios HealthKennewick 11 $22,930 $3,472 $2,767
Highline Medical CenterBurien – – – –
Auburn Regional Medical CenterAuburn – – – –
St Clare HospitalLakewood – – – –
Swedish Medical Center/Cherry HillSeattle – – – –
Samaritan HospitalMoses Lake – – – –
Toppenish Community HospitalToppenish – – – –
Group Health Central HospitalSeattle – – – –
St Francis Community HospitalFederal Way – – – –
Multicare Covington Medical CenterCovington – – – –
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Lowest and highest allowed amounts in Washington

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states

Questions

How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Washington?

In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 46 hospitals in Washington was billed at $25,297 on average, while the average medicare-allowed amount was $3,554, of which Medicare paid $2,823. 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 7.1 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.