Level 1 ICD and Similar Procedures in Washington
What 20 hospitals in Washington charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
$77,986
Hospital list price billed
Average allowed
$24,220
Medicare's payment + patient's share
Medicare paid
$22,588
Average per service
State rank
#28 of 34
1 = lowest average payment
Hospitals in Washington billed an average of $77,986 for level 1 icd and similar procedures, about 3.2 times the average medicare-allowed amount of $24,220. That payment is 7% above the U.S. average of $22,647.
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 $24,220Billed $77,986
About 31¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 1 icd and similar procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in Washington?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 20 hospitals in Washington was billed at $77,986 on average, while the average medicare-allowed amount was $24,220, of which Medicare paid $22,588. 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 3.2 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.