What 26 hospitals in Washington charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Hospitals in Washington billed an average of $130,827 for level 2 icd and similar procedures, about 3.9 times the average medicare-allowed amount of $33,501. That payment is 8% above the U.S. average of $31,009.
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.
About 26¢ was paid for every $1 hospitals in Washington billed for this service.
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 |
|---|---|---|---|---|
| Providence Sacred Heart Medical CenterSpokane | 61 | $78,402 | $32,917 | $31,285 |
| Providence St Peter HospitalOlympia | 41 | $150,298 | $33,161 | $31,529 |
| Tacoma General HospitalTacoma | 41 | $161,029 | $33,007 | $31,372 |
| Kadlec Regional Medical CenterRichland | 40 | $118,862 | $32,701 | $31,063 |
| Swedish Medical Center/Cherry HillSeattle | 38 | $92,273 | $34,260 | $32,628 |
| St Joseph Medical CenterTacoma | 33 | $166,625 | $32,817 | $31,174 |
| St Michael Medical CenterBremerton | 32 | $161,153 | $35,371 | $33,737 |
| Deaconess Medical CenterSpokane | 27 | $171,065 | $32,917 | $31,285 |
| University of Washington Medical CtrSeattle | 26 | $112,747 | $31,714 | $30,082 |
| Providence Regional Medical Center EverettEverett | 21 | $119,348 | $33,494 | $31,859 |
| Yakima Valley Memorial HospitalYakima | 19 | $88,935 | $35,252 | $33,608 |
| S W Washington Medical CenterVancouver | 18 | $185,900 | $34,412 | $32,780 |
| Confluence Health HospitalWenatchee | 17 | $96,993 | $35,513 | $33,881 |
| Peacehealth St Joseph Medical CenterBellingham | 16 | $170,797 | $35,252 | $33,620 |
| Skagit Valley HospitalMt Vernon | 15 | $163,062 | $33,161 | $31,529 |
| Virginia Mason Medical CenterSeattle | 13 | $183,973 | $32,845 | $31,213 |
| Evergreenhealth Medical CenterKirkland | 12 | $78,391 | $33,494 | $31,862 |
| Overlake Hospital Medical CenterBellevue | 11 | $110,196 | $33,494 | $31,862 |
| Providence St Mary Medical CenterWalla Walla | – | – | – | – |
| Auburn Regional Medical CenterAuburn | – | – | – | – |
| Peachealth St John Medical CenterLongview | – | – | – | – |
| Olympic Medical CenterPort Angeles | – | – | – | – |
| Good Samaritan Hospital & Rehab CenterPuyallup | – | – | – | – |
| Valley Medical CenterRenton | – | – | – | – |
| Valley Hospital & Medical CenterSpokane | – | – | – | – |
| St Anthony HospitalGig Harbor | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| University of Washington Medical CtrSeattle, WA | $31,714 |
|---|---|
| Kadlec Regional Medical CenterRichland, WA | $32,701 |
| St Joseph Medical CenterTacoma, WA | $32,817 |
| Virginia Mason Medical CenterSeattle, WA | $32,845 |
| Deaconess Medical CenterSpokane, WA | $32,917 |
| Confluence Health HospitalWenatchee, WA | $35,513 |
|---|---|
| St Michael Medical CenterBremerton, WA | $35,371 |
| Yakima Valley Memorial HospitalYakima, WA | $35,252 |
| Peacehealth St Joseph Medical CenterBellingham, WA | $35,252 |
| S W Washington Medical CenterVancouver, WA | $34,412 |
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 26 hospitals in Washington was billed at $130,827 on average, while the average medicare-allowed amount was $33,501, of which Medicare paid $31,867. Your own cost depends on your insurance, deductible and the hospital.
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 3.9 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.