facebook tracking Level 2 ICD and Similar Procedures cost in Washington: 26 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Washington

What 26 hospitals in Washington charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $130,827 Hospital list price billed
Average allowed $33,501 Medicare's payment + patient's share
Medicare paid $31,867 Average per service
State rank #39 of 47 1 = lowest average payment

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.

Paid $33,501Billed $130,827

About 26¢ was paid for every $1 hospitals in Washington billed for this service.

Washington hospitals: level 2 icd and similar 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
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 – – – –
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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.

Lowest

Highest

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

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Washington?

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.

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 3.9 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.