Level 3 Lower GI Procedures in Washington
What 44 hospitals in Washington charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$14,165
Hospital list price billed
Average allowed
$2,859
Medicare's payment + patient's share
Medicare paid
$2,316
Average per service
State rank
#41 of 49
1 = lowest average payment
Hospitals in Washington billed an average of $14,165 for level 3 lower gi procedures, about 5.0 times the average medicare-allowed amount of $2,859. That payment is 6% above the U.S. average of $2,703.
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 $2,859Billed $14,165
About 20¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 3 lower gi 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 |
|---|---|---|---|---|
| Skagit Valley HospitalMt Vernon | 89 | $15,506 | $2,837 | $2,352 |
| Virginia Mason Medical CenterSeattle | 68 | $12,483 | $2,811 | $2,273 |
| Confluence Health HospitalWenatchee | 57 | $7,763 | $2,997 | $2,446 |
| Providence Sacred Heart Medical CenterSpokane | 49 | $8,922 | $2,786 | $2,257 |
| University of Washington Medical CtrSeattle | 48 | $12,928 | $2,818 | $2,263 |
| Kadlec Regional Medical CenterRichland | 47 | $14,117 | $2,770 | $2,200 |
| Tacoma General HospitalTacoma | 38 | $19,954 | $2,893 | $2,304 |
| Evergreenhealth Medical CenterKirkland | 31 | $12,641 | $2,867 | $2,289 |
| Swedish IssaquahIssaquah | 29 | $9,353 | $2,867 | $2,329 |
| St Francis Community HospitalFederal Way | 28 | $20,118 | $2,865 | $2,387 |
| Providence Holy Family HospitalSpokane | 26 | $11,676 | $2,816 | $2,321 |
| Swedish Medical CenterSeattle | 24 | $12,553 | $3,008 | $2,441 |
| S W Washington Medical CenterVancouver | 24 | $21,305 | $2,842 | $2,255 |
| Deaconess Medical CenterSpokane | 23 | $12,301 | $2,816 | $2,325 |
| St Joseph Medical CenterTacoma | 22 | $29,654 | $2,893 | $2,305 |
| Providence Regional Medical Center EverettEverett | 21 | $12,830 | $2,867 | $2,325 |
| Peacehealth St Joseph Medical CenterBellingham | 21 | $12,147 | $3,018 | $2,426 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 19 | $23,565 | $2,653 | $2,065 |
| Peachealth St John Medical CenterLongview | 17 | $12,179 | $3,120 | $2,606 |
| Valley Hospital & Medical CenterSpokane | 17 | $10,177 | $2,816 | $2,361 |
| Olympic Medical CenterPort Angeles | 15 | $8,536 | $3,017 | $2,445 |
| Valley Medical CenterRenton | 15 | $10,408 | $2,715 | $2,146 |
| Capital Medical CenterOlympia | 15 | $26,140 | $2,893 | $2,305 |
| Legacy Salmon Creek Medical CenterVancouver | 15 | $18,640 | $2,790 | $2,174 |
| Providence St Mary Medical CenterWalla Walla | – | – | – | – |
| Island HospitalAnacortes | – | – | – | – |
| Highline Medical CenterBurien | – | – | – | – |
| Auburn Regional Medical CenterAuburn | – | – | – | – |
| Providence Centralia HospitalCentralia | – | – | – | – |
| St Clare HospitalLakewood | – | – | – | – |
| Providence St Peter HospitalOlympia | – | – | – | – |
| Swedish Edmonds HospitalEdmonds | – | – | – | – |
| Grays Harbor Community HospitalAberdeen | – | – | – | – |
| Samaritan HospitalMoses Lake | – | – | – | – |
| Yakima Valley Memorial HospitalYakima | – | – | – | – |
| Toppenish Community HospitalToppenish | – | – | – | – |
| St Michael Medical CenterBremerton | – | – | – | – |
| Overlake Hospital Medical CenterBellevue | – | – | – | – |
| Trios HealthKennewick | – | – | – | – |
| Cascade Valley HospitalArlington | – | – | – | – |
| Harborview Medical CenterSeattle | – | – | – | – |
| Evergreenhealth MonroeMonroe | – | – | – | – |
| Fred Hutchinson Cancer CenterSeattle | – | – | – | – |
| St Anthony HospitalGig Harbor | – | – | – | – |
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
| Good Samaritan Hospital & Rehab CenterPuyallup, WA | $2,653 |
|---|---|
| Valley Medical CenterRenton, WA | $2,715 |
| Kadlec Regional Medical CenterRichland, WA | $2,770 |
| Providence Sacred Heart Medical CenterSpokane, WA | $2,786 |
| Legacy Salmon Creek Medical CenterVancouver, WA | $2,790 |
Highest
| Peachealth St John Medical CenterLongview, WA | $3,120 |
|---|---|
| Peacehealth St Joseph Medical CenterBellingham, WA | $3,018 |
| Olympic Medical CenterPort Angeles, WA | $3,017 |
| Swedish Medical CenterSeattle, WA | $3,008 |
| Confluence Health HospitalWenatchee, WA | $2,997 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in Washington?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 44 hospitals in Washington was billed at $14,165 on average, while the average medicare-allowed amount was $2,859, of which Medicare paid $2,316. 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 5.0 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.