facebook tracking Major chest procedures with complications cost in Washington: 10 hospitals compared (DRG 164)

Major chest procedures with complications in Washington

What 10 hospitals in Washington charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.

DRG 164 Inpatient 2024 Medicare data
Average charge $112,345 Hospital list price billed
Average payment $25,932 Medicare + patient + other payers
Medicare paid $19,915 Average per stay
State rank #31 of 41 1 = lowest average payment

Hospitals in Washington billed an average of $112,345 for major chest procedures with complications, about 4.3 times the average total payment of $25,932. That payment is 2% above the U.S. average of $25,501.

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 $25,932Billed $112,345

About 23¢ was paid for every $1 hospitals in Washington billed for this stay.

Washington hospitals: major chest procedures with complications

Every Washington hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
University of Washington Medical CtrSeattle 50 $88,153 $29,755 $20,677
St Joseph Medical CenterTacoma 44 $136,045 $24,541 $18,244
Virginia Mason Medical CenterSeattle 39 $84,141 $24,957 $22,335
Swedish Medical CenterSeattle 37 $129,037 $29,211 $19,903
St Michael Medical CenterBremerton 36 $152,865 $23,591 $20,494
Tacoma General HospitalTacoma 28 $85,103 $23,375 $19,824
Providence Sacred Heart Medical CenterSpokane 27 $95,060 $22,872 $18,710
Kadlec Regional Medical CenterRichland 13 $116,994 $21,902 $20,610
Peacehealth St Joseph Medical CenterBellingham 11 $141,862 $31,783 $17,827
S W Washington Medical CenterVancouver 11 $115,512 $27,154 $17,147
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Lowest and highest payments in Washington

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

Lowest

Highest

Major chest procedures with complications in other states

Questions

How much does major chest procedures with complications cost in Washington?

In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 10 hospitals in Washington was billed at $112,345 on average, while the average total payment was $25,932, of which Medicare paid $19,915. 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 stay in Washington, average charges were 4.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.