facebook tracking Major chest procedures with major complications cost in Washington: 11 hospitals compared (DRG 163)

Major chest procedures with major complications in Washington

What 11 hospitals in Washington charged and were paid for a Medicare hospital stay for major chest procedures with major complications (DRG 163), from 2024 Medicare claims.

DRG 163 Inpatient 2024 Medicare data
Average charge $220,664 Hospital list price billed
Average payment $55,063 Medicare + patient + other payers
Medicare paid $42,724 Average per stay
State rank #36 of 38 1 = lowest average payment

Hospitals in Washington billed an average of $220,664 for major chest procedures with major complications, about 4.0 times the average total payment of $55,063. That payment is 22% above the U.S. average of $45,128.

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 $55,063Billed $220,664

About 25¢ was paid for every $1 hospitals in Washington billed for this stay.

Washington hospitals: major chest procedures with major 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
St Joseph Medical CenterTacoma 30 $246,817 $50,669 $37,906
University of Washington Medical CtrSeattle 26 $189,060 $59,706 $39,257
Virginia Mason Medical CenterSeattle 24 $127,738 $48,860 $37,839
Providence Sacred Heart Medical CenterSpokane 24 $188,920 $52,146 $31,085
Confluence Health HospitalWenatchee 17 $105,802 $37,215 $36,023
Providence Regional Medical Center EverettEverett 15 $182,555 $43,487 $41,847
Swedish Medical CenterSeattle 14 $590,811 $128,999 $110,776
Kadlec Regional Medical CenterRichland 14 $129,208 $37,141 $35,212
Swedish Medical Center/Cherry HillSeattle 13 $297,890 $68,354 $37,607
Tacoma General HospitalTacoma 13 $280,576 $48,892 $44,248
St Michael Medical CenterBremerton 12 $209,744 $40,925 $39,187
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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.

Major chest procedures with major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for major chest procedures with major complications (DRG 163) at 11 hospitals in Washington was billed at $220,664 on average, while the average total payment was $55,063, of which Medicare paid $42,724. 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 4.0 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.