facebook tracking Major small and large bowel procedures without complications cost in Washington: 15 hospitals compared (DRG 331)

Major small and large bowel procedures without complications in Washington

What 15 hospitals in Washington charged and were paid for a Medicare hospital stay for major small and large bowel procedures without complications (DRG 331), from 2024 Medicare claims.

DRG 331 Inpatient 2024 Medicare data
Average charge $97,402 Hospital list price billed
Average payment $19,579 Medicare + patient + other payers
Medicare paid $11,914 Average per stay
State rank #38 of 42 1 = lowest average payment

Hospitals in Washington billed an average of $97,402 for major small and large bowel procedures without complications, about 5.0 times the average total payment of $19,579. That payment is 22% above the U.S. average of $16,035.

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 $19,579Billed $97,402

About 20¢ was paid for every $1 hospitals in Washington billed for this stay.

Washington hospitals: major small and large bowel procedures without 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
Virginia Mason Medical CenterSeattle 59 $70,056 $16,573 $14,423
Providence Sacred Heart Medical CenterSpokane 29 $72,651 $19,125 $9,273
University of Washington Medical CtrSeattle 27 $89,112 $19,961 $12,365
Swedish Medical CenterSeattle 24 $141,600 $19,777 $13,475
Confluence Health HospitalWenatchee 21 $65,665 $17,080 $10,877
St Joseph Medical CenterTacoma 21 $156,275 $26,764 $11,089
Tacoma General HospitalTacoma 20 $85,689 $19,566 $11,239
Peacehealth St Joseph Medical CenterBellingham 19 $89,308 $25,588 $11,875
Providence Regional Medical Center EverettEverett 18 $116,011 $33,358 $7,858
Providence St Peter HospitalOlympia 17 $111,761 $16,152 $11,858
Swedish Edmonds HospitalEdmonds 16 $90,788 $17,230 $11,820
St Michael Medical CenterBremerton 16 $116,653 $15,069 $13,742
Valley Medical CenterRenton 15 $95,926 $16,882 $10,431
Kadlec Regional Medical CenterRichland 14 $85,190 $14,176 $12,560
Overlake Hospital Medical CenterBellevue 11 $163,247 $19,500 $11,159
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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

Kadlec Regional Medical CenterRichland, WA$14,176
St Michael Medical CenterBremerton, WA$15,069
Providence St Peter HospitalOlympia, WA$16,152
Virginia Mason Medical CenterSeattle, WA$16,573
Valley Medical CenterRenton, WA$16,882

Major small and large bowel procedures without complications in other states

Questions

How much does major small and large bowel procedures without complications cost in Washington?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures without complications (DRG 331) at 15 hospitals in Washington was billed at $97,402 on average, while the average total payment was $19,579, of which Medicare paid $11,914. 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 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 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.