facebook tracking Medical back problems with major complications cost in Washington: 9 hospitals compared (DRG 551)

Medical back problems with major complications in Washington

What 9 hospitals in Washington charged and were paid for a Medicare hospital stay for medical back problems with major complications (DRG 551), from 2024 Medicare claims.

DRG 551 Inpatient 2024 Medicare data
Average charge $81,740 Hospital list price billed
Average payment $17,107 Medicare + patient + other payers
Medicare paid $14,576 Average per stay
State rank #26 of 33 1 = lowest average payment

Hospitals in Washington billed an average of $81,740 for medical back problems with major complications, about 4.8 times the average total payment of $17,107. That payment is 6% above the U.S. average of $16,215.

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 $17,107Billed $81,740

About 21¢ was paid for every $1 hospitals in Washington billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Washington:

Washington hospitals: medical back problems 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
S W Washington Medical CenterVancouver 22 $76,724 $16,812 $13,400
St Joseph Medical CenterTacoma 19 $152,361 $20,444 $18,886
Kadlec Regional Medical CenterRichland 17 $64,573 $14,216 $12,523
Tacoma General HospitalTacoma 16 $50,388 $13,928 $12,541
Harborview Medical CenterSeattle 15 $119,735 $23,493 $20,005
Good Samaritan Hospital & Rehab CenterPuyallup 14 $53,522 $13,911 $12,614
University of Washington Medical CtrSeattle 13 $48,344 $18,325 $13,888
Swedish Medical CenterSeattle 12 $75,971 $18,397 $14,093
St Anthony HospitalGig Harbor 11 $71,787 $13,534 $12,051
Advertisement

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

St Anthony HospitalGig Harbor, WA$13,534
Good Samaritan Hospital & Rehab CenterPuyallup, WA$13,911
Tacoma General HospitalTacoma, WA$13,928
Kadlec Regional Medical CenterRichland, WA$14,216
S W Washington Medical CenterVancouver, WA$16,812

Highest

Harborview Medical CenterSeattle, WA$23,493
St Joseph Medical CenterTacoma, WA$20,444
Swedish Medical CenterSeattle, WA$18,397
University of Washington Medical CtrSeattle, WA$18,325
S W Washington Medical CenterVancouver, WA$16,812

Medical back problems with major complications in other states

Questions

How much does medical back problems with major complications cost in Washington?

In 2024 Medicare data, a hospital stay for medical back problems with major complications (DRG 551) at 9 hospitals in Washington was billed at $81,740 on average, while the average total payment was $17,107, of which Medicare paid $14,576. 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 4.8 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.