facebook tracking Other factors influencing health status cost in Washington: 21 hospitals compared (DRG 951)

Other factors influencing health status in Washington

What 21 hospitals in Washington charged and were paid for a Medicare hospital stay for other factors influencing health status (DRG 951), from 2024 Medicare claims.

DRG 951 Inpatient 2024 Medicare data
Average charge $31,976 Hospital list price billed
Average payment $5,950 Medicare + patient + other payers
Medicare paid $4,214 Average per stay
State rank #11 of 17 1 = lowest average payment

Hospitals in Washington billed an average of $31,976 for other factors influencing health status, about 5.4 times the average total payment of $5,950. That payment is 3% below the U.S. average of $6,140.

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 $5,950Billed $31,976

About 19¢ was paid for every $1 hospitals in Washington billed for this stay.

Washington hospitals: other factors influencing health status

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 Michael Medical CenterBremerton 55 $42,967 $5,658 $4,278
Olympic Medical CenterPort Angeles 49 $17,740 $5,008 $3,672
University of Washington Medical CtrSeattle 46 $36,199 $7,683 $5,038
Providence Regional Medical Center EverettEverett 43 $41,924 $6,450 $3,977
Providence St Peter HospitalOlympia 35 $28,420 $5,380 $3,875
Providence Sacred Heart Medical CenterSpokane 27 $44,058 $8,742 $3,401
Swedish Edmonds HospitalEdmonds 25 $20,196 $5,478 $4,499
St Anthony HospitalGig Harbor 25 $36,047 $4,866 $4,149
Providence Holy Family HospitalSpokane 23 $22,789 $5,242 $3,642
Skagit Valley HospitalMt Vernon 22 $30,639 $5,705 $4,445
Providence Centralia HospitalCentralia 21 $35,459 $5,656 $4,476
Grays Harbor Community HospitalAberdeen 19 $22,723 $5,143 $4,198
Kadlec Regional Medical CenterRichland 19 $31,770 $5,990 $4,377
Providence St Mary Medical CenterWalla Walla 16 $16,701 $4,854 $3,732
Trios HealthKennewick 16 $23,013 $5,751 $4,053
S W Washington Medical CenterVancouver 15 $35,091 $6,529 $3,841
St Clare HospitalLakewood 14 $34,018 $5,340 $4,641
St Joseph Medical CenterTacoma 13 $33,572 $5,529 $4,547
St Francis Community HospitalFederal Way 13 $33,975 $5,860 $4,562
Harborview Medical CenterSeattle 11 $40,491 $8,025 $6,257
Swedish IssaquahIssaquah 11 $30,293 $5,169 $4,417
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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

Providence St Mary Medical CenterWalla Walla, WA$4,854
St Anthony HospitalGig Harbor, WA$4,866
Olympic Medical CenterPort Angeles, WA$5,008
Grays Harbor Community HospitalAberdeen, WA$5,143
Swedish IssaquahIssaquah, WA$5,169

Other factors influencing health status in other states

Questions

How much does other factors influencing health status cost in Washington?

In 2024 Medicare data, a hospital stay for other factors influencing health status (DRG 951) at 21 hospitals in Washington was billed at $31,976 on average, while the average total payment was $5,950, of which Medicare paid $4,214. 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 5.4 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.