facebook tracking Pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Washington: 10 hospitals compared (DRG 543)

Pathological fractures and musculoskeletal and connective tissue malignancy with complications in Washington

What 10 hospitals in Washington charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.

DRG 543 Inpatient 2024 Medicare data
Average charge $38,275 Hospital list price billed
Average payment $10,269 Medicare + patient + other payers
Medicare paid $7,994 Average per stay
State rank #22 of 34 1 = lowest average payment

Hospitals in Washington billed an average of $38,275 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 3.7 times the average total payment of $10,269. That payment is 1% below the U.S. average of $10,379.

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 $10,269Billed $38,275

About 27¢ was paid for every $1 hospitals in Washington billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Washington:

Washington hospitals: pathological fractures and musculoskeletal and connective tissue malignancy 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 40 $35,154 $12,623 $9,139
Evergreenhealth Medical CenterKirkland 34 $38,179 $8,960 $7,570
Confluence Health HospitalWenatchee 26 $39,310 $9,101 $7,615
Good Samaritan Hospital & Rehab CenterPuyallup 26 $38,305 $10,408 $7,202
Peacehealth St Joseph Medical CenterBellingham 25 $43,235 $9,996 $8,737
Olympic Medical CenterPort Angeles 19 $21,141 $10,096 $7,188
Providence Regional Medical Center EverettEverett 15 $60,212 $9,708 $7,900
Providence St Peter HospitalOlympia 14 $41,435 $11,073 $7,705
Kadlec Regional Medical CenterRichland 12 $39,842 $9,463 $7,823
Legacy Salmon Creek Medical CenterVancouver 11 $30,081 $9,731 $8,302
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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.

Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states

Questions

How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Washington?

In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 10 hospitals in Washington was billed at $38,275 on average, while the average total payment was $10,269, of which Medicare paid $7,994. 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 3.7 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.