facebook tracking Permanent cardiac pacemaker implant with major complications cost in Washington: 13 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in Washington

What 13 hospitals in Washington charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $137,007 Hospital list price billed
Average payment $31,736 Medicare + patient + other payers
Medicare paid $28,136 Average per stay
State rank #33 of 41 1 = lowest average payment

Hospitals in Washington billed an average of $137,007 for permanent cardiac pacemaker implant with major complications, about 4.3 times the average total payment of $31,736. That payment is 4% above the U.S. average of $30,574.

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 $31,736Billed $137,007

About 23¢ was paid for every $1 hospitals in Washington billed for this stay.

Washington hospitals: permanent cardiac pacemaker implant 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
Providence Sacred Heart Medical CenterSpokane 35 $97,778 $30,142 $27,764
Providence St Peter HospitalOlympia 32 $180,786 $33,608 $29,665
St Michael Medical CenterBremerton 23 $172,614 $32,559 $30,717
St Joseph Medical CenterTacoma 20 $186,208 $32,378 $27,575
Swedish Medical Center/Cherry HillSeattle 19 $151,723 $34,127 $27,898
Providence Regional Medical Center EverettEverett 17 $153,838 $27,860 $26,348
Confluence Health HospitalWenatchee 16 $94,630 $27,705 $26,222
S W Washington Medical CenterVancouver 16 $123,593 $32,175 $26,897
Kadlec Regional Medical CenterRichland 16 $121,902 $28,700 $27,342
Virginia Mason Medical CenterSeattle 14 $109,451 $33,992 $31,014
Peacehealth St Joseph Medical CenterBellingham 14 $167,014 $36,193 $28,319
University of Washington Medical CtrSeattle 12 $86,012 $35,627 $27,824
Providence St Mary Medical CenterWalla Walla 11 $74,768 $27,192 $25,857
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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.

Permanent cardiac pacemaker implant with major complications in other states

Questions

How much does permanent cardiac pacemaker implant with major complications cost in Washington?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 13 hospitals in Washington was billed at $137,007 on average, while the average total payment was $31,736, of which Medicare paid $28,136. 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 4.3 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.