facebook tracking Pneumothorax with complications cost in Washington: 3 hospitals compared (DRG 200)

Pneumothorax with complications in Washington

What 3 hospitals in Washington charged and were paid for a Medicare hospital stay for pneumothorax with complications (DRG 200), from 2024 Medicare claims.

DRG 200 Inpatient 2024 Medicare data
Average charge $44,209 Hospital list price billed
Average payment $11,808 Medicare + patient + other payers
Medicare paid $8,290 Average per stay
State rank #10 of 18 1 = lowest average payment

Hospitals in Washington billed an average of $44,209 for pneumothorax with complications, about 3.7 times the average total payment of $11,808. That payment is 2% below the U.S. average of $12,018.

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 $11,808Billed $44,209

About 27¢ 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: pneumothorax 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
Harborview Medical CenterSeattle 12 $49,744 $13,276 $11,020
Providence Regional Medical Center EverettEverett 11 $41,105 $12,131 $6,914
Kadlec Regional Medical CenterRichland 11 $41,274 $9,884 $6,688
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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.

Pneumothorax with complications in other states

Questions

How much does pneumothorax with complications cost in Washington?

In 2024 Medicare data, a hospital stay for pneumothorax with complications (DRG 200) at 3 hospitals in Washington was billed at $44,209 on average, while the average total payment was $11,808, of which Medicare paid $8,290. 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.