facebook tracking Postoperative or post-traumatic infections with operating room procedures with major complications cost in Washington: 3 hospitals compared (DRG 856)

Postoperative or post-traumatic infections with operating room procedures with major complications in Washington

What 3 hospitals in Washington charged and were paid for a Medicare hospital stay for postoperative or post-traumatic infections with operating room procedures with major complications (DRG 856), from 2024 Medicare claims.

DRG 856 Inpatient 2024 Medicare data
Average charge $156,701 Hospital list price billed
Average payment $37,677 Medicare + patient + other payers
Medicare paid $33,617 Average per stay
State rank #3 of 22 1 = lowest average payment

Hospitals in Washington billed an average of $156,701 for postoperative or post-traumatic infections with operating room procedures with major complications, about 4.2 times the average total payment of $37,677. That payment is 26% below the U.S. average of $50,617.

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 $37,677Billed $156,701

About 24¢ 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: postoperative or post-traumatic infections with operating room procedures 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 16 $121,537 $35,594 $33,186
Kadlec Regional Medical CenterRichland 13 $164,305 $32,534 $30,891
Swedish Medical CenterSeattle 11 $198,862 $46,783 $37,464
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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

Highest

Postoperative or post-traumatic infections with operating room procedures with major complications in other states

Questions

How much does postoperative or post-traumatic infections with operating room procedures with major complications cost in Washington?

In 2024 Medicare data, a hospital stay for postoperative or post-traumatic infections with operating room procedures with major complications (DRG 856) at 3 hospitals in Washington was billed at $156,701 on average, while the average total payment was $37,677, of which Medicare paid $33,617. 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 4.2 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.