facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in Washington: 22 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in Washington

What 22 hospitals in Washington charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $56,650 Hospital list price billed
Average payment $13,207 Medicare + patient + other payers
Medicare paid $10,368 Average per stay
State rank #32 of 48 1 = lowest average payment

Hospitals in Washington billed an average of $56,650 for pulmonary embolism with major complications or acute cor pulmonale, about 4.3 times the average total payment of $13,207. That payment is 2% below the U.S. average of $13,466.

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 $13,207Billed $56,650

About 23¢ 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: pulmonary embolism with major complications or acute cor pulmonale

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 29 $49,129 $16,935 $11,461
St Michael Medical CenterBremerton 29 $84,310 $13,845 $11,052
Tacoma General HospitalTacoma 24 $44,496 $12,446 $11,177
Providence Sacred Heart Medical CenterSpokane 22 $54,778 $13,078 $10,845
Good Samaritan Hospital & Rehab CenterPuyallup 21 $48,138 $11,622 $10,294
Peacehealth St Joseph Medical CenterBellingham 20 $79,054 $17,814 $10,992
Valley Medical CenterRenton 20 $45,842 $12,656 $10,332
Evergreenhealth Medical CenterKirkland 20 $45,243 $11,542 $10,501
St Anthony HospitalGig Harbor 20 $78,006 $10,959 $9,572
S W Washington Medical CenterVancouver 19 $68,773 $13,179 $10,972
Yakima Valley Memorial HospitalYakima 15 $50,256 $12,222 $9,103
Kadlec Regional Medical CenterRichland 15 $47,085 $12,116 $10,979
Providence Holy Family HospitalSpokane 15 $46,596 $11,019 $9,168
Providence St Mary Medical CenterWalla Walla 14 $41,312 $13,868 $7,811
Confluence Health HospitalWenatchee 14 $50,369 $16,623 $10,449
Capital Medical CenterOlympia 13 $46,374 $12,161 $9,619
Providence St Peter HospitalOlympia 12 $52,836 $12,299 $11,060
Peachealth St John Medical CenterLongview 12 $55,075 $13,365 $10,212
St Francis Community HospitalFederal Way 12 $89,123 $13,808 $9,846
Skagit Valley HospitalMt Vernon 11 $55,104 $13,008 $9,838
Swedish Edmonds HospitalEdmonds 11 $57,735 $11,020 $10,130
Overlake Hospital Medical CenterBellevue 11 $35,985 $10,840 $9,508
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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

Overlake Hospital Medical CenterBellevue, WA$10,840
St Anthony HospitalGig Harbor, WA$10,959
Providence Holy Family HospitalSpokane, WA$11,019
Swedish Edmonds HospitalEdmonds, WA$11,020
Evergreenhealth Medical CenterKirkland, WA$11,542

Highest

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Washington?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 22 hospitals in Washington was billed at $56,650 on average, while the average total payment was $13,207, of which Medicare paid $10,368. 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.