Simple pneumonia and pleurisy with complications in Washington
What 14 hospitals in Washington charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$35,451
Hospital list price billed
Average payment
$8,121
Medicare + patient + other payers
Medicare paid
$5,871
Average per stay
State rank
#35 of 47
1 = lowest average payment
Hospitals in Washington billed an average of $35,451 for simple pneumonia and pleurisy with complications, about 4.4 times the average total payment of $8,121. That payment is 2% above the U.S. average of $7,941.
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 $8,121Billed $35,451
About 23¢ 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: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Peacehealth St Joseph Medical CenterBellingham | 43 | $37,424 | $8,801 | $6,082 |
| Providence Regional Medical Center EverettEverett | 34 | $34,017 | $8,042 | $5,704 |
| Evergreenhealth Medical CenterKirkland | 34 | $43,814 | $7,143 | $5,774 |
| University of Washington Medical CtrSeattle | 28 | $31,471 | $10,169 | $6,690 |
| Kadlec Regional Medical CenterRichland | 24 | $34,242 | $7,510 | $5,457 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 24 | $26,802 | $8,078 | $5,119 |
| Overlake Hospital Medical CenterBellevue | 18 | $36,798 | $6,882 | $5,522 |
| Virginia Mason Medical CenterSeattle | 13 | $29,882 | $9,267 | $6,720 |
| Peachealth St John Medical CenterLongview | 13 | $35,077 | $7,574 | $6,194 |
| S W Washington Medical CenterVancouver | 13 | $35,352 | $7,535 | $5,219 |
| Providence St Peter HospitalOlympia | 12 | $44,982 | $7,355 | $5,809 |
| Skagit Valley HospitalMt Vernon | 11 | $41,630 | $8,045 | $6,368 |
| Valley Medical CenterRenton | 11 | $35,346 | $8,280 | $5,415 |
| Legacy Salmon Creek Medical CenterVancouver | 11 | $26,421 | $7,697 | $6,299 |
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 | $6,882 |
|---|---|
| Evergreenhealth Medical CenterKirkland, WA | $7,143 |
| Providence St Peter HospitalOlympia, WA | $7,355 |
| Kadlec Regional Medical CenterRichland, WA | $7,510 |
| S W Washington Medical CenterVancouver, WA | $7,535 |
Highest
| University of Washington Medical CtrSeattle, WA | $10,169 |
|---|---|
| Virginia Mason Medical CenterSeattle, WA | $9,267 |
| Peacehealth St Joseph Medical CenterBellingham, WA | $8,801 |
| Valley Medical CenterRenton, WA | $8,280 |
| Good Samaritan Hospital & Rehab CenterPuyallup, WA | $8,078 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Washington?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 14 hospitals in Washington was billed at $35,451 on average, while the average total payment was $8,121, of which Medicare paid $5,871. 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 4.4 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.