Simple pneumonia and pleurisy with major complications in Washington
What 42 hospitals in Washington charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$54,417
Hospital list price billed
Average payment
$12,459
Medicare + patient + other payers
Medicare paid
$9,975
Average per stay
State rank
#38 of 50
1 = lowest average payment
Hospitals in Washington billed an average of $54,417 for simple pneumonia and pleurisy with major complications, about 4.4 times the average total payment of $12,459. That payment is 4% above the U.S. average of $12,020.
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 $12,459Billed $54,417
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 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 |
|---|---|---|---|---|
| Peacehealth St Joseph Medical CenterBellingham | 140 | $65,463 | $12,887 | $10,773 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 139 | $49,138 | $11,658 | $9,592 |
| Yakima Valley Memorial HospitalYakima | 102 | $38,938 | $11,335 | $9,584 |
| Tacoma General HospitalTacoma | 99 | $43,369 | $12,738 | $10,416 |
| Kadlec Regional Medical CenterRichland | 96 | $51,932 | $12,487 | $9,079 |
| S W Washington Medical CenterVancouver | 86 | $58,568 | $12,641 | $9,453 |
| St Michael Medical CenterBremerton | 79 | $75,404 | $12,821 | $10,375 |
| Evergreenhealth Medical CenterKirkland | 79 | $63,690 | $11,783 | $9,923 |
| University of Washington Medical CtrSeattle | 71 | $49,574 | $15,865 | $11,462 |
| Deaconess Medical CenterSpokane | 63 | $39,171 | $11,630 | $9,299 |
| Valley Medical CenterRenton | 61 | $47,020 | $12,407 | $9,663 |
| Overlake Hospital Medical CenterBellevue | 59 | $51,484 | $10,659 | $9,290 |
| Providence Regional Medical Center EverettEverett | 57 | $67,263 | $14,620 | $10,767 |
| St Anthony HospitalGig Harbor | 55 | $82,567 | $12,344 | $9,190 |
| Skagit Valley HospitalMt Vernon | 52 | $54,758 | $14,002 | $10,883 |
| Providence St Peter HospitalOlympia | 52 | $75,118 | $13,437 | $9,449 |
| Providence Sacred Heart Medical CenterSpokane | 51 | $68,920 | $13,273 | $10,132 |
| Legacy Salmon Creek Medical CenterVancouver | 49 | $35,283 | $12,693 | $10,540 |
| Confluence Health HospitalWenatchee | 48 | $34,019 | $11,437 | $9,110 |
| Valley Hospital & Medical CenterSpokane | 46 | $37,855 | $10,668 | $9,178 |
| Providence Holy Family HospitalSpokane | 45 | $66,211 | $11,427 | $9,273 |
| Capital Medical CenterOlympia | 43 | $47,064 | $10,983 | $9,148 |
| Providence St Mary Medical CenterWalla Walla | 42 | $40,327 | $12,105 | $8,780 |
| Grays Harbor Community HospitalAberdeen | 42 | $55,803 | $11,579 | $10,297 |
| Auburn Regional Medical CenterAuburn | 39 | $43,540 | $12,022 | $9,819 |
| Peachealth St John Medical CenterLongview | 38 | $52,690 | $11,818 | $10,069 |
| Trios HealthKennewick | 38 | $47,173 | $12,186 | $10,319 |
| Olympic Medical CenterPort Angeles | 37 | $27,442 | $11,452 | $9,527 |
| St Clare HospitalLakewood | 33 | $81,917 | $11,609 | $10,127 |
| St Joseph Medical CenterTacoma | 29 | $90,334 | $13,862 | $10,649 |
| Multicare Covington Medical CenterCovington | 29 | $26,488 | $11,843 | $10,059 |
| St Francis Community HospitalFederal Way | 26 | $58,707 | $12,318 | $9,847 |
| Swedish IssaquahIssaquah | 26 | $55,338 | $11,566 | $9,130 |
| Highline Medical CenterBurien | 24 | $69,848 | $12,638 | $10,034 |
| Swedish Edmonds HospitalEdmonds | 24 | $68,503 | $11,276 | $9,916 |
| Harborview Medical CenterSeattle | 22 | $62,757 | $15,794 | $13,640 |
| Island HospitalAnacortes | 21 | $23,006 | $11,649 | $10,050 |
| Cascade Valley HospitalArlington | 19 | $46,922 | $13,768 | $10,153 |
| Swedish Medical CenterSeattle | 18 | $76,974 | $17,761 | $12,168 |
| Virginia Mason Medical CenterSeattle | 17 | $53,898 | $15,061 | $11,933 |
| Providence Centralia HospitalCentralia | 14 | $59,612 | $11,939 | $10,468 |
| Samaritan HospitalMoses Lake | 12 | $62,036 | $11,523 | $10,030 |
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 | $10,659 |
|---|---|
| Valley Hospital & Medical CenterSpokane, WA | $10,668 |
| Capital Medical CenterOlympia, WA | $10,983 |
| Swedish Edmonds HospitalEdmonds, WA | $11,276 |
| Yakima Valley Memorial HospitalYakima, WA | $11,335 |
Highest
| Swedish Medical CenterSeattle, WA | $17,761 |
|---|---|
| University of Washington Medical CtrSeattle, WA | $15,865 |
| Harborview Medical CenterSeattle, WA | $15,794 |
| Virginia Mason Medical CenterSeattle, WA | $15,061 |
| Providence Regional Medical Center EverettEverett, WA | $14,620 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Washington?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 42 hospitals in Washington was billed at $54,417 on average, while the average total payment was $12,459, of which Medicare paid $9,975. 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.