Pneumonia, with complications in Washington
MS-DRG 194: Simple pneumonia and pleurisy with cc
$35,212typical hospital bill
$7,870typical amount paid
$6,882–$10,169range paid across 14 hospitals
Washington hospitals billed Medicare a typical $35,212 for this stay in 2024, about 4.5 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Overlake Hospital Medical Center & Clinics | Bellevue | 18 | $36,798 | $6,882 | |
| Evergreenhealth Medical Center | Kirkland | 34 | $43,814 | $7,143 | |
| Providence St Peter Hospital | Olympia | 12 | $44,982 | $7,355 | |
| Kadlec Regional Medical Center | Richland | 24 | $34,242 | $7,510 | |
| Peacehealth Southwest Medical Cente | Vancouver | 13 | $35,352 | $7,535 | |
| Peacehealth St John Medical Center | Longview | 13 | $35,077 | $7,574 | |
| Legacy Salmon Creek Medical Center | Vancouver | 11 | $26,421 | $7,697 | |
| Providence Regional Medical Center Everett | Everett | 34 | $34,017 | $8,042 | |
| Skagit Valley Hospital | Mount Vernon | 11 | $41,630 | $8,045 | |
| Multicare Good Samaritan Hospital | Puyallup | 24 | $26,802 | $8,078 | |
| Valley Medical Center | Renton | 11 | $35,346 | $8,280 | |
| Peacehealth St Joseph Medical Center | Bellingham | 43 | $37,424 | $8,801 | |
| Virginia Mason Medical Center | Seattle | 13 | $29,882 | $9,267 | |
| University of Washington Medical Ctr | Seattle | 28 | $31,471 | $10,169 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.