US Health Care Costs

Heart valve replacement through a catheter (TAVR), with major complications in Washington

MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc

$207,712typical hospital bill
$56,866typical amount paid
$50,154–$71,021range paid across 13 hospitals

Washington hospitals billed Medicare a typical $207,712 for this stay in 2024, about 3.7 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)

HospitalCityMedicare staysBilledPaid
Deaconess Medical CenterSpokane31$185,048$50,154
Overlake Hospital Medical Center & ClinicsBellevue19$240,338$50,896
Kadlec Regional Medical CenterRichland53$145,112$51,872
Providence St Peter HospitalOlympia38$182,711$53,785
Prov Sacred Hrt Med Ctr & Childs Hosp.Spokane143$141,139$54,170
Tacoma General Allenmore HospitalTacoma58$224,253$54,533
St Michael Medical CenterSilverdale31$390,012$56,866
Peacehealth Southwest Medical CenteVancouver28$182,920$60,347
Virginia Mason Medical CenterSeattle49$186,613$60,787
St Joseph Medical CenterTacoma65$357,524$60,959
Providence Regional Medical Center EverettEverett18$207,712$61,587
Swedish Medical Center / Cherry HillSeattle273$273,417$64,113
University of Washington Medical CtrSeattle99$267,683$71,021

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.