The Price of Medicare Procedures in Washington



This table shows the 100 most frequently charged procedures/diagnosis in Washington to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Washington 327 $23498 $5716 $17782
Acute Myocardial Infarction Discharged Alive With Complications
 Washington 657 $26851 $8085 $18766
Acute Myocardial Infarction Discharged Alive With Major Complications
 Washington 870 $39743 $12509 $27234
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Washington 591 $16862 $4829 $12033
Atherosclerosis No Major Complications
 Washington 302 $15315 $4069 $11246
Back And Neck Proc Exc Spinal Fusion No Complications
 Washington 1497 $28115 $7349 $20766
Bronchitis And Asthma No Complications
 Washington 75 $14890 $4233 $10657
Bronchitis And Asthma With Complications
 Washington 267 $20420 $6005 $14415
Cardiac Arrhythmia And Conduction Disorders No Complications
 Washington 1556 $13725 $4102 $9623
Cardiac Arrhythmia And Conduction Disorders With Complications
 Washington 1612 $19185 $6018 $13167
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Washington 1037 $28223 $9007 $19216
Cellulitis No Major Complications
 Washington 2041 $19246 $6076 $13170
Cellulitis With Major Complications
 Washington 321 $32453 $10549 $21904
Cervical Spinal Fusion No Complications
 Washington 462 $59832 $15736 $44096
Chest Pain
 Washington 1677 $17037 $4013 $13024
Chronic Obstructive Pulmonary Disease No Complications
 Washington 1163 $16601 $5152 $11449
Chronic Obstructive Pulmonary Disease With Complications
 Washington 1489 $21239 $6897 $14342
Chronic Obstructive Pulmonary Disease With Major Complications
 Washington 1692 $26545 $8452 $18093
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Washington 1242 $33474 $8253 $25221
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Washington 187 $62784 $18172 $44612
Cranial And Peripheral Nerve Disorders No Major Complications
 Washington 238 $24131 $6372 $17759
Degenerative Nervous System Disorders No Major Complications
 Washington 162 $22460 $6646 $15814
Diabetes With Complications
 Washington 578 $19500 $6084 $13416
Disorders Of Pancreas Except Malignancy With Complications
 Washington 282 $25942 $7606 $18336
Dysequilibrium
 Washington 110 $18972 $4500 $14472
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Washington 3148 $19342 $5262 $14080
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Washington 688 $31299 $9120 $22179
Extracranial Procedures No Complications
 Washington 531 $31357 $7666 $23691
Fractures Of Hip And Pelvis No Major Complications
 Washington 412 $15948 $5007 $10941
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Washington 207 $20499 $5366 $15133
Gi Hemorrhage No Complications
 Washington 328 $16574 $5143 $11431
Gi Hemorrhage With Complications
 Washington 2310 $23921 $7355 $16566
Gi Hemorrhage With Major Complications
 Washington 669 $40443 $12983 $27460
Gi Obstruction No Complications
 Washington 559 $15540 $4529 $11011
Gi Obstruction With Complications
 Washington 828 $21801 $6787 $15014
Heart Failure And Shock No Complications
 Washington 1214 $16567 $4783 $11784
Heart Failure And Shock With Complications
 Washington 3085 $22674 $7340 $15334
Heart Failure And Shock With Major Complications
 Washington 2741 $33350 $10380 $22970
Hip And Femur Procedures Except Major Joint No Complications
 Washington 319 $36430 $10543 $25887
Hip And Femur Procedures Except Major Joint With Complications
 Washington 1446 $48552 $13275 $35277
Hip And Femur Procedures Except Major Joint With Major Complications
 Washington 365 $65675 $21408 $44267
Hypertension No Major Complications
 Washington 229 $18217 $4405 $13812
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Washington 653 $132757 $42972 $89785
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Washington 1185 $22533 $5833 $16700
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Washington 1961 $27759 $8157 $19602
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Washington 1155 $41719 $13528 $28191
Kidney And Urinary Tract Infections No Major Complications
 Washington 2674 $17974 $5488 $12486
Kidney And Urinary Tract Infections With Major Complications
 Washington 1049 $24041 $8362 $15679
Laparoscopic Cholecystectomy No Cde No Complications
 Washington 217 $30172 $8675 $21497
Laparoscopic Cholecystectomy No Cde With Complications
 Washington 309 $43826 $12536 $31290
Major Cardiovasc Procedures No Major Complications
 Washington 648 $99795 $24411 $75384
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Washington 541 $25848 $9123 $16725
Major Joint Replacement Of Lower Extremity No Major Complications
 Washington 9231 $53039 $15499 $37540
Major Joint Replacement Of Lower Extremity With Major Complications
 Washington 404 $78857 $24146 $54711
Major Small And Large Bowel Procedures With Complications
 Washington 979 $62419 $19282 $43137
Major Small And Large Bowel Procedures With Major Complications
 Washington 645 $125961 $41484 $84477
Medical Back Problems No Major Complications
 Washington 791 $20815 $6055 $14760
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Washington 1883 $17265 $5005 $12260
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Washington 882 $23633 $8548 $15085
Other Circulatory System Diagnoses With Complications
 Washington 222 $25219 $7401 $17818
Other Circulatory System Diagnoses With Major Complications
 Washington 702 $43040 $13929 $29111
Other Digestive System Diagnoses With Complications
 Washington 721 $24809 $7735 $17074
Other Kidney And Urinary Tract Diagnoses With Complications
 Washington 383 $23731 $8302 $15429
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Washington 476 $35707 $12689 $23018
Other Vascular Procedures No Complications
 Washington 459 $54958 $12263 $42695
Other Vascular Procedures With Complications
 Washington 537 $70406 $18142 $52264
Other Vascular Procedures With Major Complications
 Washington 423 $89697 $24611 $65086
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Washington 301 $58243 $15365 $42878
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Washington 1706 $67630 $15228 $52402
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Washington 414 $99462 $23409 $76053
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Washington 430 $58581 $16805 $41776
Peripheral Vascular Disorders No Complications
 Washington 55 $19987 $5030 $14957
Peripheral Vascular Disorders With Complications
 Washington 418 $23720 $7156 $16564
Permanent Cardiac Pacemaker Implant No Complications
 Washington 459 $50675 $14331 $36344
Permanent Cardiac Pacemaker Implant With Complications
 Washington 345 $63188 $18702 $44486
Poisoning And Toxic Effects Of Drugs No Major Complications
 Washington 567 $16522 $4592 $11930
Poisoning And Toxic Effects Of Drugs With Major Complications
 Washington 509 $37797 $11809 $25988
Psychoses
 Washington 873 $22154 $6505 $15649
Pulmonary Edema And Respiratory Failure
 Washington 2293 $30125 $9273 $20852
Pulmonary Embolism No Major Complications
 Washington 647 $24751 $7605 $17146
Red Blood Cell Disorders No Major Complications
 Washington 1074 $18056 $5663 $12393
Red Blood Cell Disorders With Major Complications
 Washington 206 $30056 $8932 $21124
Renal Failure No Complications
 Washington 233 $16928 $4767 $12161
Renal Failure With Complications
 Washington 2370 $23090 $7310 $15780
Renal Failure With Major Complications
 Washington 1678 $36802 $11881 $24921
Respiratory Infections And Inflammations With Complications
 Washington 939 $27953 $9836 $18117
Respiratory Infections And Inflammations With Major Complications
 Washington 1253 $42369 $14185 $28184
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Washington 272 $148788 $42822 $105966
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Washington 1309 $60778 $16998 $43780
Seizures No Major Complications
 Washington 584 $20733 $5929 $14804
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Washington 2073 $24246 $8168 $16078
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Washington 6544 $42650 $13695 $28955
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Washington 270 $159579 $49178 $110401
Signs And Symptoms No Major Complications
 Washington 684 $19473 $5209 $14264
Simple Pneumonia And Pleurisy No Complications
 Washington 1052 $15579 $5032 $10547
Simple Pneumonia And Pleurisy With Complications
 Washington 2947 $21638 $7154 $14484
Simple Pneumonia And Pleurisy With Major Complications
 Washington 1984 $32426 $10267 $22159
Spinal Fusion Except Cervical No Major Complications
 Washington 1307 $110701 $30882 $79819
Syncope And Collapse
 Washington 1551 $18489 $5200 $13289
Transient Ischemia
 Washington 1020 $19711 $5141 $14570


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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