Washington / Cascade Valley Hospital
CMS certification 500060 · Arlington, WA
Cascade Valley Hospital: charges and Medicare payments
Cascade Valley Hospital reported 123 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 3.17 times what it was paid — among the lower ratios in Washington, number 40 of 43 hospitals with at least 100 stays (state median 4.37×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 52 stays at an average charge of $55,471, 39% below the national average. It also billed 245 outpatient services, charging 6.23 times what Medicare paid.
- 1Medicare inpatient stays 123
- 2Charge ÷ paid, inpatient 3.17×
- 3Rank in WA (highest ratio = 1) 40 of 43
- 4CMS price-transparency actions 0
Inpatient stays
For the 5 DRGs that can be compared with the national average, Cascade Valley Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 52 | $55,471 | -39% | $19,114 |
| 291 Heart Failure and Shock with MCC | 25 | $44,596 | -21% | $12,522 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $46,922 | -21% | $13,768 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $32,934 | -33% | $10,577 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $61,237 | -13% | $16,585 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 57 | $22,064 | $2,756 |
| Level 4 Musculoskeletal Procedures | 49 | $34,551 | $7,187 |
| Level 5 Musculoskeletal Procedures | 30 | $48,360 | $12,633 |
| Level 3 Musculoskeletal Procedures | 23 | $15,529 | $3,191 |
| Level 1 Nerve Procedures | 17 | $8,148 | $1,972 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 15 | $20,543 | $3,533 |
| Level 1 Laparoscopy and Related Services | 15 | $29,066 | $5,580 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 14 | $13,999 | $1,562 |
| Level 3 Vascular Procedures | 14 | $18,177 | $3,070 |
| Level 2 Musculoskeletal Procedures | 11 | $8,209 | $1,641 |
Against the Washington average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cascade Valley Hospital charged $55,471 on average, 30% less than the Washington average of $78,715, and was paid $19,114 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Cascade Valley Hospital charged $44,596 on average, 17% less than the Washington average of $53,424, and was paid $12,522 against a state average of $12,124. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Cascade Valley Hospital charged $46,922 on average, 14% less than the Washington average of $54,278, and was paid $13,768 against a state average of $12,466. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Cascade Valley Hospital charged $32,934 on average, 24% less than the Washington average of $43,222, and was paid $10,577 against a state average of $10,007. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,064 was 2% below the state average of $22,427. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $34,551 was 24% below the state average of $45,214. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $48,360 was 31% below the state average of $69,838. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $15,529 was 31% below the state average of $22,436.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.