Washington / Confluence Health Hospital
CMS certification 500016 · Wenatchee, WA · 3 entries in CMS's price-transparency list
Confluence Health Hospital: charges and Medicare payments
Confluence Health Hospital reported 2,294 Medicare inpatient stays across 78 DRGs in 2024. Across them it charged 3.71 times what it was paid — among the lower ratios in Washington, number 33 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: 221 stays at an average charge of $59,040, 35% below the national average. It also billed 7,177 outpatient services, charging 4.7 times what Medicare paid.
- 1Medicare inpatient stays 2,294
- 2Charge ÷ paid, inpatient 3.71×
- 3Rank in WA (highest ratio = 1) 33 of 43
- 4CMS price-transparency actions 3
Inpatient stays
For the 78 DRGs that can be compared with the national average, Confluence Health Hospital charged more than the national average in 3 (4%). 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 | 221 | $59,040 | -35% | $17,801 |
| 291 Heart Failure and Shock with MCC | 156 | $41,039 | -27% | $11,018 |
| 189 Pulmonary Edema and Respiratory Failure | 75 | $43,569 | -24% | $11,142 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 66 | $33,669 | -31% | $9,701 |
| 177 Respiratory Infections and Inflammations with MCC | 60 | $49,996 | -29% | $14,098 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 52 | $35,524 | -36% | $8,872 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 52 | $49,052 | -35% | $13,031 |
| 378 Gastrointestinal Hemorrhage with CC | 50 | $26,651 | -45% | $8,586 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 49 | $49,350 | -18% | $11,357 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 49 | $144,454 | -37% | $43,254 |
| 193 Simple Pneumonia and Pleurisy with MCC | 48 | $34,019 | -43% | $11,437 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 46 | $67,921 | -41% | $16,166 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 40 | $23,615 | -41% | $8,240 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 37 | $76,229 | -18% | $17,057 |
| 330 Major Small and Large Bowel Procedures with CC | 36 | $90,555 | -24% | $19,818 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 35 | $46,747 | -36% | $13,493 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 34 | $20,057 | -44% | $6,232 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 34 | $86,283 | -16% | $17,683 |
| 683 Renal Failure with CC | 34 | $29,996 | -26% | $7,699 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 33 | $90,440 | -35% | $23,359 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 32 | $65,131 | -35% | $16,896 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 32 | $27,993 | -24% | $7,842 |
| 057 Degenerative Nervous System Disorders without MCC | 31 | $68,335 | +21% | $15,590 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 31 | $34,502 | -32% | $7,611 |
| 682 Renal Failure with MCC | 31 | $45,804 | -31% | $12,228 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 29 | $34,525 | -46% | $9,004 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 28 | $41,722 | -26% | $9,974 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 26 | $39,310 | -20% | $9,101 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 25 | $142,429 | -30% | $37,216 |
| 481 Hip and Femur Procedures except Major Joint with CC | 25 | $80,905 | -20% | $17,407 |
| 948 Signs and Symptoms without MCC | 25 | $27,495 | -28% | $6,660 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $85,572 | -48% | $22,848 |
| 377 Gastrointestinal Hemorrhage with MCC | 23 | $71,646 | -16% | $15,426 |
| 389 Gastrointestinal Obstruction with CC | 23 | $25,190 | -35% | $6,583 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $31,402 | -49% | $10,455 |
| 092 Other Disorders of Nervous System with CC | 22 | $28,893 | -44% | $8,819 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $50,864 | -1% | $11,807 |
| 039 Extracranial Procedures without CC/MCC | 21 | $58,863 | -8% | $9,391 |
| 329 Major Small and Large Bowel Procedures with MCC | 21 | $114,211 | -47% | $41,790 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 21 | $65,665 | -23% | $17,080 |
| 270 Other Major Cardiovascular Procedures with MCC | 20 | $167,930 | -35% | $53,508 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $32,623 | -14% | $6,684 |
| 812 Red Blood Cell Disorders without MCC | 20 | $30,669 | -31% | $8,450 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 19 | $25,321 | -40% | $5,811 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 19 | $63,947 | -43% | $18,063 |
| 603 Cellulitis without MCC | 19 | $20,820 | -44% | $7,269 |
| 811 Red Blood Cell Disorders with MCC | 19 | $46,256 | -32% | $12,274 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 18 | $22,793 | -21% | $5,842 |
| 314 Other Circulatory System Diagnoses with MCC | 18 | $66,379 | -30% | $18,459 |
| 163 Major Chest Procedures with MCC | 17 | $105,802 | -50% | $37,215 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 17 | $229,542 | -15% | $48,555 |
| 254 Other Vascular Procedures without CC/MCC | 17 | $59,941 | -34% | $14,164 |
| 313 Chest Pain | 17 | $22,007 | -45% | $7,008 |
| 390 Gastrointestinal Obstruction without CC/MCC | 17 | $14,260 | -49% | $5,342 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 16 | $94,630 | -41% | $27,705 |
| 552 Medical Back Problems without MCC | 16 | $26,014 | -47% | $8,080 |
| 312 Syncope and Collapse | 15 | $28,437 | -38% | $7,306 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $81,730 | -17% | $18,486 |
| 091 Other Disorders of Nervous System with MCC | 14 | $49,090 | -41% | $14,611 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $50,369 | -23% | $16,623 |
Showing the 60 most frequent of 78 DRGs.
Outpatient services
Against the Washington average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Confluence Health Hospital charged $59,040 on average, 25% less than the Washington average of $78,715, and was paid $17,801 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Confluence Health Hospital charged $41,039 on average, 23% less than the Washington average of $53,424, and was paid $11,018 against a state average of $12,124. For Pulmonary Edema and Respiratory Failure (DRG 189), Confluence Health Hospital charged $43,569 on average, 24% less than the Washington average of $57,551, and was paid $11,142 against a state average of $11,854. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Confluence Health Hospital charged $33,669 on average, 22% less than the Washington average of $43,222, and was paid $9,701 against a state average of $10,007. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,982 was 3% below the state average of $10,318. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,524 was 19% below the state average of $1,884. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $53,136 was 24% below the state average of $69,838. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,480 was 17% below the state average of $9,013.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Confluence Health Hospital in Wenatchee, WA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-01-14 (CMS case 6781)
- CAP Request — 2026-04-17 (CMS case 6781)
- Closure Notice — 2026-05-19 (CMS case 6781)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.