Evergreenhealth Medical Center: charges and Medicare payments

Evergreenhealth Medical Center reported 2,385 Medicare inpatient stays across 74 DRGs in 2024. Across them it charged 4.9 times what it was paid — among the higher ratios in Washington, number 8 of 43 hospitals with at least 100 stays (state median 4.37×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 256 stays at an average charge of $57,827, 3% above the national average. It also billed 3,125 outpatient services, charging 4.9 times what Medicare paid.

1Medicare inpatient stays 2,385
2Charge ÷ paid, inpatient 4.9×
3Rank in WA (highest ratio = 1) 8 of 43
4CMS price-transparency actions 0

Average charge per stay at Evergreenhealth Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 74 DRGs that can be compared with the national average, Evergreenhealth Medical Center charged more than the national average in 11 (15%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
291 Heart Failure and Shock with MCC	256	$57,827	+3%	$11,074
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	196	$86,223	-5%	$16,786
177 Respiratory Infections and Inflammations with MCC	154	$73,481	+4%	$14,531
193 Simple Pneumonia and Pleurisy with MCC	79	$63,690	+7%	$11,783
378 Gastrointestinal Hemorrhage with CC	67	$44,016	-9%	$8,161
682 Renal Failure with MCC	54	$64,299	-2%	$12,750
481 Hip and Femur Procedures except Major Joint with CC	50	$77,290	-23%	$16,705
690 Kidney and Urinary Tract Infections without MCC	50	$36,426	-4%	$7,105
470 Major Hip and Knee Joint Replacement or Reattachment of...	49	$73,497	-21%	$15,644
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	47	$42,434	-24%	$8,520
689 Kidney and Urinary Tract Infections with MCC	47	$50,191	-2%	$9,644
683 Renal Failure with CC	46	$37,313	-8%	$7,702
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	45	$30,825	-23%	$6,913
698 Other Kidney and Urinary Tract Diagnoses with MCC	45	$79,873	+9%	$13,843
189 Pulmonary Edema and Respiratory Failure	40	$52,375	-9%	$10,410
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	38	$74,955	-25%	$16,158
322 Percutaneous Cardiovascular Procedures with Intraluminal...	36	$74,376	-35%	$14,750
377 Gastrointestinal Hemorrhage with MCC	35	$75,950	-11%	$14,586
178 Respiratory Infections and Inflammations with CC	34	$43,334	-4%	$8,219
194 Simple Pneumonia and Pleurisy with CC	34	$43,814	+14%	$7,143
280 Acute Myocardial Infarction, Discharged Alive with MCC	34	$76,587	+1%	$14,330
543 Pathological Fractures and Musculoskeletal and Connective...	34	$38,179	-22%	$8,960
603 Cellulitis without MCC	31	$32,340	-13%	$7,765
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	30	$37,319	+1%	$7,106
025 Craniotomy and Endovascular Intracranial Procedures with MCC	28	$180,008	-22%	$37,199
542 Pathological Fractures and Musculoskeletal and Connective...	28	$69,025	-14%	$14,616
552 Medical Back Problems without MCC	28	$40,474	-17%	$8,061
309 Cardiac Arrhythmia and Conduction Disorders with CC	27	$41,615	+15%	$6,303
027 Craniotomy and Endovascular Intracranial Procedures without...	26	$73,651	-47%	$19,560
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	25	$43,247	-12%	$9,023
480 Hip and Femur Procedures except Major Joint with MCC	24	$119,522	-14%	$27,298
287 Circulatory Disorders except AMI, with Cardiac...	23	$37,960	-41%	$9,950
308 Cardiac Arrhythmia and Conduction Disorders with MCC	23	$53,797	-5%	$11,633
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	23	$48,960	-19%	$10,933
853 Infectious and Parasitic Diseases with O.R. Procedures with...	22	$162,102	-29%	$43,593
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	21	$88,537	-13%	$17,075
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	20	$45,243	-31%	$11,542
057 Degenerative Nervous System Disorders without MCC	19	$53,723	-5%	$11,023
321 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$135,538	-17%	$25,959
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$45,992	-25%	$10,514
699 Other Kidney and Urinary Tract Diagnoses with CC	19	$28,533	-40%	$10,749
066 Intracranial Hemorrhage or Cerebral Infarction without...	18	$36,769	-13%	$5,969
176 Pulmonary Embolism without MCC	18	$38,330	-8%	$7,207
314 Other Circulatory System Diagnoses with MCC	18	$69,455	-27%	$16,318
330 Major Small and Large Bowel Procedures with CC	18	$89,013	-25%	$20,120
372 Major Gastrointestinal Disorders and Peritoneal Infections...	18	$53,035	+12%	$9,004
371 Major Gastrointestinal Disorders and Peritoneal Infections...	17	$68,608	-12%	$15,611
208 Respiratory System Diagnosis with Ventilator Support <=96...	16	$128,667	-5%	$22,727
100 Seizures with MCC	15	$83,140	-12%	$15,924
389 Gastrointestinal Obstruction with CC	15	$30,852	-21%	$6,957
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	15	$46,412	+25%	$7,142
917 Poisoning and Toxic Effects of Drugs with MCC	15	$63,938	-15%	$12,955
056 Degenerative Nervous System Disorders with MCC	14	$77,835	-19%	$17,564
086 Traumatic Stupor and Coma <1 Hour with CC	14	$65,211	-5%	$11,227
286 Circulatory Disorders except AMI, with Cardiac...	14	$95,053	-15%	$17,429
312 Syncope and Collapse	14	$42,984	-6%	$7,836
393 Other Digestive System Diagnoses with MCC	14	$53,338	-31%	$13,502
435 Malignancy of Hepatobiliary System or Pancreas with MCC	14	$77,085	-18%	$15,872
467 Revision of Hip or Knee Replacement with CC	14	$134,694	-15%	$27,671
074 Cranial and Peripheral Nerve Disorders without MCC	13	$35,388	-34%	$8,561

Showing the 60 most frequent of 74 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	465	$10,779	$2,315
Level 5 Musculoskeletal Procedures	252	$49,643	$13,232
Comprehensive Observation Services	224	$15,031	$2,721
Level 2 Excision/ Biopsy/ Incision and Drainage	177	$5,951	$1,641
Level 3 Urology and Related Services	176	$8,755	$2,014
Level 1 Endovascular Procedures	172	$12,840	$3,291
Level 5 Urology and Related Services	123	$23,797	$5,216
Level 4 Musculoskeletal Procedures	121	$32,769	$7,126
Level 2 Musculoskeletal Procedures	115	$7,862	$1,598
Level 4 Urology and Related Services	113	$14,200	$3,535
Level 1 Laparoscopy and Related Services	101	$26,831	$5,846
Level 1 Nerve Procedures	94	$6,883	$1,894
Level 3 Musculoskeletal Procedures	91	$16,394	$3,306
Level 3 Excision/ Biopsy/ Incision and Drainage	80	$10,893	$2,873
Level 3 Vascular Procedures	71	$12,806	$3,221
Level 2 Upper GI Procedures	64	$11,018	$1,919
Level 3 Pacemaker and Similar Procedures	54	$40,459	$10,894
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	50	$21,197	$3,477
Level 1 Breast/Lymphatic Surgery and Related Procedures	42	$13,608	$3,893
Level 3 Endovascular Procedures	42	$59,217	$11,222
Level 3 Extraocular, Repair, and Plastic Eye Procedures	37	$17,364	$2,386
Level 2 Vascular Procedures	34	$4,751	$1,597
Level 2 Breast/Lymphatic Surgery and Related Procedures	33	$29,559	$6,660
Complex GI Procedures	33	$29,434	$5,820
Level 6 Musculoskeletal Procedures	32	$52,236	$18,987

Against the Washington average

For Heart Failure and Shock with MCC (DRG 291), Evergreenhealth Medical Center charged $57,827 on average, 8% more than the Washington average of $53,424, and was paid $11,074 against a state average of $12,124. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Evergreenhealth Medical Center charged $86,223 on average, 10% more than the Washington average of $78,715, and was paid $16,786 against a state average of $18,304. For Respiratory Infections and Inflammations with MCC (DRG 177), Evergreenhealth Medical Center charged $73,481 on average, 11% more than the Washington average of $65,942, and was paid $14,531 against a state average of $15,782. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Evergreenhealth Medical Center charged $63,690 on average, 17% more than the Washington average of $54,278, and was paid $11,783 against a state average of $12,466. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,779 was 4% above the state average of $10,318. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $49,643 was 29% below the state average of $69,838. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,031 was 33% below the state average of $22,427. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,951 was 38% below the state average of $9,672.

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.