Kadlec Regional Medical Center: charges and Medicare payments

Kadlec Regional Medical Center reported 4,619 Medicare inpatient stays across 135 DRGs in 2024. Across them it charged 4.26 times what it was paid — mid-range in Washington, number 24 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: 516 stays at an average charge of $74,534, 17% below the national average. It also billed 6,184 outpatient services, charging 5.6 times what Medicare paid.

1Medicare inpatient stays 4,619
2Charge ÷ paid, inpatient 4.26×
3Rank in WA (highest ratio = 1) 24 of 43
4CMS price-transparency actions 0

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

Inpatient stays

For the 135 DRGs that can be compared with the national average, Kadlec Regional Medical Center charged more than the national average in 9 (7%). 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	516	$74,534	-17%	$17,609
291 Heart Failure and Shock with MCC	268	$51,499	-9%	$11,142
177 Respiratory Infections and Inflammations with MCC	105	$61,597	-13%	$14,482
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	104	$42,462	-13%	$9,691
683 Renal Failure with CC	100	$37,487	-8%	$7,988
193 Simple Pneumonia and Pleurisy with MCC	96	$51,932	-13%	$12,487
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	89	$49,324	-11%	$9,860
189 Pulmonary Edema and Respiratory Failure	88	$44,284	-23%	$11,192
682 Renal Failure with MCC	86	$54,229	-18%	$12,923
378 Gastrointestinal Hemorrhage with CC	85	$47,554	-2%	$9,281
698 Other Kidney and Urinary Tract Diagnoses with MCC	78	$59,909	-18%	$14,056
853 Infectious and Parasitic Diseases with O.R. Procedures with...	77	$180,214	-21%	$49,059
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	76	$71,135	-29%	$16,949
280 Acute Myocardial Infarction, Discharged Alive with MCC	69	$64,315	-15%	$14,272
309 Cardiac Arrhythmia and Conduction Disorders with CC	67	$31,446	-13%	$7,221
322 Percutaneous Cardiovascular Procedures with Intraluminal...	65	$94,279	-18%	$17,226
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	63	$49,602	-18%	$11,642
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	62	$36,300	-10%	$7,084
330 Major Small and Large Bowel Procedures with CC	57	$103,053	-13%	$20,210
689 Kidney and Urinary Tract Infections with MCC	57	$45,752	-11%	$10,513
377 Gastrointestinal Hemorrhage with MCC	56	$76,648	-10%	$15,374
266 Endovascular Cardiac Valve Replacement and Supplement...	53	$145,112	-49%	$51,872
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	48	$35,353	-5%	$7,043
321 Percutaneous Cardiovascular Procedures with Intraluminal...	47	$129,527	-21%	$25,603
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	45	$86,251	-16%	$17,440
603 Cellulitis without MCC	45	$32,806	-12%	$9,659
690 Kidney and Urinary Tract Infections without MCC	44	$33,224	-12%	$7,365
481 Hip and Femur Procedures except Major Joint with CC	43	$84,922	-16%	$18,167
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	42	$155,080	-24%	$39,532
281 Acute Myocardial Infarction, Discharged Alive with CC	40	$46,149	-9%	$8,418
389 Gastrointestinal Obstruction with CC	39	$41,415	+6%	$8,095
638 Diabetes with CC	37	$37,272	-11%	$8,481
308 Cardiac Arrhythmia and Conduction Disorders with MCC	36	$42,891	-24%	$10,418
190 Chronic Obstructive Pulmonary Disease with MCC	34	$42,343	-16%	$10,651
253 Other Vascular Procedures with CC	34	$111,623	-15%	$22,921
312 Syncope and Collapse	34	$39,143	-14%	$7,477
329 Major Small and Large Bowel Procedures with MCC	34	$172,733	-20%	$41,470
269 Aortic and Heart Assist Procedures except Pulsation Balloon...	33	$131,039	-32%	$34,371
036 Carotid Artery Stent Procedures without CC/MCC	32	$56,469	-36%	$17,486
025 Craniotomy and Endovascular Intracranial Procedures with MCC	31	$110,365	-52%	$36,261
394 Other Digestive System Diagnoses with CC	31	$41,951	-11%	$8,644
699 Other Kidney and Urinary Tract Diagnoses with CC	31	$41,746	-12%	$9,070
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	29	$24,188	-16%	$5,110
243 Permanent Cardiac Pacemaker Implant with CC	28	$79,118	-29%	$20,148
252 Other Vascular Procedures with MCC	28	$120,371	-30%	$28,565
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	28	$78,313	-9%	$16,790
057 Degenerative Nervous System Disorders without MCC	26	$56,897	0%	$11,692
470 Major Hip and Knee Joint Replacement or Reattachment of...	26	$84,552	-9%	$15,931
552 Medical Back Problems without MCC	26	$42,855	-12%	$9,525
208 Respiratory System Diagnosis with Ventilator Support <=96...	25	$98,426	-27%	$25,200
194 Simple Pneumonia and Pleurisy with CC	24	$34,242	-11%	$7,510
236 Coronary Bypass without Cardiac Catheterization without MCC	24	$203,846	-3%	$39,336
305 Hypertension without MCC	24	$35,639	-11%	$6,909
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	24	$52,018	-15%	$13,485
178 Respiratory Infections and Inflammations with CC	23	$43,527	-4%	$9,060
314 Other Circulatory System Diagnoses with MCC	23	$66,345	-30%	$17,596
432 Cirrhosis and Alcoholic Hepatitis with MCC	22	$86,250	-10%	$21,370
270 Other Major Cardiovascular Procedures with MCC	21	$187,893	-27%	$43,892
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	21	$163,598	-24%	$38,861
035 Carotid Artery Stent Procedures with CC	20	$65,349	-42%	$19,227

Showing the 60 most frequent of 135 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	791	$1,553	$686
Comprehensive Observation Services	550	$21,367	$2,714
Level 2 Excision/ Biopsy/ Incision and Drainage	500	$7,901	$1,602
Level 1 Endovascular Procedures	369	$25,712	$3,251
Level 3 Urology and Related Services	337	$6,360	$2,020
Level 5 Musculoskeletal Procedures	317	$58,222	$13,115
Level 2 Endovascular Procedures	262	$28,927	$5,702
Level 3 Vascular Procedures	257	$16,433	$3,177
Level 3 Endovascular Procedures	256	$60,078	$10,953
Level 1 Nerve Procedures	206	$5,073	$1,938
Level 2 Upper GI Procedures	176	$9,027	$1,896
Level 1 Laparoscopy and Related Services	169	$38,109	$5,764
Level 3 Excision/ Biopsy/ Incision and Drainage	168	$15,535	$2,828
Level 5 Urology and Related Services	166	$29,532	$5,168
Level 4 Urology and Related Services	164	$18,380	$3,448
Level 4 Musculoskeletal Procedures	152	$41,854	$7,180
Level 3 Electrophysiologic Procedures	138	$70,888	$23,612
Level 2 Vascular Procedures	113	$4,788	$1,596
Level 3 Pacemaker and Similar Procedures	96	$40,703	$10,706
Level 3 Airway Endoscopy	91	$4,678	$1,703
Level 6 Musculoskeletal Procedures	88	$63,101	$18,661
Level 4 Endovascular Procedures	86	$69,471	$15,129
Level 4 Vascular Procedures	73	$29,668	$5,364
Level 2 Breast/Lymphatic Surgery and Related Procedures	64	$37,410	$6,463
Level 2 Laparoscopy and Related Services	60	$66,982	$10,322

Against the Washington average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kadlec Regional Medical Center charged $74,534 on average, 5% less than the Washington average of $78,715, and was paid $17,609 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Kadlec Regional Medical Center charged $51,499 on average, 4% less than the Washington average of $53,424, and was paid $11,142 against a state average of $12,124. For Respiratory Infections and Inflammations with MCC (DRG 177), Kadlec Regional Medical Center charged $61,597 on average, 7% less than the Washington average of $65,942, and was paid $14,482 against a state average of $15,782. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Kadlec Regional Medical Center charged $42,462 on average, 2% less than the Washington average of $43,222, and was paid $9,691 against a state average of $10,007. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,553 was 18% below the state average of $1,884. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,367 was 5% below the state average of $22,427. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,901 was 18% below the state average of $9,672. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,712 was 18% above the state average of $21,838.

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.