Washington / Multicare Valley Hospital
CMS certification 500119 · Spokane, WA
Multicare Valley Hospital: charges and Medicare payments
Multicare Valley Hospital reported 688 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 3.41 times what it was paid — among the lower ratios in Washington, number 39 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: 166 stays at an average charge of $45,161, 50% below the national average. It also billed 1,347 outpatient services, charging 7.46 times what Medicare paid.
- 1Medicare inpatient stays 688
- 2Charge ÷ paid, inpatient 3.41×
- 3Rank in WA (highest ratio = 1) 39 of 43
- 4CMS price-transparency actions 0
Inpatient stays
For the 24 DRGs that can be compared with the national average, Multicare Valley Hospital charged more than the national average in 1 (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 | 166 | $45,161 | -50% | $15,601 |
| 291 Heart Failure and Shock with MCC | 70 | $31,553 | -44% | $10,454 |
| 193 Simple Pneumonia and Pleurisy with MCC | 46 | $37,855 | -37% | $10,668 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 34 | $32,872 | -33% | $9,781 |
| 189 Pulmonary Edema and Respiratory Failure | 29 | $23,585 | -59% | $10,572 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $34,160 | -55% | $11,710 |
| 682 Renal Failure with MCC | 28 | $35,462 | -46% | $11,706 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 26 | $126,824 | -45% | $37,488 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 24 | $43,363 | -41% | $12,918 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $36,540 | -48% | $12,928 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $34,337 | -29% | $8,793 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $76,916 | -24% | $16,434 |
| 683 Renal Failure with CC | 20 | $28,621 | -30% | $8,903 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $27,564 | -46% | $9,612 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $80,925 | -21% | $16,802 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $39,364 | -54% | $13,996 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $25,208 | -33% | $6,985 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $108,784 | -9% | $17,735 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 13 | $102,201 | -26% | $22,196 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $38,065 | -32% | $9,188 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $102,743 | +10% | $18,820 |
| 389 Gastrointestinal Obstruction with CC | 11 | $26,213 | -33% | $6,843 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $23,827 | -41% | $6,740 |
| 811 Red Blood Cell Disorders with MCC | 11 | $53,245 | -22% | $11,570 |
Outpatient services
Against the Washington average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Multicare Valley Hospital charged $45,161 on average, 43% less than the Washington average of $78,715, and was paid $15,601 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Multicare Valley Hospital charged $31,553 on average, 41% less than the Washington average of $53,424, and was paid $10,454 against a state average of $12,124. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Multicare Valley Hospital charged $37,855 on average, 30% less than the Washington average of $54,278, and was paid $10,668 against a state average of $12,466. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Multicare Valley Hospital charged $32,872 on average, 24% less than the Washington average of $43,222, and was paid $9,781 against a state average of $10,007. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $90,165 was 29% above the state average of $69,838. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,614 was 17% below the state average of $11,648. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $19,214 was 14% below the state average of $22,436. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $44,121 was 2% below the state average of $45,214.
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.