Peacehealth Southwest Medical Cente: charges and Medicare payments

Peacehealth Southwest Medical Cente reported 2,598 Medicare inpatient stays across 83 DRGs in 2024. Across them it charged 4.65 times what it was paid — mid-range in Washington, number 15 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: 254 stays at an average charge of $82,066, 9% below the national average. It also billed 2,006 outpatient services, charging 7.36 times what Medicare paid.

1Medicare inpatient stays 2,598
2Charge ÷ paid, inpatient 4.65×
3Rank in WA (highest ratio = 1) 15 of 43
4CMS price-transparency actions 0

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

Inpatient stays

For the 83 DRGs that can be compared with the national average, Peacehealth Southwest Medical Cente charged more than the national average in 24 (29%). 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	254	$82,066	-9%	$18,095
291 Heart Failure and Shock with MCC	161	$53,743	-5%	$12,005
470 Major Hip and Knee Joint Replacement or Reattachment of...	121	$80,384	-14%	$18,101
189 Pulmonary Edema and Respiratory Failure	88	$54,583	-5%	$11,884
193 Simple Pneumonia and Pleurisy with MCC	86	$58,568	-2%	$12,641
177 Respiratory Infections and Inflammations with MCC	84	$68,274	-3%	$15,600
280 Acute Myocardial Infarction, Discharged Alive with MCC	76	$69,351	-9%	$14,673
274 Percutaneous and Other Intracardiac Procedures without MCC	71	$161,287	+3%	$28,068
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	64	$54,471	-2%	$10,001
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	51	$83,501	-16%	$17,260
682 Renal Failure with MCC	48	$54,662	-17%	$13,790
281 Acute Myocardial Infarction, Discharged Alive with CC	43	$53,032	+5%	$8,777
378 Gastrointestinal Hemorrhage with CC	41	$43,852	-10%	$9,590
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	41	$47,497	-21%	$12,698
321 Percutaneous Cardiovascular Procedures with Intraluminal...	40	$240,440	+47%	$28,296
683 Renal Failure with CC	40	$44,167	+9%	$8,545
309 Cardiac Arrhythmia and Conduction Disorders with CC	39	$30,163	-16%	$8,486
698 Other Kidney and Urinary Tract Diagnoses with MCC	37	$63,187	-14%	$14,492
853 Infectious and Parasitic Diseases with O.R. Procedures with...	37	$173,108	-24%	$45,723
689 Kidney and Urinary Tract Infections with MCC	31	$59,578	+16%	$10,805
481 Hip and Femur Procedures except Major Joint with CC	30	$93,527	-7%	$18,679
266 Endovascular Cardiac Valve Replacement and Supplement...	28	$182,920	-36%	$60,347
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	28	$41,072	+2%	$7,648
329 Major Small and Large Bowel Procedures with MCC	27	$262,487	+22%	$57,729
480 Hip and Femur Procedures except Major Joint with MCC	27	$109,690	-21%	$24,646
312 Syncope and Collapse	26	$40,703	-11%	$8,529
322 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$202,790	+77%	$21,318
025 Craniotomy and Endovascular Intracranial Procedures with MCC	25	$158,347	-32%	$40,348
377 Gastrointestinal Hemorrhage with MCC	25	$90,269	+6%	$17,487
552 Medical Back Problems without MCC	25	$40,202	-18%	$9,001
690 Kidney and Urinary Tract Infections without MCC	25	$40,430	+7%	$8,312
393 Other Digestive System Diagnoses with MCC	24	$88,575	+15%	$14,058
308 Cardiac Arrhythmia and Conduction Disorders with MCC	23	$45,435	-20%	$10,749
467 Revision of Hip or Knee Replacement with CC	23	$123,054	-22%	$30,788
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	22	$105,800	+3%	$18,572
551 Medical Back Problems with MCC	22	$76,724	-3%	$16,812
603 Cellulitis without MCC	22	$32,609	-13%	$8,750
208 Respiratory System Diagnosis with Ventilator Support <=96...	21	$98,880	-27%	$24,369
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	21	$44,378	-27%	$12,421
057 Degenerative Nervous System Disorders without MCC	20	$65,292	+15%	$12,076
233 Coronary Bypass with Cardiac Catheterization or Open...	20	$349,070	-9%	$75,554
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	20	$41,629	+12%	$7,152
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	20	$50,427	+3%	$12,867
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	19	$68,773	+6%	$13,179
252 Other Vascular Procedures with MCC	19	$133,561	-22%	$37,404
267 Endovascular Cardiac Valve Replacement and Supplement...	19	$175,206	-21%	$46,694
286 Circulatory Disorders except AMI, with Cardiac...	19	$95,382	-15%	$20,219
389 Gastrointestinal Obstruction with CC	19	$30,230	-22%	$8,108
483 Major Joint or Limb Reattachment Procedures of Upper...	19	$100,952	-20%	$23,171
896 Alcohol, Drug Abuse or Dependence without Rehabilitation...	19	$62,421	-20%	$14,987
190 Chronic Obstructive Pulmonary Disease with MCC	18	$50,798	0%	$10,259
243 Permanent Cardiac Pacemaker Implant with CC	18	$118,369	+7%	$19,926
283 Acute Myocardial Infarction, Expired with MCC	18	$70,402	-32%	$20,097
330 Major Small and Large Bowel Procedures with CC	18	$187,335	+57%	$24,673
178 Respiratory Infections and Inflammations with CC	17	$34,705	-23%	$8,507
314 Other Circulatory System Diagnoses with MCC	17	$59,070	-38%	$17,483
917 Poisoning and Toxic Effects of Drugs with MCC	17	$72,180	-4%	$15,298
242 Permanent Cardiac Pacemaker Implant with MCC	16	$123,593	-23%	$32,175
638 Diabetes with CC	16	$46,853	+12%	$9,116
270 Other Major Cardiovascular Procedures with MCC	15	$205,300	-21%	$43,625

Showing the 60 most frequent of 83 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	231	$29,582	$2,800
Level 3 Electrophysiologic Procedures	154	$155,165	$24,550
Level 5 Musculoskeletal Procedures	153	$72,369	$13,548
Level 1 Intraocular Procedures	138	$6,890	$2,431
Level 1 Endovascular Procedures	125	$26,249	$3,425
Level 2 Excision/ Biopsy/ Incision and Drainage	119	$10,805	$1,678
Level 4 Musculoskeletal Procedures	118	$36,830	$7,405
Level 3 Vascular Procedures	109	$23,921	$3,271
Level 1 Nerve Procedures	86	$20,882	$2,026
Level 1 Laparoscopy and Related Services	66	$49,822	$5,981
Level 5 Airway Endoscopy	43	$41,557	$7,181
Level 3 Endovascular Procedures	39	$122,550	$11,021
Level 2 Laparoscopy and Related Services	37	$87,006	$10,790
Level 2 Upper GI Procedures	36	$12,420	$1,864
Level 6 Musculoskeletal Procedures	35	$104,741	$17,975
Level 1 Breast/Lymphatic Surgery and Related Procedures	33	$28,840	$3,903
Level 2 Pacemaker and Similar Procedures	33	$22,982	$8,911
Level 3 Excision/ Biopsy/ Incision and Drainage	29	$16,710	$2,981
Level 2 Breast/Lymphatic Surgery and Related Procedures	29	$51,217	$6,466
Level 3 Pacemaker and Similar Procedures	29	$56,036	$11,191
Level 4 Vascular Procedures	27	$42,124	$5,596
Level 4 Airway Endoscopy	24	$30,688	$3,929
Level 3 Lower GI Procedures	24	$21,305	$2,842
Level 4 Urology and Related Services	24	$28,561	$3,658
Level 5 Urology and Related Services	24	$50,710	$5,429

Against the Washington average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Peacehealth Southwest Medical Cente charged $82,066 on average, 4% more than the Washington average of $78,715, and was paid $18,095 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Peacehealth Southwest Medical Cente charged $53,743 on average, 1% more than the Washington average of $53,424, and was paid $12,005 against a state average of $12,124. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Peacehealth Southwest Medical Cente charged $80,384 on average, 13% less than the Washington average of $91,985, and was paid $18,101 against a state average of $17,646. For Pulmonary Edema and Respiratory Failure (DRG 189), Peacehealth Southwest Medical Cente charged $54,583 on average, 5% less than the Washington average of $57,551, and was paid $11,884 against a state average of $11,854. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,582 was 32% above the state average of $22,427. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $155,165 was 27% above the state average of $122,380. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $72,369 was 4% above the state average of $69,838. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,890 was 33% below the state average of $10,318.

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.