Washington / Providence Holy Family Hospital
CMS certification 500077 · Spokane, WA · 1 entry in CMS's price-transparency list
Providence Holy Family Hospital: charges and Medicare payments
Providence Holy Family Hospital reported 1,188 Medicare inpatient stays across 38 DRGs in 2024. Across them it charged 4.37 times what it was paid — mid-range in Washington, number 22 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: 335 stays at an average charge of $72,078, 20% below the national average. It also billed 2,051 outpatient services, charging 6.08 times what Medicare paid.
- 1Medicare inpatient stays 1,188
- 2Charge ÷ paid, inpatient 4.37×
- 3Rank in WA (highest ratio = 1) 22 of 43
- 4CMS price-transparency actions 1
Inpatient stays
For the 38 DRGs that can be compared with the national average, Providence Holy Family Hospital charged more than the national average in 5 (13%). 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 | 335 | $72,078 | -20% | $16,857 |
| 291 Heart Failure and Shock with MCC | 102 | $55,190 | -2% | $10,704 |
| 193 Simple Pneumonia and Pleurisy with MCC | 45 | $66,211 | +11% | $11,427 |
| 177 Respiratory Infections and Inflammations with MCC | 43 | $59,070 | -16% | $13,558 |
| 189 Pulmonary Edema and Respiratory Failure | 38 | $60,326 | +5% | $10,197 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 37 | $155,010 | -32% | $42,057 |
| 377 Gastrointestinal Hemorrhage with MCC | 35 | $91,193 | +7% | $18,476 |
| 885 Psychoses | 35 | $34,346 | -22% | $12,605 |
| 682 Renal Failure with MCC | 34 | $65,833 | 0% | $13,682 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 32 | $41,672 | -15% | $9,538 |
| 378 Gastrointestinal Hemorrhage with CC | 31 | $41,050 | -15% | $7,991 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 29 | $46,795 | -36% | $12,983 |
| 481 Hip and Femur Procedures except Major Joint with CC | 24 | $78,774 | -22% | $16,532 |
| 951 Other Factors Influencing Health Status | 23 | $22,789 | -11% | $5,242 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 20 | $49,423 | -51% | $15,283 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 19 | $43,792 | -42% | $13,058 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $51,193 | -15% | $10,625 |
| 683 Renal Failure with CC | 19 | $37,489 | -8% | $8,562 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $31,108 | -44% | $8,055 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $61,863 | +22% | $9,204 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $35,528 | -12% | $6,679 |
| 467 Revision of Hip or Knee Replacement with CC | 16 | $132,602 | -16% | $29,141 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $46,596 | -28% | $11,019 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $125,879 | -41% | $37,711 |
| 330 Major Small and Large Bowel Procedures with CC | 15 | $89,465 | -25% | $19,109 |
| 355 Hernia Procedures except Inguinal and Femoral without CC/MCC | 15 | $43,541 | -40% | $11,951 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 14 | $120,345 | -3% | $21,364 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $33,716 | -34% | $9,244 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $100,467 | -26% | $21,802 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 12 | $117,692 | -13% | $24,711 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $43,942 | -22% | $9,951 |
| 389 Gastrointestinal Obstruction with CC | 12 | $35,360 | -9% | $10,146 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $29,819 | -41% | $7,260 |
| 354 Hernia Procedures except Inguinal and Femoral with CC | 11 | $62,979 | -29% | $16,134 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $55,189 | -28% | $13,331 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $81,062 | -21% | $16,983 |
| 637 Diabetes with MCC | 11 | $46,841 | -30% | $13,338 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $44,285 | +20% | $7,873 |
Outpatient services
Against the Washington average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Providence Holy Family Hospital charged $72,078 on average, 8% less than the Washington average of $78,715, and was paid $16,857 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Providence Holy Family Hospital charged $55,190 on average, 3% more than the Washington average of $53,424, and was paid $10,704 against a state average of $12,124. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Providence Holy Family Hospital charged $66,211 on average, 22% more than the Washington average of $54,278, and was paid $11,427 against a state average of $12,466. For Respiratory Infections and Inflammations with MCC (DRG 177), Providence Holy Family Hospital charged $59,070 on average, 10% less than the Washington average of $65,942, and was paid $13,558 against a state average of $15,782. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,102 was 2% below the state average of $10,318. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $63,456 was 9% below the state average of $69,838. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,065 was 28% below the state average of $22,427. For Level 2 Laparoscopy and Related Services (outpatient APC 5362), its average charge of $70,266 was 13% below the state average of $80,556.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Providence Holy Family Hospital in Spokane, WA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-14 (CMS case 3798)
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.