Washington / Providence Regional Medical Center Everett
CMS certification 500014 · Everett, WA
Providence Regional Medical Center Everett: charges and Medicare payments
Providence Regional Medical Center Everett reported 3,493 Medicare inpatient stays across 110 DRGs in 2024. Across them it charged 4.55 times what it was paid — mid-range in Washington, number 18 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: 360 stays at an average charge of $81,108, 10% below the national average. It also billed 2,885 outpatient services, charging 6.2 times what Medicare paid.
- 1Medicare inpatient stays 3,493
- 2Charge ÷ paid, inpatient 4.55×
- 3Rank in WA (highest ratio = 1) 18 of 43
- 4CMS price-transparency actions 0
Inpatient stays
For the 110 DRGs that can be compared with the national average, Providence Regional Medical Center Everett charged more than the national average in 34 (31%). 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 | 360 | $81,108 | -10% | $19,509 |
| 291 Heart Failure and Shock with MCC | 170 | $59,203 | +5% | $11,902 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 85 | $116,761 | -26% | $30,342 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 83 | $47,473 | -15% | $10,418 |
| 177 Respiratory Infections and Inflammations with MCC | 71 | $79,932 | +13% | $19,754 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 66 | $60,679 | -20% | $14,693 |
| 481 Hip and Femur Procedures except Major Joint with CC | 60 | $117,106 | +16% | $19,954 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 60 | $42,992 | -12% | $10,561 |
| 193 Simple Pneumonia and Pleurisy with MCC | 57 | $67,263 | +13% | $14,620 |
| 885 Psychoses | 56 | $146,850 | +233% | $23,437 |
| 378 Gastrointestinal Hemorrhage with CC | 55 | $42,166 | -13% | $10,038 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 54 | $242,255 | +6% | $49,222 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 51 | $82,167 | -12% | $16,235 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 50 | $28,967 | -22% | $7,993 |
| 690 Kidney and Urinary Tract Infections without MCC | 49 | $41,144 | +9% | $7,403 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 48 | $52,958 | +5% | $12,515 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 47 | $156,439 | -29% | $43,682 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 47 | $71,971 | -2% | $16,472 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 46 | $73,873 | -26% | $19,325 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 46 | $75,615 | -34% | $16,948 |
| 552 Medical Back Problems without MCC | 45 | $47,834 | -2% | $9,105 |
| 689 Kidney and Urinary Tract Infections with MCC | 45 | $64,321 | +25% | $12,115 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 43 | $87,150 | +45% | $14,116 |
| 951 Other Factors Influencing Health Status | 43 | $41,924 | +64% | $6,450 |
| 189 Pulmonary Edema and Respiratory Failure | 42 | $71,920 | +25% | $12,103 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 41 | $30,939 | -14% | $7,919 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 41 | $37,684 | -6% | $7,420 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 41 | $118,268 | +16% | $17,811 |
| 683 Renal Failure with CC | 41 | $37,216 | -9% | $8,044 |
| 603 Cellulitis without MCC | 40 | $30,550 | -18% | $8,966 |
| 682 Renal Failure with MCC | 40 | $71,311 | +8% | $13,807 |
| 312 Syncope and Collapse | 36 | $48,093 | +6% | $8,083 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 35 | $128,890 | -21% | $26,718 |
| 057 Degenerative Nervous System Disorders without MCC | 34 | $76,023 | +34% | $13,543 |
| 194 Simple Pneumonia and Pleurisy with CC | 34 | $34,017 | -11% | $8,042 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $32,059 | -13% | $7,906 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 29 | $164,155 | +18% | $27,186 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 29 | $35,692 | -16% | $7,815 |
| 184 Major Chest Trauma with CC | 28 | $40,885 | -26% | $10,901 |
| 330 Major Small and Large Bowel Procedures with CC | 27 | $126,612 | +6% | $26,139 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 26 | $115,968 | -15% | $27,171 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 25 | $46,438 | -2% | $11,479 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 25 | $65,610 | -12% | $13,355 |
| 178 Respiratory Infections and Inflammations with CC | 24 | $44,171 | -3% | $9,522 |
| 314 Other Circulatory System Diagnoses with MCC | 24 | $90,416 | -5% | $20,120 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 24 | $136,754 | +15% | $22,974 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 23 | $39,019 | -23% | $9,532 |
| 638 Diabetes with CC | 23 | $43,660 | +5% | $9,196 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 22 | $203,349 | -12% | $41,579 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 22 | $38,293 | -10% | $6,444 |
| 100 Seizures with MCC | 22 | $79,571 | -16% | $19,935 |
| 253 Other Vascular Procedures with CC | 22 | $114,692 | -13% | $24,109 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $58,856 | -31% | $16,502 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 22 | $150,821 | +12% | $24,537 |
| 884 Organic Disturbances and Intellectual Disability | 22 | $195,472 | +213% | $26,441 |
| 039 Extracranial Procedures without CC/MCC | 21 | $64,069 | 0% | $11,359 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 21 | $41,318 | -27% | $10,800 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 21 | $285,087 | +32% | $41,009 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 20 | $42,768 | +8% | $7,924 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 20 | $29,874 | -31% | $8,162 |
Showing the 60 most frequent of 110 DRGs.
Outpatient services
Against the Washington average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Providence Regional Medical Center Everett charged $81,108 on average, 3% more than the Washington average of $78,715, and was paid $19,509 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Providence Regional Medical Center Everett charged $59,203 on average, 11% more than the Washington average of $53,424, and was paid $11,902 against a state average of $12,124. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Providence Regional Medical Center Everett charged $116,761 on average, 12% less than the Washington average of $132,875, and was paid $30,342 against a state average of $29,468. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Providence Regional Medical Center Everett charged $47,473 on average, 4% less than the Washington average of $49,306, and was paid $10,418 against a state average of $10,087. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,123 was 8% above the state average of $22,427. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,387 was 13% below the state average of $9,672. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $68,470 was 2% below the state average of $69,838. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $11,327 was 48% below 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.