Washington / Providence St Mary Medical Center

CMS certification 500002 · Walla Walla, WA · 2 entries in CMS's price-transparency list

Providence St Mary Medical Center: charges and Medicare payments

Providence St Mary Medical Center reported 1,087 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 3.56 times what it was paid — among the lower ratios in Washington, number 38 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: 189 stays at an average charge of $47,398, 48% below the national average. It also billed 1,768 outpatient services, charging 5.64 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,087
  2. 2Charge ÷ paid, inpatient 3.56×
  3. 3Rank in WA (highest ratio = 1) 38 of 43
  4. 4CMS price-transparency actions 2
DRG 871$47,398DRG 291$40,681DRG 177$40,841DRG 280$42,044DRG 872$32,670DRG 193$40,327DRG 322$74,569DRG 189$45,428DRG 321$107,981DRG 682$37,208
Average charge per stay at Providence St Mary Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 36 DRGs that can be compared with the national average, Providence St Mary Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC189$47,398-48%$15,850
291 Heart Failure and Shock with MCC84$40,681-28%$10,522
177 Respiratory Infections and Inflammations with MCC59$40,841-42%$13,269
280 Acute Myocardial Infarction, Discharged Alive with MCC57$42,044-45%$12,908
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC54$32,670-33%$8,620
193 Simple Pneumonia and Pleurisy with MCC42$40,327-33%$12,105
322 Percutaneous Cardiovascular Procedures with Intraluminal...38$74,569-35%$17,818
189 Pulmonary Edema and Respiratory Failure29$45,428-21%$9,773
321 Percutaneous Cardiovascular Procedures with Intraluminal...29$107,981-34%$24,423
682 Renal Failure with MCC29$37,208-44%$13,079
064 Intracranial Hemorrhage or Cerebral Infarction with MCC27$46,942-53%$15,740
281 Acute Myocardial Infarction, Discharged Alive with CC27$29,756-41%$7,396
324 Coronary Intravascular Lithotripsy with Intraluminal Device...26$113,527-35%$27,520
309 Cardiac Arrhythmia and Conduction Disorders with CC25$23,334-35%$6,424
480 Hip and Femur Procedures except Major Joint with MCC25$75,712-45%$23,172
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...24$33,826-39%$8,117
698 Other Kidney and Urinary Tract Diagnoses with MCC24$35,863-51%$13,037
683 Renal Failure with CC23$23,745-42%$7,918
853 Infectious and Parasitic Diseases with O.R. Procedures with...22$150,350-34%$42,724
378 Gastrointestinal Hemorrhage with CC21$35,204-27%$7,891
470 Major Hip and Knee Joint Replacement or Reattachment of...21$68,151-27%$14,925
481 Hip and Femur Procedures except Major Joint with CC21$73,275-27%$18,073
377 Gastrointestinal Hemorrhage with MCC20$53,506-37%$14,167
522 Hip Replacement with Principal Diagnosis of Hip Fracture...19$69,484-32%$17,911
951 Other Factors Influencing Health Status16$16,701-35%$4,854
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...15$42,756-29%$11,987
689 Kidney and Urinary Tract Infections with MCC15$30,840-40%$9,315
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale14$41,312-37%$13,868
389 Gastrointestinal Obstruction with CC14$25,791-34%$6,468
603 Cellulitis without MCC12$21,357-43%$7,154
069 Transient Ischemia without Thrombolytic11$28,075-44%$6,510
242 Permanent Cardiac Pacemaker Implant with MCC11$74,768-53%$27,192
323 Coronary Intravascular Lithotripsy with Intraluminal Device...11$166,665-28%$33,990
439 Disorders of Pancreas except Malignancy with CC11$37,686-14%$7,815
690 Kidney and Urinary Tract Infections without MCC11$30,709-19%$6,553
699 Other Kidney and Urinary Tract Diagnoses with CC11$31,719-33%$8,376

Outpatient services

Against the Washington average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Providence St Mary Medical Center charged $47,398 on average, 40% less than the Washington average of $78,715, and was paid $15,850 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Providence St Mary Medical Center charged $40,681 on average, 24% less than the Washington average of $53,424, and was paid $10,522 against a state average of $12,124. For Respiratory Infections and Inflammations with MCC (DRG 177), Providence St Mary Medical Center charged $40,841 on average, 38% less than the Washington average of $65,942, and was paid $13,269 against a state average of $15,782. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Providence St Mary Medical Center charged $42,044 on average, 37% less than the Washington average of $66,804, and was paid $12,908 against a state average of $14,507. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,659 was 23% above the state average of $10,318. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $50,432 was 28% below the state average of $69,838. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,978 was 23% below the state average of $11,648. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,945 was 28% below the state average of $9,672.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Providence St Mary Medical Center in Walla Walla, WA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.