Skagit Valley Hospital: charges and Medicare payments

Skagit Valley Hospital reported 1,268 Medicare inpatient stays across 47 DRGs in 2024. Across them it charged 4.36 times what it was paid — mid-range in Washington, number 23 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: 161 stays at an average charge of $80,019, 11% below the national average. It also billed 3,561 outpatient services, charging 5.92 times what Medicare paid.

1Medicare inpatient stays 1,268
2Charge ÷ paid, inpatient 4.36×
3Rank in WA (highest ratio = 1) 23 of 43
4CMS price-transparency actions 0

Average charge per stay at Skagit Valley Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 47 DRGs that can be compared with the national average, Skagit Valley Hospital charged more than the national average in 13 (28%). 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	161	$80,019	-11%	$18,366
291 Heart Failure and Shock with MCC	114	$48,535	-14%	$12,018
193 Simple Pneumonia and Pleurisy with MCC	52	$54,758	-8%	$14,002
280 Acute Myocardial Infarction, Discharged Alive with MCC	49	$53,771	-29%	$14,453
177 Respiratory Infections and Inflammations with MCC	43	$49,690	-30%	$15,147
378 Gastrointestinal Hemorrhage with CC	40	$45,646	-6%	$9,674
281 Acute Myocardial Infarction, Discharged Alive with CC	39	$38,326	-24%	$9,003
189 Pulmonary Edema and Respiratory Failure	33	$49,540	-14%	$11,600
683 Renal Failure with CC	32	$44,222	+9%	$8,790
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	32	$42,677	-13%	$9,542
308 Cardiac Arrhythmia and Conduction Disorders with MCC	31	$52,696	-7%	$11,770
309 Cardiac Arrhythmia and Conduction Disorders with CC	28	$36,666	+2%	$7,537
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	28	$51,235	-15%	$12,467
853 Infectious and Parasitic Diseases with O.R. Procedures with...	28	$160,936	-30%	$48,887
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	27	$67,624	-32%	$16,332
682 Renal Failure with MCC	25	$79,609	+21%	$16,658
698 Other Kidney and Urinary Tract Diagnoses with MCC	25	$57,422	-22%	$15,538
322 Percutaneous Cardiovascular Procedures with Intraluminal...	24	$97,288	-15%	$17,553
481 Hip and Femur Procedures except Major Joint with CC	24	$103,804	+3%	$18,515
885 Psychoses	24	$98,740	+124%	$17,089
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	23	$51,849	-7%	$9,560
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	22	$43,752	+9%	$7,776
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	22	$36,819	-1%	$7,676
951 Other Factors Influencing Health Status	22	$30,639	+20%	$5,705
689 Kidney and Urinary Tract Infections with MCC	21	$53,735	+5%	$11,338
690 Kidney and Urinary Tract Infections without MCC	21	$38,002	0%	$7,426
312 Syncope and Collapse	19	$45,901	+1%	$8,103
304 Hypertension with MCC	17	$39,099	-32%	$10,851
377 Gastrointestinal Hemorrhage with MCC	17	$59,374	-30%	$16,558
329 Major Small and Large Bowel Procedures with MCC	16	$188,284	-12%	$49,579
190 Chronic Obstructive Pulmonary Disease with MCC	14	$53,226	+5%	$10,695
603 Cellulitis without MCC	14	$34,678	-7%	$8,802
287 Circulatory Disorders except AMI, with Cardiac...	13	$55,973	-12%	$9,995
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	13	$23,122	-20%	$5,667
468 Revision of Hip or Knee Replacement without CC/MCC	13	$123,633	0%	$22,333
480 Hip and Femur Procedures except Major Joint with MCC	13	$117,592	-15%	$24,621
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	13	$96,458	-6%	$19,418
699 Other Kidney and Urinary Tract Diagnoses with CC	13	$40,371	-15%	$9,487
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	12	$36,537	-16%	$7,050
321 Percutaneous Cardiovascular Procedures with Intraluminal...	12	$130,111	-21%	$25,995
445 Disorders of The Biliary Tract with CC	12	$51,306	-12%	$10,192
854 Infectious and Parasitic Diseases with O.R. Procedures with...	12	$116,356	+18%	$26,498
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	11	$55,104	-15%	$13,008
194 Simple Pneumonia and Pleurisy with CC	11	$41,630	+8%	$8,045
283 Acute Myocardial Infarction, Expired with MCC	11	$70,734	-31%	$18,151
470 Major Hip and Knee Joint Replacement or Reattachment of...	11	$80,452	-14%	$17,292
637 Diabetes with MCC	11	$68,755	+3%	$13,441

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	604	$1,443	$691
Comprehensive Observation Services	391	$26,664	$2,745
Level 5 Musculoskeletal Procedures	251	$56,018	$13,249
Level 3 Urology and Related Services	213	$5,017	$2,059
Level 2 Upper GI Procedures	207	$11,975	$1,902
Level 2 Excision/ Biopsy/ Incision and Drainage	162	$9,620	$1,629
Level 1 Endovascular Procedures	136	$20,441	$3,265
Level 4 Musculoskeletal Procedures	133	$38,697	$7,030
Level 3 Vascular Procedures	101	$18,756	$3,197
Level 4 Urology and Related Services	100	$17,083	$3,497
Level 3 Excision/ Biopsy/ Incision and Drainage	95	$15,241	$2,873
Level 3 Electrophysiologic Procedures	92	$107,141	$23,706
Level 3 Musculoskeletal Procedures	90	$18,898	$3,273
Level 5 Urology and Related Services	90	$24,927	$5,139
Level 3 Lower GI Procedures	89	$15,506	$2,837
Level 1 Laparoscopy and Related Services	84	$42,585	$5,726
Level 1 Nerve Procedures	82	$10,809	$1,933
Level 2 Musculoskeletal Procedures	80	$7,356	$1,568
Level 5 Airway Endoscopy	54	$33,946	$6,820
Level 3 Pacemaker and Similar Procedures	49	$44,639	$10,785
Level 6 Musculoskeletal Procedures	41	$71,383	$18,798
Level 2 Vascular Procedures	34	$4,746	$1,619
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	34	$24,941	$3,416
Level 2 Breast/Lymphatic Surgery and Related Procedures	31	$39,405	$6,593
Level 3 Endovascular Procedures	28	$54,639	$11,110

Against the Washington average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Skagit Valley Hospital charged $80,019 on average, 2% more than the Washington average of $78,715, and was paid $18,366 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Skagit Valley Hospital charged $48,535 on average, 9% less than the Washington average of $53,424, and was paid $12,018 against a state average of $12,124. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Skagit Valley Hospital charged $54,758 on average, 1% more than the Washington average of $54,278, and was paid $14,002 against a state average of $12,466. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Skagit Valley Hospital charged $53,771 on average, 20% less than the Washington average of $66,804, and was paid $14,453 against a state average of $14,507. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,443 was 23% below the state average of $1,884. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,664 was 19% above the state average of $22,427. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $56,018 was 20% below the state average of $69,838. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $5,017 was 44% below the state average of $9,013.

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.