Washington / St Anthony Hospital
CMS certification 500151 · Gig Harbor, WA · 2 entries in CMS's price-transparency list
St Anthony Hospital: charges and Medicare payments
St Anthony Hospital reported 2,118 Medicare inpatient stays across 65 DRGs in 2024. Across them it charged 6.31 times what it was paid — among the higher ratios in Washington, number 2 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: 359 stays at an average charge of $98,762, 9% above the national average. It also billed 1,136 outpatient services, charging 10.68 times what Medicare paid.
- 1Medicare inpatient stays 2,118
- 2Charge ÷ paid, inpatient 6.31×
- 3Rank in WA (highest ratio = 1) 2 of 43
- 4CMS price-transparency actions 2
Inpatient stays
For the 65 DRGs that can be compared with the national average, St Anthony Hospital charged more than the national average in 52 (80%). 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 | 359 | $98,762 | +9% | $16,564 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 106 | $91,181 | +20% | $13,621 |
| 291 Heart Failure and Shock with MCC | 103 | $61,235 | +9% | $10,770 |
| 177 Respiratory Infections and Inflammations with MCC | 81 | $85,600 | +21% | $13,575 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 65 | $57,361 | +17% | $9,201 |
| 189 Pulmonary Edema and Respiratory Failure | 62 | $87,016 | +51% | $10,269 |
| 682 Renal Failure with MCC | 60 | $67,743 | +3% | $11,913 |
| 377 Gastrointestinal Hemorrhage with MCC | 57 | $79,972 | -6% | $14,510 |
| 193 Simple Pneumonia and Pleurisy with MCC | 55 | $82,567 | +38% | $12,344 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 54 | $82,179 | +12% | $13,781 |
| 378 Gastrointestinal Hemorrhage with CC | 53 | $51,747 | +7% | $8,154 |
| 689 Kidney and Urinary Tract Infections with MCC | 47 | $64,031 | +25% | $9,792 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 42 | $92,477 | -7% | $16,059 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 42 | $56,819 | +2% | $8,141 |
| 683 Renal Failure with CC | 38 | $52,446 | +29% | $8,236 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 37 | $55,121 | +9% | $8,066 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $70,710 | +17% | $10,446 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 32 | $69,488 | +23% | $10,723 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $51,577 | +28% | $6,956 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 26 | $162,080 | +17% | $23,004 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $50,417 | +33% | $7,017 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 25 | $87,276 | +37% | $8,649 |
| 481 Hip and Femur Procedures except Major Joint with CC | 25 | $115,969 | +15% | $16,405 |
| 951 Other Factors Influencing Health Status | 25 | $36,047 | +41% | $4,866 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 24 | $41,206 | +14% | $6,163 |
| 393 Other Digestive System Diagnoses with MCC | 24 | $83,329 | +9% | $12,591 |
| 552 Medical Back Problems without MCC | 24 | $49,368 | +1% | $7,818 |
| 637 Diabetes with MCC | 24 | $64,570 | -3% | $13,413 |
| 811 Red Blood Cell Disorders with MCC | 24 | $62,592 | -8% | $11,349 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 23 | $118,286 | +5% | $19,415 |
| 312 Syncope and Collapse | 22 | $52,616 | +16% | $7,036 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $234,989 | +3% | $43,993 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $86,208 | +41% | $11,528 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $50,980 | +38% | $6,401 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 20 | $78,006 | +20% | $10,959 |
| 388 Gastrointestinal Obstruction with MCC | 20 | $105,870 | +55% | $13,392 |
| 389 Gastrointestinal Obstruction with CC | 17 | $58,444 | +50% | $7,525 |
| 069 Transient Ischemia without Thrombolytic | 16 | $59,031 | +17% | $8,499 |
| 305 Hypertension without MCC | 16 | $52,416 | +31% | $8,079 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $51,252 | +8% | $8,166 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 15 | $133,031 | +43% | $15,283 |
| 313 Chest Pain | 14 | $46,646 | +17% | $5,986 |
| 638 Diabetes with CC | 14 | $43,892 | +5% | $7,274 |
| 100 Seizures with MCC | 13 | $84,845 | -10% | $16,027 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 13 | $43,925 | +1% | $6,855 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 13 | $107,921 | +16% | $16,517 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $93,808 | -5% | $16,215 |
| 884 Organic Disturbances and Intellectual Disability | 13 | $57,403 | -8% | $13,776 |
| 057 Degenerative Nervous System Disorders without MCC | 12 | $61,643 | +9% | $10,969 |
| 092 Other Disorders of Nervous System with CC | 12 | $52,131 | +1% | $9,586 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $69,513 | +37% | $10,766 |
| 314 Other Circulatory System Diagnoses with MCC | 12 | $113,871 | +20% | $18,990 |
| 394 Other Digestive System Diagnoses with CC | 12 | $51,191 | +9% | $7,732 |
| 643 Endocrine Disorders with MCC | 12 | $80,126 | +8% | $13,107 |
| 813 Coagulation Disorders | 12 | $94,660 | +18% | $12,719 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 12 | $66,973 | -11% | $16,394 |
| 299 Peripheral Vascular Disorders with MCC | 11 | $56,220 | -25% | $11,954 |
| 390 Gastrointestinal Obstruction without CC/MCC | 11 | $51,870 | +86% | $4,656 |
| 445 Disorders of The Biliary Tract with CC | 11 | $54,487 | -6% | $9,207 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $137,235 | +34% | $16,691 |
Showing the 60 most frequent of 65 DRGs.
Outpatient services
Against the Washington average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Anthony Hospital charged $98,762 on average, 25% more than the Washington average of $78,715, and was paid $16,564 against a state average of $18,304. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), St Anthony Hospital charged $91,181 on average, 36% more than the Washington average of $66,804, and was paid $13,621 against a state average of $14,507. For Heart Failure and Shock with MCC (DRG 291), St Anthony Hospital charged $61,235 on average, 15% more than the Washington average of $53,424, and was paid $10,770 against a state average of $12,124. For Respiratory Infections and Inflammations with MCC (DRG 177), St Anthony Hospital charged $85,600 on average, 30% more than the Washington average of $65,942, and was paid $13,575 against a state average of $15,782. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $105,403 was 51% above the state average of $69,838. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,033 was 43% above the state average of $22,427. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $13,424 was 15% above the state average of $11,648. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $64,296 was 49% above the state average of $43,156.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Anthony Hospital in Gig Harbor, WA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-02 (CMS case 1551)
- Met Requirements — 2025-05-14 (CMS case 4533)
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.