St Michael Medical Center: charges and Medicare payments

St Michael Medical Center reported 4,368 Medicare inpatient stays across 114 DRGs in 2024. Across them it charged 6.46 times what it was paid — among the higher ratios in Washington, number 1 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: 591 stays at an average charge of $113,667, 26% above the national average. It also billed 4,189 outpatient services, charging 8.69 times what Medicare paid.

1Medicare inpatient stays 4,368
2Charge ÷ paid, inpatient 6.46×
3Rank in WA (highest ratio = 1) 1 of 43
4CMS price-transparency actions 0

Average charge per stay at St Michael Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 114 DRGs that can be compared with the national average, St Michael Medical Center charged more than the national average in 109 (96%). 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	591	$113,667	+26%	$19,149
291 Heart Failure and Shock with MCC	250	$68,528	+22%	$12,162
280 Acute Myocardial Infarction, Discharged Alive with MCC	121	$99,401	+31%	$14,953
274 Percutaneous and Other Intracardiac Procedures without MCC	120	$188,658	+20%	$28,479
177 Respiratory Infections and Inflammations with MCC	111	$90,171	+28%	$15,916
267 Endovascular Cardiac Valve Replacement and Supplement...	100	$346,151	+56%	$45,942
189 Pulmonary Edema and Respiratory Failure	95	$86,587	+50%	$11,498
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	93	$64,689	+32%	$9,656
853 Infectious and Parasitic Diseases with O.R. Procedures with...	92	$270,344	+18%	$50,860
322 Percutaneous Cardiovascular Procedures with Intraluminal...	84	$131,856	+15%	$17,415
193 Simple Pneumonia and Pleurisy with MCC	79	$75,404	+26%	$12,821
286 Circulatory Disorders except AMI, with Cardiac...	76	$134,308	+20%	$21,667
698 Other Kidney and Urinary Tract Diagnoses with MCC	71	$95,221	+30%	$16,075
378 Gastrointestinal Hemorrhage with CC	67	$61,406	+26%	$9,768
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	66	$113,774	+14%	$18,383
377 Gastrointestinal Hemorrhage with MCC	64	$139,155	+63%	$15,805
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	64	$113,562	+88%	$16,824
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	62	$69,762	+25%	$9,593
321 Percutaneous Cardiovascular Procedures with Intraluminal...	57	$191,028	+17%	$27,640
470 Major Hip and Knee Joint Replacement or Reattachment of...	56	$116,050	+25%	$18,563
951 Other Factors Influencing Health Status	55	$42,967	+68%	$5,658
683 Renal Failure with CC	54	$58,893	+45%	$8,390
309 Cardiac Arrhythmia and Conduction Disorders with CC	48	$44,313	+23%	$7,846
308 Cardiac Arrhythmia and Conduction Disorders with MCC	47	$78,851	+39%	$12,630
287 Circulatory Disorders except AMI, with Cardiac...	42	$83,556	+31%	$11,097
682 Renal Failure with MCC	42	$120,366	+83%	$17,077
281 Acute Myocardial Infarction, Discharged Alive with CC	39	$55,412	+10%	$8,491
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	39	$53,129	+43%	$7,363
481 Hip and Femur Procedures except Major Joint with CC	38	$129,769	+29%	$18,937
164 Major Chest Procedures with CC	36	$152,865	+20%	$23,591
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	36	$56,503	+41%	$7,385
070 Other Cerebrovascular Disorders with MCC	33	$113,277	+49%	$16,816
690 Kidney and Urinary Tract Infections without MCC	33	$54,577	+44%	$7,633
252 Other Vascular Procedures with MCC	32	$257,658	+51%	$37,850
689 Kidney and Urinary Tract Infections with MCC	32	$91,824	+79%	$12,277
243 Permanent Cardiac Pacemaker Implant with CC	31	$106,483	-4%	$20,413
266 Endovascular Cardiac Valve Replacement and Supplement...	31	$390,012	+37%	$56,866
480 Hip and Femur Procedures except Major Joint with MCC	31	$162,328	+17%	$26,934
603 Cellulitis without MCC	31	$55,562	+49%	$8,924
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	30	$78,510	+29%	$11,762
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	29	$84,310	+29%	$13,845
270 Other Major Cardiovascular Procedures with MCC	29	$322,786	+25%	$56,880
312 Syncope and Collapse	29	$56,507	+24%	$7,819
330 Major Small and Large Bowel Procedures with CC	29	$152,165	+28%	$21,341
234 Coronary Bypass with Cardiac Catheterization or Open...	28	$435,959	+62%	$50,440
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	28	$121,662	+19%	$19,064
236 Coronary Bypass without Cardiac Catheterization without MCC	27	$353,842	+68%	$37,894
329 Major Small and Large Bowel Procedures with MCC	26	$237,619	+11%	$41,148
389 Gastrointestinal Obstruction with CC	26	$52,263	+34%	$8,386
314 Other Circulatory System Diagnoses with MCC	25	$102,412	+8%	$18,893
323 Coronary Intravascular Lithotripsy with Intraluminal Device...	25	$256,353	+11%	$45,812
811 Red Blood Cell Disorders with MCC	25	$84,758	+24%	$14,401
885 Psychoses	25	$44,233	0%	$12,635
854 Infectious and Parasitic Diseases with O.R. Procedures with...	24	$128,766	+31%	$26,526
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	23	$429,985	+56%	$59,361
242 Permanent Cardiac Pacemaker Implant with MCC	23	$172,614	+7%	$32,559
253 Other Vascular Procedures with CC	23	$241,736	+83%	$25,703
393 Other Digestive System Diagnoses with MCC	23	$96,639	+26%	$18,715
036 Carotid Artery Stent Procedures without CC/MCC	21	$172,916	+96%	$16,315
039 Extracranial Procedures without CC/MCC	21	$120,451	+89%	$12,441

Showing the 60 most frequent of 114 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	428	$37,783	$3,514
Comprehensive Observation Services	365	$35,161	$2,940
Level 5 Musculoskeletal Procedures	326	$96,684	$13,969
Level 2 Excision/ Biopsy/ Incision and Drainage	302	$9,742	$1,729
Level 4 Urology and Related Services	300	$32,051	$3,730
Level 5 Urology and Related Services	273	$41,368	$5,564
Level 3 Vascular Procedures	184	$25,723	$3,438
Level 1 Laparoscopy and Related Services	175	$60,585	$6,139
Level 4 Musculoskeletal Procedures	170	$71,218	$7,632
Level 3 Endovascular Procedures	165	$79,350	$11,787
Level 3 Electrophysiologic Procedures	151	$159,644	$25,227
Level 3 Excision/ Biopsy/ Incision and Drainage	140	$21,146	$3,030
Level 6 Musculoskeletal Procedures	120	$112,533	$19,736
Level 3 Pacemaker and Similar Procedures	104	$52,254	$11,503
Level 3 Musculoskeletal Procedures	88	$45,250	$3,365
Level 2 Endovascular Procedures	85	$45,400	$6,107
Level 4 Endovascular Procedures	84	$130,626	$18,868
Level 2 Upper GI Procedures	74	$17,844	$2,052
Level 2 Laparoscopy and Related Services	72	$94,701	$11,090
Level 2 Musculoskeletal Procedures	64	$21,129	$1,712
Level 4 Airway Endoscopy	52	$31,923	$4,039
Level 1 Breast/Lymphatic Surgery and Related Procedures	51	$43,758	$4,047
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	46	$44,501	$3,731
Level 3 Urology and Related Services	46	$21,279	$2,197
Level 2 Pacemaker and Similar Procedures	44	$46,077	$9,158

Against the Washington average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Michael Medical Center charged $113,667 on average, 44% more than the Washington average of $78,715, and was paid $19,149 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), St Michael Medical Center charged $68,528 on average, 28% more than the Washington average of $53,424, and was paid $12,162 against a state average of $12,124. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), St Michael Medical Center charged $99,401 on average, 49% more than the Washington average of $66,804, and was paid $14,953 against a state average of $14,507. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), St Michael Medical Center charged $188,658 on average, 42% more than the Washington average of $132,875, and was paid $28,479 against a state average of $29,468. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $37,783 was 73% above the state average of $21,838. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $35,161 was 57% above the state average of $22,427. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $96,684 was 38% above the state average of $69,838. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,742 was 1% above the state average of $9,672.

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.