Washington / Swedish Edmonds Hospital
CMS certification 500026 · Edmonds, WA
Swedish Edmonds Hospital: charges and Medicare payments
Swedish Edmonds Hospital reported 1,159 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 4.89 times what it was paid — among the higher ratios in Washington, number 9 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: 301 stays at an average charge of $84,884, 6% below the national average. It also billed 790 outpatient services, charging 7.2 times what Medicare paid.
- 1Medicare inpatient stays 1,159
- 2Charge ÷ paid, inpatient 4.89×
- 3Rank in WA (highest ratio = 1) 9 of 43
- 4CMS price-transparency actions 0
Inpatient stays
For the 34 DRGs that can be compared with the national average, Swedish Edmonds Hospital charged more than the national average in 12 (35%). 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 | 301 | $84,884 | -6% | $17,849 |
| 291 Heart Failure and Shock with MCC | 124 | $67,455 | +20% | $12,232 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 59 | $36,433 | -26% | $10,242 |
| 189 Pulmonary Edema and Respiratory Failure | 55 | $82,789 | +44% | $12,819 |
| 177 Respiratory Infections and Inflammations with MCC | 51 | $96,834 | +37% | $17,421 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 36 | $65,614 | -13% | $13,659 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 34 | $59,972 | -18% | $13,761 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 31 | $209,473 | -9% | $47,306 |
| 682 Renal Failure with MCC | 30 | $62,241 | -6% | $14,098 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 27 | $63,695 | -36% | $15,547 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 26 | $44,974 | -19% | $9,127 |
| 481 Hip and Femur Procedures except Major Joint with CC | 25 | $76,609 | -24% | $17,850 |
| 951 Other Factors Influencing Health Status | 25 | $20,196 | -21% | $5,478 |
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $68,503 | +15% | $11,276 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $79,248 | +63% | $12,242 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $52,698 | -13% | $11,138 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $33,986 | -8% | $7,508 |
| 683 Renal Failure with CC | 20 | $43,309 | +6% | $8,244 |
| 389 Gastrointestinal Obstruction with CC | 19 | $31,369 | -19% | $7,681 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $37,745 | 0% | $7,261 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 16 | $90,788 | +6% | $17,230 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $29,724 | -26% | $7,236 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $83,854 | +63% | $13,966 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 14 | $23,740 | -44% | $7,018 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 14 | $121,022 | -11% | $27,405 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $32,032 | -11% | $8,388 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $149,459 | +30% | $17,411 |
| 329 Major Small and Large Bowel Procedures with MCC | 14 | $151,049 | -30% | $37,452 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $41,129 | -13% | $9,460 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $87,120 | +43% | $12,968 |
| 336 Peritoneal Adhesiolysis with CC | 12 | $62,662 | -39% | $18,797 |
| 393 Other Digestive System Diagnoses with MCC | 12 | $85,385 | +11% | $17,229 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $57,735 | -11% | $11,020 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $93,043 | +9% | $18,462 |
Outpatient services
Against the Washington average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Swedish Edmonds Hospital charged $84,884 on average, 8% more than the Washington average of $78,715, and was paid $17,849 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Swedish Edmonds Hospital charged $67,455 on average, 26% more than the Washington average of $53,424, and was paid $12,232 against a state average of $12,124. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Swedish Edmonds Hospital charged $36,433 on average, 16% less than the Washington average of $43,222, and was paid $10,242 against a state average of $10,007. For Pulmonary Edema and Respiratory Failure (DRG 189), Swedish Edmonds Hospital charged $82,789 on average, 44% more than the Washington average of $57,551, and was paid $12,819 against a state average of $11,854. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,492 was 23% below the state average of $9,672. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,044 was 21% above the state average of $22,427. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $17,139 was 7% below the state average of $18,375. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $15,612 was 29% 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.