Swedish Issaquah: charges and Medicare payments

Swedish Issaquah reported 1,024 Medicare inpatient stays across 40 DRGs in 2024. Across them it charged 4.64 times what it was paid — mid-range in Washington, number 16 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: 194 stays at an average charge of $75,616, 16% below the national average. It also billed 1,187 outpatient services, charging 7.34 times what Medicare paid.

1Medicare inpatient stays 1,024
2Charge ÷ paid, inpatient 4.64×
3Rank in WA (highest ratio = 1) 16 of 43
4CMS price-transparency actions 0

Average charge per stay at Swedish Issaquah, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 40 DRGs that can be compared with the national average, Swedish Issaquah charged more than the national average in 10 (25%). 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	194	$75,616	-16%	$17,828
291 Heart Failure and Shock with MCC	119	$57,536	+2%	$12,004
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	53	$42,504	-13%	$9,703
189 Pulmonary Edema and Respiratory Failure	34	$79,076	+37%	$11,814
177 Respiratory Infections and Inflammations with MCC	31	$79,366	+12%	$14,864
682 Renal Failure with MCC	29	$57,205	-13%	$13,460
853 Infectious and Parasitic Diseases with O.R. Procedures with...	29	$135,156	-41%	$36,355
698 Other Kidney and Urinary Tract Diagnoses with MCC	28	$61,694	-16%	$14,313
330 Major Small and Large Bowel Procedures with CC	27	$159,742	+34%	$26,936
193 Simple Pneumonia and Pleurisy with MCC	26	$55,338	-7%	$11,566
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	25	$52,866	-5%	$9,373
378 Gastrointestinal Hemorrhage with CC	25	$50,217	+3%	$8,794
481 Hip and Femur Procedures except Major Joint with CC	25	$97,912	-3%	$17,528
280 Acute Myocardial Infarction, Discharged Alive with MCC	23	$58,557	-23%	$12,250
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	22	$38,974	-35%	$10,505
552 Medical Back Problems without MCC	19	$37,471	-23%	$9,377
689 Kidney and Urinary Tract Infections with MCC	19	$39,079	-24%	$13,088
329 Major Small and Large Bowel Procedures with MCC	18	$206,892	-4%	$49,958
322 Percutaneous Cardiovascular Procedures with Intraluminal...	16	$142,918	+25%	$19,853
377 Gastrointestinal Hemorrhage with MCC	16	$73,535	-14%	$13,478
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	15	$29,723	-20%	$6,928
690 Kidney and Urinary Tract Infections without MCC	15	$30,791	-19%	$6,776
394 Other Digestive System Diagnoses with CC	14	$36,591	-22%	$7,978
683 Renal Failure with CC	14	$33,025	-19%	$7,603
057 Degenerative Nervous System Disorders without MCC	13	$42,379	-25%	$9,570
287 Circulatory Disorders except AMI, with Cardiac...	13	$53,884	-16%	$10,963
854 Infectious and Parasitic Diseases with O.R. Procedures with...	13	$75,917	-23%	$16,716
281 Acute Myocardial Infarction, Discharged Alive with CC	12	$44,062	-13%	$7,604
308 Cardiac Arrhythmia and Conduction Disorders with MCC	12	$53,725	-5%	$11,235
309 Cardiac Arrhythmia and Conduction Disorders with CC	12	$36,609	+1%	$6,353
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	12	$36,814	-8%	$6,731
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	12	$130,090	+27%	$19,417
811 Red Blood Cell Disorders with MCC	12	$57,035	-16%	$12,279
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	11	$65,155	-35%	$21,116
070 Other Cerebrovascular Disorders with MCC	11	$57,749	-24%	$14,514
208 Respiratory System Diagnosis with Ventilator Support <=96...	11	$91,035	-33%	$21,690
393 Other Digestive System Diagnoses with MCC	11	$56,608	-26%	$16,671
480 Hip and Femur Procedures except Major Joint with MCC	11	$97,007	-30%	$23,117
884 Organic Disturbances and Intellectual Disability	11	$111,909	+79%	$27,962
951 Other Factors Influencing Health Status	11	$30,293	+18%	$5,169

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	146	$17,323	$2,765
Level 2 Excision/ Biopsy/ Incision and Drainage	100	$8,950	$1,617
Level 4 Musculoskeletal Procedures	98	$46,011	$7,306
Level 2 Upper GI Procedures	96	$9,660	$1,927
Level 1 Laparoscopy and Related Services	88	$49,897	$5,839
Level 5 Musculoskeletal Procedures	79	$83,148	$13,270
Level 1 Endovascular Procedures	62	$15,024	$3,295
Level 2 Laparoscopy and Related Services	46	$95,733	$10,117
Level 6 Musculoskeletal Procedures	44	$84,805	$18,987
Level 3 Vascular Procedures	42	$14,454	$3,193
Level 1 Nerve Procedures	36	$9,169	$1,972
Level 5 Urology and Related Services	33	$37,023	$5,157
Level 3 Lower GI Procedures	29	$9,353	$2,867
Level 2 Musculoskeletal Procedures	28	$13,236	$1,605
Level 3 Excision/ Biopsy/ Incision and Drainage	26	$16,912	$2,813
Level 3 Musculoskeletal Procedures	26	$23,651	$3,306
Level 1 Breast/Lymphatic Surgery and Related Procedures	25	$23,861	$3,893
Level 5 ENT Procedures	24	$44,357	$5,782
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	23	$33,333	$3,533
Level 4 Urology and Related Services	22	$23,883	$3,560
Level 3 Urology and Related Services	20	$9,257	$2,080
Complex GI Procedures	19	$22,740	$5,820
Level 4 Gynecologic Procedures	17	$18,041	$3,193
Level 5 Neurostimulator and Related Procedures	17	$123,074	$29,852
Level 2 Breast/Lymphatic Surgery and Related Procedures	16	$45,562	$6,660

Against the Washington average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Swedish Issaquah charged $75,616 on average, 4% less than the Washington average of $78,715, and was paid $17,828 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Swedish Issaquah charged $57,536 on average, 8% more than the Washington average of $53,424, and was paid $12,004 against a state average of $12,124. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Swedish Issaquah charged $42,504 on average, 2% less than the Washington average of $43,222, and was paid $9,703 against a state average of $10,007. For Pulmonary Edema and Respiratory Failure (DRG 189), Swedish Issaquah charged $79,076 on average, 37% more than the Washington average of $57,551, and was paid $11,814 against a state average of $11,854. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,323 was 23% below the state average of $22,427. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,950 was 7% below the state average of $9,672. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $46,011 was 2% above the state average of $45,214. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,660 was 11% below the state average of $10,814.

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.