Swedish Medical Center: charges and Medicare payments

Swedish Medical Center reported 2,384 Medicare inpatient stays across 89 DRGs in 2024. Across them it charged 4.62 times what it was paid — mid-range in Washington, number 17 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: 319 stays at an average charge of $92,420, 2% above the national average. It also billed 3,597 outpatient services, charging 7.62 times what Medicare paid.

1Medicare inpatient stays 2,384
2Charge ÷ paid, inpatient 4.62×
3Rank in WA (highest ratio = 1) 17 of 43
4CMS price-transparency actions 0

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

Inpatient stays

For the 89 DRGs that can be compared with the national average, Swedish Medical Center charged more than the national average in 52 (58%). 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	319	$92,420	+2%	$22,143
291 Heart Failure and Shock with MCC	106	$74,675	+32%	$15,996
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	77	$44,177	-10%	$12,624
853 Infectious and Parasitic Diseases with O.R. Procedures with...	70	$265,570	+16%	$62,711
470 Major Hip and Knee Joint Replacement or Reattachment of...	64	$112,814	+21%	$19,481
330 Major Small and Large Bowel Procedures with CC	49	$186,296	+57%	$30,604
177 Respiratory Infections and Inflammations with MCC	48	$142,786	+102%	$27,020
378 Gastrointestinal Hemorrhage with CC	43	$68,220	+41%	$11,856
189 Pulmonary Edema and Respiratory Failure	41	$89,173	+55%	$17,074
468 Revision of Hip or Knee Replacement without CC/MCC	40	$122,619	-1%	$30,914
377 Gastrointestinal Hemorrhage with MCC	39	$105,161	+23%	$21,807
164 Major Chest Procedures with CC	37	$129,037	+1%	$29,211
329 Major Small and Large Bowel Procedures with MCC	36	$194,192	-10%	$44,765
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	36	$28,801	-22%	$10,111
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	35	$58,512	-3%	$16,510
698 Other Kidney and Urinary Tract Diagnoses with MCC	35	$79,243	+8%	$21,141
652 Kidney Transplant	34	$370,179	+10%	$43,203
683 Renal Failure with CC	34	$32,433	-20%	$10,861
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	32	$36,368	-2%	$9,368
682 Renal Failure with MCC	32	$84,296	+28%	$17,218
165 Major Chest Procedures without CC/MCC	31	$102,246	-1%	$22,605
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	30	$42,571	+6%	$9,386
467 Revision of Hip or Knee Replacement with CC	30	$163,146	+3%	$39,613
483 Major Joint or Limb Reattachment Procedures of Upper...	30	$97,826	-23%	$24,404
699 Other Kidney and Urinary Tract Diagnoses with CC	30	$54,793	+15%	$11,475
603 Cellulitis without MCC	27	$37,661	+1%	$10,497
552 Medical Back Problems without MCC	26	$37,583	-23%	$10,709
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	26	$47,418	-30%	$17,461
331 Major Small and Large Bowel Procedures without CC/MCC	24	$141,600	+65%	$19,777
481 Hip and Femur Procedures except Major Joint with CC	24	$106,768	+6%	$23,916
435 Malignancy of Hepatobiliary System or Pancreas with MCC	23	$98,163	+4%	$22,969
444 Disorders of The Biliary Tract with MCC	23	$96,584	+16%	$20,332
689 Kidney and Urinary Tract Infections with MCC	23	$43,931	-14%	$13,377
690 Kidney and Urinary Tract Infections without MCC	23	$30,764	-19%	$9,373
326 Stomach, Esophageal and Duodenal Procedures with MCC	22	$316,894	+32%	$67,976
389 Gastrointestinal Obstruction with CC	22	$28,134	-28%	$10,276
280 Acute Myocardial Infarction, Discharged Alive with MCC	21	$53,504	-29%	$14,627
454 Combined Anterior and Posterior Spinal Fusion with CC	20	$279,060	0%	$74,657
253 Other Vascular Procedures with CC	19	$169,228	+28%	$31,352
480 Hip and Femur Procedures except Major Joint with MCC	19	$154,992	+12%	$32,156
193 Simple Pneumonia and Pleurisy with MCC	18	$76,974	+29%	$17,761
393 Other Digestive System Diagnoses with MCC	18	$94,523	+23%	$19,158
417 Laparoscopic Cholecystectomy without C.D.E. with MCC	18	$227,596	+82%	$28,949
846 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	18	$45,289	-66%	$26,770
208 Respiratory System Diagnosis with Ventilator Support <=96...	17	$207,343	+53%	$39,038
418 Laparoscopic Cholecystectomy without C.D.E. with CC	17	$88,319	-5%	$16,671
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	16	$44,113	-21%	$11,585
070 Other Cerebrovascular Disorders with MCC	16	$88,489	+16%	$23,584
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	16	$54,523	-11%	$14,435
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	16	$232,939	+15%	$43,706
650 Kidney Transplant with Hemodialysis with MCC	16	$435,766	+4%	$47,743
919 Complications of Treatment with MCC	16	$57,562	-35%	$18,754
057 Degenerative Nervous System Disorders without MCC	15	$101,698	+80%	$14,465
374 Digestive Malignancy with MCC	15	$147,596	+47%	$29,908
445 Disorders of The Biliary Tract with CC	15	$57,028	-2%	$11,844
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	15	$114,051	+11%	$21,409
854 Infectious and Parasitic Diseases with O.R. Procedures with...	15	$71,782	-27%	$20,600
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	14	$70,039	-30%	$24,133
141 Major Head and Neck Procedures with CC	14	$194,347	+51%	$29,888
163 Major Chest Procedures with MCC	14	$590,811	+181%	$128,999

Showing the 60 most frequent of 89 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	790	$83,676	$13,890
Level 2 Excision/ Biopsy/ Incision and Drainage	302	$8,271	$1,725
Comprehensive Observation Services	203	$23,378	$2,899
Level 2 Laparoscopy and Related Services	201	$127,786	$10,971
Level 2 Upper GI Procedures	182	$11,446	$2,030
Level 1 Laparoscopy and Related Services	168	$39,327	$6,096
Level 6 Musculoskeletal Procedures	156	$88,222	$19,686
Level 3 Excision/ Biopsy/ Incision and Drainage	154	$22,444	$2,999
Level 5 Urology and Related Services	134	$35,691	$5,420
Level 4 Musculoskeletal Procedures	126	$53,777	$7,472
Level 1 Nerve Procedures	105	$8,526	$2,069
Level 3 Vascular Procedures	102	$18,394	$3,416
Level 4 Urology and Related Services	95	$26,583	$3,704
Level 5 ENT Procedures	83	$44,275	$6,275
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	80	$24,574	$3,673
Level 2 Musculoskeletal Procedures	59	$11,948	$1,699
Complex GI Procedures	57	$27,966	$5,937
Level 1 Breast/Lymphatic Surgery and Related Procedures	54	$31,745	$4,084
Level 3 Musculoskeletal Procedures	53	$23,056	$3,468
Level 4 Airway Endoscopy	51	$18,261	$3,887
Level 4 Gynecologic Procedures	51	$19,438	$3,298
Level 3 Endovascular Procedures	44	$71,950	$11,548
Level 2 Vascular Procedures	37	$6,537	$1,679
Level 2 Breast/Lymphatic Surgery and Related Procedures	34	$60,426	$6,824
Level 3 Upper GI Procedures	31	$23,509	$3,899

Against the Washington average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Swedish Medical Center charged $92,420 on average, 17% more than the Washington average of $78,715, and was paid $22,143 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Swedish Medical Center charged $74,675 on average, 40% more than the Washington average of $53,424, and was paid $15,996 against a state average of $12,124. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Swedish Medical Center charged $44,177 on average, 2% more than the Washington average of $43,222, and was paid $12,624 against a state average of $10,007. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Swedish Medical Center charged $265,570 on average, 31% more than the Washington average of $202,367, and was paid $62,711 against a state average of $48,881. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $83,676 was 20% above the state average of $69,838. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,271 was 14% below the state average of $9,672. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,378 was 4% above the state average of $22,427. For Level 2 Laparoscopy and Related Services (outpatient APC 5362), its average charge of $127,786 was 59% above the state average of $80,556.

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.