Washington / Valley Medical Center
CMS certification 500088 · Renton, WA · 4 entries in CMS's price-transparency list
Valley Medical Center: charges and Medicare payments
Valley Medical Center reported 2,214 Medicare inpatient stays across 74 DRGs in 2024. Across them it charged 4.46 times what it was paid — mid-range in Washington, number 20 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: 261 stays at an average charge of $75,813, 16% below the national average. It also billed 2,920 outpatient services, charging 6.42 times what Medicare paid.
- 1Medicare inpatient stays 2,214
- 2Charge ÷ paid, inpatient 4.46×
- 3Rank in WA (highest ratio = 1) 20 of 43
- 4CMS price-transparency actions 4
Inpatient stays
For the 74 DRGs that can be compared with the national average, Valley Medical Center charged more than the national average in 17 (23%). 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 | 261 | $75,813 | -16% | $18,789 |
| 291 Heart Failure and Shock with MCC | 200 | $51,659 | -8% | $11,932 |
| 189 Pulmonary Edema and Respiratory Failure | 98 | $52,058 | -10% | $11,643 |
| 177 Respiratory Infections and Inflammations with MCC | 95 | $54,789 | -22% | $15,191 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 65 | $52,636 | -13% | $12,267 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 62 | $58,527 | -23% | $14,418 |
| 193 Simple Pneumonia and Pleurisy with MCC | 61 | $47,020 | -21% | $12,407 |
| 683 Renal Failure with CC | 57 | $37,062 | -9% | $8,188 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 56 | $45,344 | -19% | $9,930 |
| 481 Hip and Femur Procedures except Major Joint with CC | 48 | $112,770 | +12% | $18,076 |
| 682 Renal Failure with MCC | 48 | $56,057 | -15% | $13,065 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 48 | $187,156 | -18% | $44,110 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 47 | $76,714 | -23% | $17,097 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 44 | $70,382 | -4% | $14,985 |
| 378 Gastrointestinal Hemorrhage with CC | 33 | $37,519 | -23% | $9,345 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 32 | $128,385 | +25% | $18,856 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 32 | $29,970 | -19% | $7,214 |
| 689 Kidney and Urinary Tract Infections with MCC | 30 | $51,296 | 0% | $10,196 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 28 | $122,097 | -10% | $25,411 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 27 | $41,773 | -15% | $9,312 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $32,564 | -19% | $8,028 |
| 057 Degenerative Nervous System Disorders without MCC | 22 | $45,035 | -20% | $11,557 |
| 690 Kidney and Urinary Tract Infections without MCC | 22 | $34,928 | -8% | $8,232 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $31,004 | -14% | $7,238 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 20 | $45,842 | -30% | $12,656 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $40,557 | -28% | $11,164 |
| 603 Cellulitis without MCC | 20 | $33,005 | -11% | $8,466 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 19 | $88,113 | -8% | $16,438 |
| 884 Organic Disturbances and Intellectual Disability | 19 | $39,614 | -37% | $14,267 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 18 | $253,427 | -13% | $58,596 |
| 467 Revision of Hip or Knee Replacement with CC | 18 | $140,022 | -11% | $31,446 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 18 | $72,630 | -3% | $16,491 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 17 | $53,944 | +7% | $8,087 |
| 330 Major Small and Large Bowel Procedures with CC | 17 | $100,870 | -15% | $24,746 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $90,956 | +7% | $18,625 |
| 389 Gastrointestinal Obstruction with CC | 17 | $45,651 | +17% | $8,087 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $44,220 | -28% | $11,477 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 17 | $166,276 | +20% | $29,470 |
| 552 Medical Back Problems without MCC | 17 | $40,643 | -17% | $9,304 |
| 617 Amputation of Lower Limb for Endocrine, Nutritional and... | 17 | $88,619 | +2% | $17,941 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 16 | $278,237 | +20% | $47,846 |
| 071 Other Cerebrovascular Disorders with CC | 16 | $41,499 | -18% | $9,659 |
| 314 Other Circulatory System Diagnoses with MCC | 16 | $60,602 | -36% | $17,978 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $102,305 | -11% | $17,558 |
| 643 Endocrine Disorders with MCC | 16 | $65,758 | -11% | $15,049 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $39,573 | -17% | $9,293 |
| 092 Other Disorders of Nervous System with CC | 15 | $32,718 | -37% | $8,978 |
| 101 Seizures without MCC | 15 | $38,702 | -21% | $9,071 |
| 178 Respiratory Infections and Inflammations with CC | 15 | $50,150 | +11% | $10,450 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $220,103 | +2% | $41,007 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 15 | $95,926 | +12% | $16,882 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 15 | $141,784 | -49% | $56,403 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 15 | $133,890 | -34% | $43,504 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 15 | $95,189 | +22% | $13,887 |
| 100 Seizures with MCC | 14 | $93,421 | -1% | $16,762 |
| 393 Other Digestive System Diagnoses with MCC | 14 | $79,118 | +3% | $14,803 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $150,160 | +11% | $25,003 |
| 812 Red Blood Cell Disorders without MCC | 14 | $39,820 | -10% | $8,264 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 13 | $282,299 | 0% | $62,445 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 13 | $41,593 | -2% | $6,974 |
Showing the 60 most frequent of 74 DRGs.
Outpatient services
Against the Washington average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Valley Medical Center charged $75,813 on average, 4% less than the Washington average of $78,715, and was paid $18,789 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Valley Medical Center charged $51,659 on average, 3% less than the Washington average of $53,424, and was paid $11,932 against a state average of $12,124. For Pulmonary Edema and Respiratory Failure (DRG 189), Valley Medical Center charged $52,058 on average, 10% less than the Washington average of $57,551, and was paid $11,643 against a state average of $11,854. For Respiratory Infections and Inflammations with MCC (DRG 177), Valley Medical Center charged $54,789 on average, 17% less than the Washington average of $65,942, and was paid $15,191 against a state average of $15,782. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,231 was 35% below the state average of $1,884. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $70,512 was 1% above the state average of $69,838. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,711 was 3% below the state average of $22,427. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $15,751 was 29% below the state average of $22,286.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Valley Medical Center in Renton, WA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-01 (CMS case 253)
- CAP Request — 2024-05-08 (CMS case 253)
- Closure Notice — 2024-08-09 (CMS case 253)
- Met Requirements — 2026-03-17 (CMS case 7293)
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.