Washington Hospital: charges and Medicare payments

Washington Hospital reported 2,815 Medicare inpatient stays across 76 DRGs in 2024. Across them it charged 6.82 times what it was paid — among the higher ratios in California, number 61 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 337 stays at an average charge of $156,979, 74% above the national average. It also billed 2,976 outpatient services, charging 8.63 times what Medicare paid.

1Medicare inpatient stays 2,815
2Charge ÷ paid, inpatient 6.82×
3Rank in CA (highest ratio = 1) 61 of 247
4CMS price-transparency actions 0

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

Inpatient stays

For the 76 DRGs that can be compared with the national average, Washington Hospital charged more than the national average in 74 (97%). 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	337	$156,979	+74%	$23,856
291 Heart Failure and Shock with MCC	193	$120,050	+113%	$15,420
177 Respiratory Infections and Inflammations with MCC	144	$131,813	+87%	$19,074
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	116	$90,747	+85%	$12,130
690 Kidney and Urinary Tract Infections without MCC	111	$69,019	+82%	$9,311
193 Simple Pneumonia and Pleurisy with MCC	93	$103,912	+74%	$15,235
689 Kidney and Urinary Tract Infections with MCC	69	$99,935	+95%	$14,022
190 Chronic Obstructive Pulmonary Disease with MCC	64	$109,503	+116%	$12,638
189 Pulmonary Edema and Respiratory Failure	62	$140,121	+143%	$15,958
378 Gastrointestinal Hemorrhage with CC	62	$71,004	+46%	$12,874
470 Major Hip and Knee Joint Replacement or Reattachment of...	60	$171,834	+84%	$21,283
683 Renal Failure with CC	53	$75,212	+85%	$10,272
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	51	$95,279	+58%	$15,015
468 Revision of Hip or Knee Replacement without CC/MCC	46	$160,723	+30%	$29,884
603 Cellulitis without MCC	44	$74,055	+99%	$9,877
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	43	$68,273	+84%	$9,204
853 Infectious and Parasitic Diseases with O.R. Procedures with...	43	$345,832	+51%	$61,320
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	41	$121,048	+117%	$11,657
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	41	$72,763	+81%	$9,592
698 Other Kidney and Urinary Tract Diagnoses with MCC	41	$108,280	+47%	$18,216
194 Simple Pneumonia and Pleurisy with CC	39	$72,924	+90%	$9,583
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	38	$208,325	+109%	$31,198
481 Hip and Femur Procedures except Major Joint with CC	38	$197,060	+96%	$22,695
377 Gastrointestinal Hemorrhage with MCC	37	$108,208	+27%	$19,098
280 Acute Myocardial Infarction, Discharged Alive with MCC	35	$124,165	+64%	$17,680
467 Revision of Hip or Knee Replacement with CC	35	$202,388	+28%	$31,502
682 Renal Failure with MCC	34	$145,610	+121%	$20,729
309 Cardiac Arrhythmia and Conduction Disorders with CC	33	$81,781	+126%	$8,697
394 Other Digestive System Diagnoses with CC	32	$83,425	+77%	$10,847
322 Percutaneous Cardiovascular Procedures with Intraluminal...	30	$170,432	+49%	$20,640
699 Other Kidney and Urinary Tract Diagnoses with CC	30	$91,273	+92%	$11,710
178 Respiratory Infections and Inflammations with CC	27	$80,041	+77%	$10,931
100 Seizures with MCC	25	$181,035	+92%	$23,553
308 Cardiac Arrhythmia and Conduction Disorders with MCC	25	$105,193	+86%	$13,792
312 Syncope and Collapse	25	$65,702	+44%	$10,034
390 Gastrointestinal Obstruction without CC/MCC	23	$51,116	+83%	$6,573
314 Other Circulatory System Diagnoses with MCC	22	$121,060	+28%	$23,733
552 Medical Back Problems without MCC	22	$82,752	+69%	$10,843
202 Bronchitis and Asthma with CC/MCC	21	$70,696	+53%	$11,098
638 Diabetes with CC	21	$96,525	+132%	$10,321
252 Other Vascular Procedures with MCC	18	$268,016	+57%	$49,382
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	18	$53,063	+85%	$6,600
101 Seizures without MCC	17	$77,013	+58%	$10,108
266 Endovascular Cardiac Valve Replacement and Supplement...	17	$348,389	+22%	$70,908
321 Percutaneous Cardiovascular Procedures with Intraluminal...	17	$274,475	+68%	$33,934
389 Gastrointestinal Obstruction with CC	17	$56,520	+45%	$9,120
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	17	$97,399	+60%	$14,622
287 Circulatory Disorders except AMI, with Cardiac...	16	$100,874	+58%	$12,450
444 Disorders of The Biliary Tract with MCC	16	$135,490	+63%	$18,720
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	16	$194,782	+90%	$27,344
673 Other Kidney and Urinary Tract Procedures with MCC	16	$302,632	+75%	$54,654
229 Other Cardiothoracic Procedures without MCC	15	$238,626	+44%	$35,554
329 Major Small and Large Bowel Procedures with MCC	15	$330,197	+54%	$58,035
464 Wound Debridement and Skin Graft except Hand for...	15	$139,819	-4%	$23,705
483 Major Joint or Limb Reattachment Procedures of Upper...	15	$182,012	+44%	$28,133
605 Trauma To The Skin, Subcutaneous Tissue and Breast without...	15	$85,754	+85%	$10,561
274 Percutaneous and Other Intracardiac Procedures without MCC	14	$198,023	+26%	$35,488
281 Acute Myocardial Infarction, Discharged Alive with CC	14	$95,701	+90%	$10,610
393 Other Digestive System Diagnoses with MCC	14	$131,663	+71%	$18,521
517 Other Musculoskeletal System and Connective Tissue O.R....	14	$116,659	+49%	$16,948

Showing the 60 most frequent of 76 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	991	$142,177	$18,456
Comprehensive Observation Services	793	$37,465	$3,843
Level 2 Excision/ Biopsy/ Incision and Drainage	171	$14,295	$2,259
Level 1 Endovascular Procedures	155	$41,968	$4,596
Level 3 Endovascular Procedures	77	$106,359	$15,361
Level 6 Musculoskeletal Procedures	75	$150,265	$26,168
Level 3 Vascular Procedures	71	$39,277	$4,425
Level 4 Musculoskeletal Procedures	61	$71,106	$10,066
Level 4 Vascular Procedures	61	$72,299	$7,358
Level 2 Endovascular Procedures	60	$51,228	$8,048
Level 2 Upper GI Procedures	52	$24,186	$2,679
Level 3 Urology and Related Services	49	$19,738	$2,810
Level 2 Musculoskeletal Procedures	48	$15,869	$2,263
Level 1 Laparoscopy and Related Services	41	$51,395	$8,125
Level 5 Urology and Related Services	40	$49,971	$7,286
Level 6 Urology and Related Services	29	$76,827	$12,952
Level 3 Excision/ Biopsy/ Incision and Drainage	26	$18,069	$4,001
Level 2 Urology and Related Services	26	$6,970	$962
Level 4 Urology and Related Services	25	$43,539	$4,909
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	23	$26,409	$4,872
Level 2 Vascular Procedures	22	$13,836	$2,255
Level 4 Endovascular Procedures	22	$158,071	$24,624
Level 3 Pacemaker and Similar Procedures	19	$89,683	$15,008
Level 2 Laparoscopy and Related Services	15	$84,820	$14,469
Level 4 Pacemaker and Similar Procedures	13	$120,734	$27,360

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Washington Hospital charged $156,979 on average, 10% more than the California average of $143,063, and was paid $23,856 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Washington Hospital charged $120,050 on average, 19% more than the California average of $100,739, and was paid $15,420 against a state average of $15,556. For Respiratory Infections and Inflammations with MCC (DRG 177), Washington Hospital charged $131,813 on average, 6% more than the California average of $124,302, and was paid $19,074 against a state average of $18,986. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Washington Hospital charged $90,747 on average, 19% more than the California average of $76,120, and was paid $12,130 against a state average of $12,552. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $142,177 was 30% above the state average of $109,149. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $37,465 was 10% below the state average of $41,628. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,295 was 3% below the state average of $14,749. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $41,968 was 4% above the state average of $40,544.

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.