Yakima Valley Memorial: charges and Medicare payments

Yakima Valley Memorial reported 2,144 Medicare inpatient stays across 67 DRGs in 2024. Across them it charged 3.65 times what it was paid — among the lower ratios in Washington, number 35 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: 243 stays at an average charge of $54,765, 39% below the national average. It also billed 3,714 outpatient services, charging 4.13 times what Medicare paid.

1Medicare inpatient stays 2,144
2Charge ÷ paid, inpatient 3.65×
3Rank in WA (highest ratio = 1) 35 of 43
4CMS price-transparency actions 0

Average charge per stay at Yakima Valley Memorial, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 67 DRGs that can be compared with the national average, Yakima Valley Memorial charged more than the national average in 1 (1%). 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	243	$54,765	-39%	$17,150
291 Heart Failure and Shock with MCC	141	$45,563	-19%	$11,157
193 Simple Pneumonia and Pleurisy with MCC	102	$38,938	-35%	$11,335
177 Respiratory Infections and Inflammations with MCC	86	$51,676	-27%	$14,647
280 Acute Myocardial Infarction, Discharged Alive with MCC	69	$56,555	-25%	$13,835
189 Pulmonary Edema and Respiratory Failure	54	$39,498	-31%	$10,905
682 Renal Failure with MCC	53	$50,267	-24%	$12,739
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	52	$36,041	-40%	$12,008
689 Kidney and Urinary Tract Infections with MCC	49	$40,037	-22%	$10,231
378 Gastrointestinal Hemorrhage with CC	48	$31,922	-34%	$8,691
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	48	$32,923	-33%	$8,442
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	47	$42,678	-23%	$9,294
698 Other Kidney and Urinary Tract Diagnoses with MCC	43	$49,980	-32%	$15,008
481 Hip and Femur Procedures except Major Joint with CC	42	$64,928	-36%	$17,532
308 Cardiac Arrhythmia and Conduction Disorders with MCC	39	$43,426	-23%	$10,232
853 Infectious and Parasitic Diseases with O.R. Procedures with...	38	$114,163	-50%	$42,480
389 Gastrointestinal Obstruction with CC	37	$24,577	-37%	$7,710
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$26,045	-30%	$7,266
690 Kidney and Urinary Tract Infections without MCC	35	$26,943	-29%	$7,140
281 Acute Myocardial Infarction, Discharged Alive with CC	34	$42,350	-16%	$8,226
322 Percutaneous Cardiovascular Procedures with Intraluminal...	33	$84,411	-26%	$15,668
377 Gastrointestinal Hemorrhage with MCC	33	$50,953	-40%	$16,512
309 Cardiac Arrhythmia and Conduction Disorders with CC	31	$30,815	-15%	$6,517
312 Syncope and Collapse	30	$29,786	-35%	$8,172
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	30	$29,079	-28%	$7,072
480 Hip and Femur Procedures except Major Joint with MCC	30	$90,017	-35%	$25,506
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	27	$65,429	-34%	$16,758
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	27	$43,687	-28%	$10,897
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	27	$53,431	-48%	$17,733
683 Renal Failure with CC	27	$34,132	-16%	$8,092
069 Transient Ischemia without Thrombolytic	24	$31,978	-37%	$6,925
321 Percutaneous Cardiovascular Procedures with Intraluminal...	23	$119,762	-27%	$25,781
603 Cellulitis without MCC	22	$33,174	-11%	$7,787
190 Chronic Obstructive Pulmonary Disease with MCC	21	$35,625	-30%	$9,034
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	20	$26,508	-8%	$5,272
329 Major Small and Large Bowel Procedures with MCC	20	$98,795	-54%	$35,984
178 Respiratory Infections and Inflammations with CC	18	$32,726	-28%	$8,918
637 Diabetes with MCC	18	$44,568	-33%	$12,132
811 Red Blood Cell Disorders with MCC	18	$46,361	-32%	$12,315
287 Circulatory Disorders except AMI, with Cardiac...	17	$44,856	-30%	$9,155
066 Intracranial Hemorrhage or Cerebral Infarction without...	16	$35,504	-16%	$6,122
394 Other Digestive System Diagnoses with CC	16	$28,579	-39%	$8,013
699 Other Kidney and Urinary Tract Diagnoses with CC	16	$33,336	-30%	$9,097
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	15	$50,256	-23%	$12,222
314 Other Circulatory System Diagnoses with MCC	15	$41,678	-56%	$17,467
388 Gastrointestinal Obstruction with MCC	15	$43,555	-36%	$12,249
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	15	$48,040	-29%	$12,064
948 Signs and Symptoms without MCC	15	$26,028	-32%	$6,996
286 Circulatory Disorders except AMI, with Cardiac...	14	$86,022	-23%	$19,786
305 Hypertension without MCC	14	$32,955	-18%	$6,603
390 Gastrointestinal Obstruction without CC/MCC	14	$21,196	-24%	$5,299
813 Coagulation Disorders	13	$45,817	-43%	$13,236
917 Poisoning and Toxic Effects of Drugs with MCC	13	$54,302	-27%	$13,744
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	13	$128,644	-41%	$40,404
208 Respiratory System Diagnosis with Ventilator Support <=96...	12	$131,556	-3%	$24,837
470 Major Hip and Knee Joint Replacement or Reattachment of...	12	$45,379	-51%	$15,690
552 Medical Back Problems without MCC	12	$29,977	-39%	$8,302
812 Red Blood Cell Disorders without MCC	12	$44,743	+1%	$7,973
176 Pulmonary Embolism without MCC	11	$26,270	-37%	$8,537
243 Permanent Cardiac Pacemaker Implant with CC	11	$63,058	-43%	$18,972

Showing the 60 most frequent of 67 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	785	$2,520	$730
Level 3 Urology and Related Services	414	$7,916	$2,166
Level 5 Musculoskeletal Procedures	254	$36,077	$14,028
Level 4 Urology and Related Services	234	$15,189	$3,697
Level 2 Excision/ Biopsy/ Incision and Drainage	189	$6,125	$1,705
Level 5 Urology and Related Services	151	$17,349	$5,456
Comprehensive Observation Services	135	$15,388	$2,908
Level 2 Musculoskeletal Procedures	128	$9,902	$1,717
Level 1 Endovascular Procedures	115	$23,847	$3,478
Level 4 Musculoskeletal Procedures	112	$25,532	$7,472
Level 3 Musculoskeletal Procedures	103	$14,268	$3,317
Level 1 Nerve Procedures	99	$10,356	$2,059
Level 3 Vascular Procedures	88	$15,519	$3,395
Level 3 Excision/ Biopsy/ Incision and Drainage	76	$12,566	$3,022
Level 1 Laparoscopy and Related Services	73	$20,474	$6,067
Level 6 Urology and Related Services	73	$25,008	$9,895
Level 2 Upper GI Procedures	70	$6,826	$2,022
Level 3 Endovascular Procedures	66	$65,120	$11,501
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	62	$14,127	$3,719
Level 6 Musculoskeletal Procedures	47	$46,706	$19,983
Level 2 Endovascular Procedures	46	$30,866	$6,077
Level 2 Neurostimulator and Related Procedures	38	$28,540	$6,965
Level 2 Vascular Procedures	37	$8,017	$1,698
Level 3 Pacemaker and Similar Procedures	36	$29,477	$11,464
Level 2 Breast/Lymphatic Surgery and Related Procedures	30	$27,991	$7,010

Against the Washington average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Yakima Valley Memorial charged $54,765 on average, 30% less than the Washington average of $78,715, and was paid $17,150 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Yakima Valley Memorial charged $45,563 on average, 15% less than the Washington average of $53,424, and was paid $11,157 against a state average of $12,124. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Yakima Valley Memorial charged $38,938 on average, 28% less than the Washington average of $54,278, and was paid $11,335 against a state average of $12,466. For Respiratory Infections and Inflammations with MCC (DRG 177), Yakima Valley Memorial charged $51,676 on average, 22% less than the Washington average of $65,942, and was paid $14,647 against a state average of $15,782. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,520 was 34% above the state average of $1,884. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,916 was 12% below the state average of $9,013. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $36,077 was 48% below the state average of $69,838. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $15,189 was 31% below the state average of $22,173.

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.