Healthcare Pricing Data: SPOKANE, WA
3 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
3
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
5.4x
Across all procedures
vs National Average
-19%
Chargemaster rates
About This Data
SPOKANE, WA has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.4x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in SPOKANE is INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC (DRG 853), with an average chargemaster rate of $163,541 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $163,541 | 3 | 4.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $162,977 | 3 | 4.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $117,312 | 3 | 6.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $114,573 | 3 | 4.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $108,315 | 3 | 5.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $95,205 | 3 | 4.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $85,555 | 3 | 6.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $79,867 | 3 | 5.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $78,402 | 3 | 5.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $73,856 | 3 | 5.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $71,970 | 3 | 5.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $65,067 | 3 | 5.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $60,355 | 3 | 4.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $58,888 | 3 | 4.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $56,233 | 3 | 4.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $54,351 | 3 | 5.5x |
| PSYCHOSES | 885 | $53,350 | 3 | 5.0x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $51,402 | 3 | 4.8x |
| RENAL FAILURE WITH MCC | 682 | $50,362 | 3 | 4.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $48,149 | 3 | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $46,449 | 3 | 6.0x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $46,059 | 3 | 5.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $45,003 | 3 | 5.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $41,070 | 3 | 5.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $40,027 | 3 | 4.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $39,303 | 3 | 6.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $37,591 | 3 | 5.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $36,648 | 3 | 5.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $34,462 | 3 | 7.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $33,656 | 3 | 7.0x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in SPOKANE With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
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