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Healthcare Pricing Data: WASHINGTON, PA

2 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

2

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

2.9x

Across all procedures

vs National Average

-66%

Chargemaster rates

About This Data

WASHINGTON, PA has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 2.9x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in WASHINGTON is PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC (DRG 274), with an average chargemaster rate of $81,368 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

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$36,75823.8x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$81,36813.9x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$58,74712.0x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$55,89415.0x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$40,87213.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$38,54913.1x
PULMONARY EMBOLISM WITHOUT MCC176$31,08316.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$26,61612.3x
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC617$25,54312.3x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$23,74612.1x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$21,47612.0x
RENAL FAILURE WITH MCC682$17,78212.1x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$16,95813.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$16,51413.2x
GASTROINTESTINAL HEMORRHAGE WITH CC378$16,47413.0x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$16,29212.2x
RENAL FAILURE WITH CC683$16,18813.0x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$16,10911.5x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$14,98513.6x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$14,73012.3x
SYNCOPE AND COLLAPSE312$14,44513.1x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$14,28413.2x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$14,26112.4x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$14,11712.1x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$13,72512.7x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$13,07112.0x
HEART FAILURE AND SHOCK WITH MCC291$13,01411.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$12,87013.3x
MEDICAL BACK PROBLEMS WITHOUT MCC552$12,81212.4x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$12,38512.8x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error