Harborview Medical Center
HARBORVIEW MEDICAL CENTER in Seattle charges 5.0x the Medicare reimbursement rate across 75 analyzed procedures, reflecting pricing patterns typical of government-owned hospitals in the Pacific Northwest region.
Seattle, WA 98104 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
4.98x
Charge / Medicare rate
Max markup
7.77x
Worst procedure
Procedures analyzed
75
With pricing data
Outlier procedures
4%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| RENAL FAILURE WITH CC | 683 | $82,152 | $41,076 | — | 7.8x |
| PNEUMOTHORAX WITH CC | 200 | $66,135 | $33,068 | — | 7.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $53,044 | $26,522 | — | 6.9x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $156,048 | $78,024 | — | 6.9x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $107,284 | $53,642 | — | 6.6x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $52,793 | $26,397 | — | 6.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $74,298 | $37,149 | — | 6.6x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $151,942 | $75,971 | — | 6.4x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | 492 | $201,731 | $100,865 | — | 6.2x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | 515 | $202,714 | $101,357 | — | 6.2x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $78,481 | $39,241 | — | 6.1x |
| SYNCOPE AND COLLAPSE | 312 | $53,642 | $26,821 | — | 5.9x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | 494 | $92,177 | $46,088 | — | 5.9x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $106,478 | $53,239 | — | 5.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $123,603 | $61,802 | — | 5.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $202,822 | $101,411 | — | 5.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $109,354 | $54,677 | — | 5.7x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $181,044 | $90,522 | — | 5.6x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $57,240 | $28,620 | — | 5.6x |
| OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | 958 | $252,385 | $126,193 | — | 5.6x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $66,777 | $33,389 | — | 5.5x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $125,694 | $62,847 | — | 5.5x |
| PNEUMOTHORAX WITH MCC | 199 | $100,862 | $50,431 | — | 5.5x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $155,327 | $77,664 | — | 5.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $70,072 | $35,036 | — | 5.4x |
| RENAL FAILURE WITH MCC | 682 | $79,417 | $39,709 | — | 5.4x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $133,714 | $66,857 | — | 5.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $165,923 | $82,961 | — | 5.4x |
| LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | 956 | $429,860 | $214,930 | — | 5.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $113,147 | $56,573 | — | 5.3x |
| SEIZURES WITHOUT MCC | 101 | $45,208 | $22,604 | — | 5.3x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $83,769 | $41,884 | — | 5.1x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $132,401 | $66,200 | — | 5.1x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $221,774 | $110,887 | — | 5x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $66,152 | $33,076 | — | 4.9x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $41,023 | $20,511 | — | 4.9x |
| MAJOR CHEST TRAUMA WITH MCC | 183 | $70,738 | $35,369 | — | 4.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $357,941 | $178,970 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $102,651 | $51,325 | — | 4.9x |
| SEIZURES WITH MCC | 100 | $85,946 | $42,973 | — | 4.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $105,175 | $52,587 | — | 4.9x |
| SPINAL FUSION EXCEPT CERVICAL WITH MCC | 459 | $306,499 | $153,250 | — | 4.8x |
| FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | 928 | $363,498 | $181,749 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $76,054 | $38,027 | — | 4.7x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $44,379 | $22,189 | — | 4.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $49,176 | $24,588 | — | 4.6x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $293,910 | $146,955 | — | 4.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $44,443 | $22,221 | — | 4.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $38,212 | $19,106 | — | 4.4x |
| CERVICAL SPINAL FUSION WITH MCC | 471 | $216,791 | $108,395 | — | 4.4x |
Showing 50 of 75 procedures
How HARBORVIEW MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use