PROVIDENCE REGIONAL MEDICAL CENTER EVERETT
EVERETT, WA 98201 · Acute Care Hospitals
116 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
116
With CMS pricing data
Avg Charge-to-Medicare Ratio
6.4x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Church
Above 90th Percentile
4%
Compared to WA hospitals
Understanding Your Costs
When you receive a bill from PROVIDENCE REGIONAL MEDICAL CENTER EVERETT, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, PROVIDENCE REGIONAL MEDICAL CENTER EVERETT lists chargemaster rates that average 6.4x the corresponding Medicare reimbursement amount across 116 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in WA has a chargemaster-to-Medicare ratio of 5.5x, with ratios across the state ranging from 2.0x to 8.7x. At 6.4x, this facility’s average ratio is above the state median. 45 hospitals in WA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at PROVIDENCE REGIONAL MEDICAL CENTER EVERETT is LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC (DRG 418). The listed chargemaster rate is $106,489, while Medicare reimburses $9,537 for the same procedure — a ratio of 11.2x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
5 of 116 procedures (4%) at this facility have listed rates above the 90th percentile compared to other WA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
PROVIDENCE REGIONAL MEDICAL CENTER EVERETT is a voluntary non-profit - church acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $106,489 | $9,537 | 11.2x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $84,800 | $7,843 | 10.8x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $145,172 | $13,676 | 10.6x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $78,047 | $7,725 | 10.1x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $126,006 | $12,927 | 9.8x | 1th | Compare your bill |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $150,921 | $15,824 | 9.5x | 1th | Compare your bill |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $44,163 | $4,835 | 9.1x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $39,037 | $4,318 | 9.0x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $56,279 | $6,249 | 9.0x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $195,585 | $21,946 | 8.9x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $229,123 | $25,815 | 8.9x | 0th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $61,241 | $6,899 | 8.9x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $64,917 | $7,478 | 8.7x | 0th | Compare your bill |
| PSYCHOSES | 885 | $101,235 | $11,798 | 8.6x | 1th | Compare your bill |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $41,767 | $4,889 | 8.5x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITH MCC | 947 | $69,459 | $8,564 | 8.1x | 1th | Compare your bill |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $37,265 | $4,672 | 8.0x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH CC | 292 | $50,397 | $6,495 | 7.8x | 1th | Compare your bill |
| CELLULITIS WITH MCC | 602 | $135,008 | $17,410 | 7.8x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $113,167 | $14,812 | 7.6x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $56,309 | $7,529 | 7.5x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $221,773 | $30,003 | 7.4x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $186,069 | $25,181 | 7.4x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $93,559 | $12,668 | 7.4x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $36,027 | $4,885 | 7.4x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $38,408 | $5,211 | 7.4x | 1th | Compare your bill |
| DIABETES WITH MCC | 637 | $63,587 | $8,729 | 7.3x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $38,171 | $5,293 | 7.2x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $81,131 | $11,305 | 7.2x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $67,278 | $9,368 | 7.2x | 1th | Compare your bill |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $131,515 | $18,707 | 7.0x | 0th | Compare your bill |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $79,784 | $11,368 | 7.0x | 0th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $90,738 | $12,943 | 7.0x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $71,563 | $10,205 | 7.0x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $36,402 | $5,239 | 7.0x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $21,286 | $3,076 | 6.9x | 0th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $37,654 | $5,523 | 6.8x | 0th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $78,041 | $11,605 | 6.7x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $54,606 | $8,163 | 6.7x | 1th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $136,847 | $20,460 | 6.7x | 1th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $49,611 | $7,458 | 6.7x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $104,529 | $15,797 | 6.6x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $43,586 | $6,602 | 6.6x | 1th | Compare your bill |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $34,969 | $5,306 | 6.6x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $80,589 | $12,291 | 6.6x | 0th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $47,955 | $7,336 | 6.5x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $32,602 | $4,989 | 6.5x | 0th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $33,807 | $5,210 | 6.5x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $166,618 | $25,708 | 6.5x | 1th | Compare your bill |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $41,257 | $6,385 | 6.5x | 1th | Compare your bill |
Showing 50 of 116 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across WA hospitals
45 hospitals in WA report pricing data to CMS. This facility's average ratio of 6.4x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About PROVIDENCE REGIONAL MEDICAL CENTER EVERETT
How much does PROVIDENCE REGIONAL MEDICAL CENTER EVERETT charge compared to Medicare?
According to CMS IPPS data, PROVIDENCE REGIONAL MEDICAL CENTER EVERETT's listed chargemaster rates average 6.4x the Medicare reimbursement amount across 116 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at PROVIDENCE REGIONAL MEDICAL CENTER EVERETT?
The procedure with the highest chargemaster-to-Medicare ratio at PROVIDENCE REGIONAL MEDICAL CENTER EVERETT is LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC (DRG 418), with a listed charge of $106,489 compared to Medicare reimbursement of $9,537 — a ratio of 11.2x. Source: CMS IPPS Provider Summary.
Is PROVIDENCE REGIONAL MEDICAL CENTER EVERETT expensive compared to other WA hospitals?
PROVIDENCE REGIONAL MEDICAL CENTER EVERETT's average chargemaster-to-Medicare ratio is 6.4x. Ratios vary significantly across WA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for PROVIDENCE REGIONAL MEDICAL CENTER EVERETT come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from PROVIDENCE REGIONAL MEDICAL CENTER EVERETT is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does PROVIDENCE REGIONAL MEDICAL CENTER EVERETT in EVERETT, WA accept Medicare?
PROVIDENCE REGIONAL MEDICAL CENTER EVERETT is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact PROVIDENCE REGIONAL MEDICAL CENTER EVERETT directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.