Providence Regional Medical Center Everett
Providence Regional Medical Center Everett charges 6.4x the Medicare reimbursement rate across 116 analyzed procedures, with only 4% classified as pricing outliers for this nonprofit-religious hospital in Everett, WA.
Everett, WA 98201 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
No credit card required. Results in 60 seconds.
Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
6.4x
Charge / Medicare rate
Max markup
11.17x
Worst procedure
Procedures analyzed
116
With pricing data
Outlier procedures
4.3%
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 |
|---|---|---|---|---|---|
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $106,489 | $53,244 | — | 11.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $84,800 | $42,400 | — | 10.8x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $145,172 | $72,586 | — | 10.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $78,047 | $39,023 | — | 10.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $126,006 | $63,003 | — | 9.8x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $150,921 | $75,460 | — | 9.5x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $44,163 | $22,081 | — | 9.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $39,037 | $19,519 | — | 9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $56,279 | $28,140 | — | 9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $195,585 | $97,792 | — | 8.9x |
| SEIZURES WITHOUT MCC | 101 | $61,241 | $30,621 | — | 8.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $229,123 | $114,562 | — | 8.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $64,917 | $32,459 | — | 8.7x |
| PSYCHOSES | 885 | $101,235 | $50,617 | — | 8.6x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $41,767 | $20,883 | — | 8.5x |
| SIGNS AND SYMPTOMS WITH MCC | 947 | $69,459 | $34,730 | — | 8.1x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $37,265 | $18,632 | — | 8x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $50,397 | $25,199 | — | 7.8x |
| CELLULITIS WITH MCC | 602 | $135,008 | $67,504 | — | 7.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $113,167 | $56,583 | — | 7.6x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $56,309 | $28,154 | — | 7.5x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $221,773 | $110,886 | — | 7.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $186,069 | $93,034 | — | 7.4x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $93,559 | $46,779 | — | 7.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $36,027 | $18,014 | — | 7.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $38,408 | $19,204 | — | 7.4x |
| DIABETES WITH MCC | 637 | $63,587 | $31,794 | — | 7.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $38,171 | $19,085 | — | 7.2x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $81,131 | $40,566 | — | 7.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $67,278 | $33,639 | — | 7.2x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $131,515 | $65,758 | — | 7x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $79,784 | $39,892 | — | 7x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $71,563 | $35,781 | — | 7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $90,738 | $45,369 | — | 7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $36,402 | $18,201 | — | 7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $21,286 | $10,643 | — | 6.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $37,654 | $18,827 | — | 6.8x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $78,041 | $39,020 | — | 6.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $54,606 | $27,303 | — | 6.7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $136,847 | $68,424 | — | 6.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $49,611 | $24,806 | — | 6.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $104,529 | $52,265 | — | 6.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $43,586 | $21,793 | — | 6.6x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $34,969 | $17,485 | — | 6.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $80,589 | $40,295 | — | 6.6x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $32,602 | $16,301 | — | 6.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $47,955 | $23,977 | — | 6.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $33,807 | $16,904 | — | 6.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $166,618 | $83,309 | — | 6.5x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $41,257 | $20,628 | — | 6.5x |
Showing 50 of 116 procedures
Got a bill from PROVIDENCE REGIONAL MEDICAL CENTER EVERETT?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — nonprofit-religious hospital billing
How do nonprofit religious hospital charges compare to Medicare rates?
What does a 5.4x Medicare markup mean for my medical bills?
Are nonprofit religious hospitals required to offer financial assistance?
How can I find out the actual charges at a specific nonprofit religious hospital?
Related pricing data
Got a bill from Providence Regional Medical Center Everett?
Free guides to help you take action
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