Skagit Valley Hospital
Skagit Valley Hospital in Mount Vernon, WA charges 6.0x the Medicare reimbursement rate across 53 analyzed procedures, based on data from this government-owned facility.
Mount Vernon, WA 98274 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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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
D
High
Avg markup vs Medicare
6x
Charge / Medicare rate
Max markup
14.05x
Worst procedure
Procedures analyzed
53
With pricing data
Outlier procedures
1.9%
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 |
|---|---|---|---|---|---|
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $101,173 | $50,587 | — | 14.1x |
| SYNCOPE AND COLLAPSE | 312 | $59,334 | $29,667 | — | 11.2x |
| CELLULITIS WITHOUT MCC | 603 | $58,007 | $29,004 | — | 9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $110,153 | $55,076 | — | 8.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $167,529 | $83,765 | — | 8.1x |
| RENAL FAILURE WITH CC | 683 | $57,634 | $28,817 | — | 8.1x |
| PSYCHOSES | 885 | $81,665 | $40,832 | — | 7.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $40,036 | $20,018 | — | 7.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $50,990 | $25,495 | — | 7.4x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $51,402 | $25,701 | — | 7.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $24,069 | $12,034 | — | 7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $44,604 | $22,302 | — | 7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $37,617 | $18,809 | — | 6.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $48,166 | $24,083 | — | 6.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $93,475 | $46,737 | — | 6.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $42,808 | $21,404 | — | 6.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $33,038 | $16,519 | — | 6.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $47,258 | $23,629 | — | 6.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $105,229 | $52,614 | — | 6.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $36,610 | $18,305 | — | 6.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $87,236 | $43,618 | — | 6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $55,419 | $27,709 | — | 6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $70,264 | $35,132 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $46,519 | $23,259 | — | 5.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $36,020 | $18,010 | — | 5.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $56,402 | $28,201 | — | 5.7x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $23,741 | $11,870 | — | 5.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $47,545 | $23,773 | — | 5.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $96,900 | $48,450 | — | 5.5x |
| RENAL FAILURE WITH MCC | 682 | $67,485 | $33,742 | — | 5.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $111,357 | $55,679 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $32,469 | $16,235 | — | 5.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $53,734 | $26,867 | — | 5.4x |
| HYPERTENSION WITH MCC | 304 | $52,295 | $26,147 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $49,037 | $24,519 | — | 5.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $53,723 | $26,861 | — | 5.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $79,973 | $39,986 | — | 5.2x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $189,481 | $94,740 | — | 5.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $76,031 | $38,016 | — | 5.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $42,231 | $21,115 | — | 5.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $66,823 | $33,412 | — | 5.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $47,556 | $23,778 | — | 5x |
| DIABETES WITH MCC | 637 | $53,579 | $26,790 | — | 5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $36,717 | $18,359 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $70,608 | $35,304 | — | 4.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $55,553 | $27,776 | — | 4.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $44,391 | $22,195 | — | 4.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $79,192 | $39,596 | — | 4.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $64,761 | $32,381 | — | 4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $56,071 | $28,036 | — | 3.7x |
Showing 50 of 53 procedures
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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