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University of Washington Medical Ctr

University of Washington Medical Center in Seattle charges 4.7x the Medicare reimbursement rate on average across 191 analyzed procedures, reflecting typical pricing patterns for government-owned hospitals.

Seattle, WA 98195 · Acute Care Hospitals · CMS Rating: 3/5

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

191 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.3x1.9x15.0x
4.7x
Medicare markup ratio
WA lowestUniversity of Washingt...WA highest
4.7x
Avg markup ratio
4.5x
Median markup
191
Procedures
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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

4.72x

Charge / Medicare rate

Max markup

11.57x

Worst procedure

Procedures analyzed

191

With pricing data

Outlier procedures

0%

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC417$194,128$97,06411.6x
KIDNEY TRANSPLANT652$286,389$143,19411.2x
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC651$326,545$163,27310.1x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$80,690$40,3459.1x
CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC074$83,117$41,5588.7x
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC650$323,569$161,7848x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$89,374$44,6877.4x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$205,812$102,9067.2x
MAJOR HEAD AND NECK PROCEDURES WITH CC141$175,686$87,8437.2x
LUNG TRANSPLANT007$754,572$377,2866.9x
SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC577$152,554$76,2776.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$47,631$23,8166.3x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$24,083$12,0426.2x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$103,293$51,6476.2x
ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC614$112,180$56,0906.1x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$40,014$20,0076.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$179,016$89,5086x
RED BLOOD CELL DISORDERS WITH MCC811$70,112$35,0566x
ATHEROSCLEROSIS WITHOUT MCC303$32,421$16,2115.9x
PLEURAL EFFUSION WITH MCC186$80,010$40,0055.9x
SIGNS AND SYMPTOMS WITHOUT MCC948$36,717$18,3585.9x
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC442$43,703$21,8525.9x
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D464$151,261$75,6305.8x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$113,141$56,5715.8x
LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT005$567,198$283,5995.8x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$28,795$14,3985.7x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$106,665$53,3325.7x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$33,677$16,8385.6x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC659$175,961$87,9815.6x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$65,419$32,7095.6x
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC737$100,904$50,4525.6x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$256,533$128,2665.5x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$107,575$53,7875.5x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC661$49,116$24,5585.4x
HEART FAILURE AND SHOCK WITH CC292$38,650$19,3255.4x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$38,702$19,3515.4x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$42,768$21,3845.3x
GASTROINTESTINAL OBSTRUCTION WITH CC389$34,050$17,0255.3x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC191$34,913$17,4575.3x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC517$67,465$33,7335.3x
PULMONARY EMBOLISM WITHOUT MCC176$33,817$16,9085.3x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$58,180$29,0905.3x
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC656$130,418$65,2095.3x
RENAL FAILURE WITH CC683$36,137$18,0695.2x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$58,919$29,4605.2x
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC441$80,272$40,1365.1x
BRONCHITIS AND ASTHMA WITH CC/MCC202$38,216$19,1085.1x
PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC407$98,762$49,3815.1x
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$43,698$21,8495.1x
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO808$86,852$43,4265.1x

Showing 50 of 191 procedures

How UNIVERSITY OF WASHINGTON MEDICAL CTR 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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

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

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