Valley Medical Center

Valley Medical Center in Renton, WA charges 5.5x the Medicare reimbursement rate across 82 analyzed procedures, representing a moderate markup for this government-owned facility.

Renton, WA 98055 · Acute Care Hospitals · CMS Rating: 2/5

By Kevin Nyk , Medical Billing Analyst · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

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.

82 procedures analyzed

CMS price transparency data

Updated 2026-04-03

5.5x

Medicare markup ratio

WA lowestValley Medical CenterWA highest

5.5x

Avg markup ratio

5.2x

Median markup

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

High

Avg markup vs Medicare

5.54x

Charge / Medicare rate

Max markup

11.6x

Worst procedure

Procedures analyzed

With pricing data

Outlier procedures

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
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	460	$123,789	$61,895	—	11.6x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	392	$53,016	$26,508	—	10.2x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	418	$97,160	$48,580	—	9.2x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	281	$39,963	$19,982	—	7.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	331	$73,260	$36,630	—	7.8x
SEIZURES WITHOUT MCC	101	$46,205	$23,102	—	7.5x
CERVICAL SPINAL FUSION WITH CC	472	$153,125	$76,562	—	7.5x
GASTROINTESTINAL OBSTRUCTION WITH CC	389	$40,887	$20,443	—	7.4x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	522	$114,546	$57,273	—	7.2x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$111,255	$55,628	—	7.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$47,359	$23,679	—	7.1x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	468	$111,931	$55,966	—	7.1x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	470	$103,295	$51,647	—	7x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	493	$107,568	$53,784	—	6.8x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	247	$94,064	$47,032	—	6.7x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	309	$28,970	$14,485	—	6.7x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	391	$62,837	$31,418	—	6.7x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	092	$50,357	$25,179	—	6.6x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	521	$176,920	$88,460	—	6.4x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	641	$31,052	$15,526	—	6.3x
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC	435	$78,601	$39,300	—	6.2x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	438	$66,432	$33,216	—	6.2x
DIABETES WITH MCC	637	$65,480	$32,740	—	6x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	690	$34,066	$17,033	—	5.9x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	175	$54,022	$27,011	—	5.9x
DIABETES WITH CC	638	$37,507	$18,754	—	5.8x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	563	$34,193	$17,097	—	5.8x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	699	$34,532	$17,266	—	5.7x
RED BLOOD CELL DISORDERS WITH MCC	811	$67,618	$33,809	—	5.7x
GASTROINTESTINAL OBSTRUCTION WITH MCC	388	$55,408	$27,704	—	5.7x
RENAL FAILURE WITH CC	683	$34,174	$17,087	—	5.6x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	056	$100,295	$50,148	—	5.6x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	025	$231,575	$115,787	—	5.6x
PULMONARY EDEMA AND RESPIRATORY FAILURE	189	$49,275	$24,637	—	5.5x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	870	$335,557	$167,779	—	5.5x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	480	$125,361	$62,680	—	5.5x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC	071	$44,378	$22,189	—	5.4x
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	543	$44,521	$22,261	—	5.4x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	330	$94,640	$47,320	—	5.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$38,523	$19,261	—	5.3x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC	467	$132,690	$66,345	—	5.3x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	640	$52,457	$26,228	—	5.2x
MAJOR CHEST TRAUMA WITH CC	184	$38,082	$19,041	—	5.2x
MEDICAL BACK PROBLEMS WITHOUT MCC	552	$32,184	$16,092	—	5.1x
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	884	$64,890	$32,445	—	5.1x
HEART FAILURE AND SHOCK WITH MCC	291	$48,143	$24,072	—	5.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	308	$44,183	$22,092	—	5.1x
OTHER VASCULAR PROCEDURES WITH MCC	252	$147,061	$73,530	—	5x
GASTROINTESTINAL HEMORRHAGE WITH CC	378	$35,293	$17,646	—	5x
RENAL FAILURE WITH MCC	682	$59,468	$29,734	—	5x

Showing 50 of 82 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.

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

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Renton, WA costsCity-level pricing data

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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