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VALLEY MEDICAL CENTER

RENTON, WA 98055 · Acute Care Hospitals

82 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

82

With CMS pricing data

Avg Charge-to-Medicare Ratio

5.5x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Government - Hospital District or Authority

Above 90th Percentile

0%

Compared to WA hospitals

Understanding Your Costs

When you receive a bill from VALLEY MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, VALLEY MEDICAL CENTER lists chargemaster rates that average 5.5x the corresponding Medicare reimbursement amount across 82 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 5.5x, this facility’s average ratio is below 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 VALLEY MEDICAL CENTER is SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC (DRG 460). The listed chargemaster rate is $123,789, while Medicare reimburses $10,671 for the same procedure — a ratio of 11.6x (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.

VALLEY MEDICAL CENTER is a government - hospital district or authority 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

Listed Chargemaster Rate Medicare Reimbursement

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.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$123,789$10,67111.6x
0th
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$53,016$5,21010.2x
1th
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$97,160$10,5639.2x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$39,963$5,1037.8x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$73,260$9,4337.8x
1th
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SEIZURES WITHOUT MCC101$46,205$6,1497.5x
1th
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CERVICAL SPINAL FUSION WITH CC472$153,125$20,5657.5x
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GASTROINTESTINAL OBSTRUCTION WITH CC389$40,887$5,5137.4x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$114,546$15,9327.2x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$111,255$15,5497.2x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$47,359$6,6557.1x
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REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$111,931$15,8647.1x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$103,295$14,7797.0x
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LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$107,568$15,7566.8x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$94,064$14,0056.7x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$28,970$4,3236.7x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$62,837$9,3916.7x
1th
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OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$50,357$7,5876.6x
1th
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC521$176,920$27,6606.4x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$31,052$4,9546.3x
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MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$78,601$12,5986.2x
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DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC438$66,432$10,7326.2x
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DIABETES WITH MCC637$65,480$10,8906.0x
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KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$34,066$5,7735.9x
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$54,022$9,2155.9x
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DIABETES WITH CC638$37,507$6,4375.8x
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FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$34,193$5,8915.8x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$34,532$6,0125.7x
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RED BLOOD CELL DISORDERS WITH MCC811$67,618$11,8415.7x
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GASTROINTESTINAL OBSTRUCTION WITH MCC388$55,408$9,7345.7x
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RENAL FAILURE WITH CC683$34,174$6,1075.6x
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DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC056$100,295$17,9835.6x
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CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$231,575$41,5565.6x
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$49,275$8,9075.5x
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SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$335,557$60,8455.5x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$125,361$22,9125.5x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$44,378$8,2335.4x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$94,640$17,5835.4x
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PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$44,521$8,2735.4x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$38,523$7,2965.3x
1th
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REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$132,690$25,1175.3x
1th
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$52,457$10,1335.2x
1th
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MAJOR CHEST TRAUMA WITH CC184$38,082$7,3795.2x
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MEDICAL BACK PROBLEMS WITHOUT MCC552$32,184$6,2655.1x
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ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY884$64,890$12,6865.1x
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HEART FAILURE AND SHOCK WITH MCC291$48,143$9,4975.1x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$44,183$8,7365.1x
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OTHER VASCULAR PROCEDURES WITH MCC252$147,061$29,1935.0x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$35,293$7,0645.0x
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RENAL FAILURE WITH MCC682$59,468$11,9165.0x
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Showing 50 of 82 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

2.0x
Median: 5.5x
8.7x
5.5x

45 hospitals in WA report pricing data to CMS. This facility's average ratio of 5.5x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: 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.

Read our methodology·Report a data error

Frequently Asked Questions About VALLEY MEDICAL CENTER

How much does VALLEY MEDICAL CENTER charge compared to Medicare?

According to CMS IPPS data, VALLEY MEDICAL CENTER's listed chargemaster rates average 5.5x the Medicare reimbursement amount across 82 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 VALLEY MEDICAL CENTER?

The procedure with the highest chargemaster-to-Medicare ratio at VALLEY MEDICAL CENTER is SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC (DRG 460), with a listed charge of $123,789 compared to Medicare reimbursement of $10,671 — a ratio of 11.6x. Source: CMS IPPS Provider Summary.

Is VALLEY MEDICAL CENTER expensive compared to other WA hospitals?

VALLEY MEDICAL CENTER's average chargemaster-to-Medicare ratio is 5.5x. 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 VALLEY MEDICAL CENTER 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 VALLEY MEDICAL CENTER 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 VALLEY MEDICAL CENTER in RENTON, WA accept Medicare?

VALLEY MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact VALLEY MEDICAL CENTER directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.