Virginia Mason Medical Center
Virginia Mason Medical Center in Seattle charges 4.8x the Medicare reimbursement rate on average across 108 analyzed procedures at this nonprofit hospital.
Seattle, WA 98101 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
4.82x
Charge / Medicare rate
Max markup
16.42x
Worst procedure
Procedures analyzed
108
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.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $252,682 | $126,341 | — | 16.4x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $306,039 | $153,020 | — | 8.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $61,302 | $30,651 | — | 7.2x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $67,320 | $33,660 | — | 6.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $24,461 | $12,230 | — | 6.5x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $51,336 | $25,668 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $93,042 | $46,521 | — | 6.1x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $86,732 | $43,366 | — | 6x |
| RENAL FAILURE WITH MCC | 682 | $74,572 | $37,286 | — | 5.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $80,582 | $40,291 | — | 5.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $73,465 | $36,732 | — | 5.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $51,803 | $25,901 | — | 5.7x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $83,315 | $41,658 | — | 5.7x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $81,583 | $40,792 | — | 5.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $71,412 | $35,706 | — | 5.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $57,607 | $28,804 | — | 5.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $187,720 | $93,860 | — | 5.5x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $155,284 | $77,642 | — | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $35,068 | $17,534 | — | 5.5x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $80,368 | $40,184 | — | 5.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $60,011 | $30,006 | — | 5.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $51,721 | $25,861 | — | 5.4x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $78,675 | $39,337 | — | 5.4x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $53,415 | $26,708 | — | 5.4x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | 658 | $66,891 | $33,445 | — | 5.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $72,265 | $36,132 | — | 5.3x |
| SEIZURES WITHOUT MCC | 101 | $37,007 | $18,504 | — | 5.2x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $37,365 | $18,683 | — | 5.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $40,946 | $20,473 | — | 5.2x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $246,135 | $123,068 | — | 5.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $42,066 | $21,033 | — | 5.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $31,470 | $15,735 | — | 5.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $70,833 | $35,417 | — | 5.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,139 | $16,070 | — | 5.2x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $30,334 | $15,167 | — | 5.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $46,645 | $23,322 | — | 5.1x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $88,898 | $44,449 | — | 5.1x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $115,709 | $57,855 | — | 5.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $36,374 | $18,187 | — | 5.1x |
| COMPLICATED PEPTIC ULCER WITH MCC | 380 | $96,896 | $48,448 | — | 5.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $41,705 | $20,853 | — | 5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $84,582 | $42,291 | — | 5x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $113,054 | $56,527 | — | 5x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $62,141 | $31,071 | — | 5x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $220,625 | $110,313 | — | 4.9x |
| CELLULITIS WITHOUT MCC | 603 | $33,963 | $16,982 | — | 4.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $53,624 | $26,812 | — | 4.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $67,961 | $33,980 | — | 4.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $130,718 | $65,359 | — | 4.7x |
| RENAL FAILURE WITH CC | 683 | $33,230 | $16,615 | — | 4.7x |
Showing 50 of 108 procedures
How VIRGINIA MASON MEDICAL CENTER 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.
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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