WA CMS Medicare PUF 2023 Avg payment #18 of 56

Washington procedure costs

100 hospitals · 2,766 Medicare providers · 4,557 procedure codes with Washington locality adjustments.

The short answer

Washington has 100 hospitals and 2,766 Medicare-billing providers across 4,557 procedure codes. The average Medicare payment per procedure is $254.32; the average submitted (billed) charge is $1,161.17.

Procedure codes
4,557
Providers per hospital
27.7
Billed-to-Medicare ratio
4.6x
Markup rank
#53 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

100
Hospitals
2,766
Providers
$254.32
Avg Medicare Payment
$1,161.17
Avg Billed Charge

Washington against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$254 higher than 68% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). Below this entry. $250–$275: 11 states (20%). This entry sits in this band. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Washington

Highest average Medicare payment per procedure billed in Washington. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Washington

Radioelements For Brachyther…13984Insertion Of Cochlear Device8256Insertion Of Spinal Neurosti…6967Removal Of Plaque And Insert…6135Cystourethroscopy, With Inse…6128Molecular Pathology Procedure5804Removal Of Plaque In Artery …4699Ambulance Service, Conventio…4612
Top procedures by Medicare payment - Washington-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Factor Viii (antihemophilic Factor, Recombinant) Per I.u., Not Otherwise Specified $1.06 2.6M
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 2.0M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $81.79 1.8M
Ground Mileage, Per Statute Mile $7.51 1.6M
Injection, Onabotulinumtoxina, 1 Unit $4.74 1.3M
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $18.06 1.2M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $56.91 1.1M
Therapy Procedure Using Functional Activities $24.94 1.1M
Injection, Faricimab-Svoa, 0.1 Mg $28.84 1.1M
Injection, Tocilizumab, 1 Mg $4.63 949.2K
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 907.3K
Injection, Testosterone Cypionate, 1 Mg $0.02 857.7K
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.11 833.0K
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-Esrd Use) $0.39 793.6K
Therapy Procedure Using Manual Technique, Each 15 Minutes $16.06 688.9K
Injection, Denosumab, 1 Mg $18.03 634.0K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $21.27 619.6K
Blood Test, Comprehensive Group Of Blood Chemicals $10.31 495.9K
Injection, Pembrolizumab, 1 Mg $42.05 494.2K
Injection, Gadobutrol, 0.1 Ml $0.25 489.9K
Injection, Darbepoetin Alfa, 1 Microgram (non-Esrd Use) $2.33 468.2K
Chiropractic Manipulative Treatment, 3-4 Spinal Regions $28.06 449.6K
Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test And Automated Differential White Blood Cell Count $7.57 436.3K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $61.67 399.1K
Injection, Nivolumab, 1 Mg $23.29 390.2K
Destruction Of Precancer Skin Growth, 2-14 Growths $4.61 388.1K
Injection, Vedolizumab, 1 Mg $17.13 381.6K
Injection, Filgrastim-Aafi, Biosimilar, (nivestym), 1 Microgram $0.25 375.8K
Injection, Golimumab, 1 Mg, For Intravenous Use $10.47 369.2K
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.88 351.4K

Washington Healthcare Cost Landscape

CMS lists 100 hospitals in Washington across 79 cities. SEATTLE holds 9 (9%). The three densest cities together hold 19% of the state roster. Statewide that is 2,766 Medicare-billing providers, 27.7 per listed hospital.

58 hospitals carry a CMS overall star rating (9 five-star, 14 four-star, 17 three-star, 11 two-star, 7 one-star) ; five-star share among rated facilities is 16%. 42 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 46 (46%); Critical Access Hospitals 39 (39%); Psychiatric 9 (9%); Childrens 3 (3%).

Among the 30 highest-volume procedure codes billed in Washington, Drugs (Administered) leads with 9.9M services (39% of this top-volume slice) across 12 codes. Next is Medicine at 16%.

Submitted charges average $1,161.17 against $254.32 Medicare payment (4.6x billed-to-Medicare). That ratio ranks #53 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #18 of 56.

Volume leaders are not the high-payment codes. Factor Viii (antihemophilic Factor, Recombinant) Per I.u., Not Otherwise Specified is in the top volume slice but not the highest Medicare payments; Radioelements For Brachytherapy, Any Type, Each is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Washington, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Washington hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 79 distinct cities appear on 100 listed facilities.

City Hospitals Share of state roster
SEATTLE 9 9%
SPOKANE 6 6%
TACOMA 4 4%
VANCOUVER 3 3%
KIRKLAND 2 2%
OLYMPIA 2 2%
RICHLAND 2 2%
ABERDEEN 1 1%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Washington: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (100 here).

Similar average Medicare payment

Nearest states with published averages ($254.32 here).

How Washington Compares Nationally

Washington's average Medicare payment is #18 of 56 in this extract. Submitted-over-Medicare markup ranks #53 of 56 (4.6x). Hospital-count peers (nearest CMS roster size to 100): Alabama 102, Kentucky 102, Colorado 97, Virginia 95. Payment peers (nearest average Medicare payment to $254.32): Missouri $255.25, Ohio $255.69, Massachusetts $252.82, Indiana $250.97.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Washington, not an out-of-pocket quote.

Related registry pages

Washington averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Washington CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.