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Heart valve surgery (open) in Washington: what insurers pay

Posted commercial rates at 6 Washington hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 220

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$104,6862.4×52026-04-01
Multicare Good Samaritan Hospital Puyallup$119,2202.7×62026-08-27
Tacoma General Allenmore Hospital Tacoma$119,2202.7×62026-08-27
St Clare Hospital Lakewood$119,9442.7×62026-02-28
St Anthony Hospital Gig Harbor$119,9442.7×62026-02-28
Swedish Medical Center Seattle$147,9813.3×52026-04-01

MS-DRG 219

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$151,8242.4×52026-04-01
Multicare Good Samaritan Hospital Puyallup$173,4832.7×62026-08-27
Tacoma General Allenmore Hospital Tacoma$173,4832.7×62026-08-27
St Clare Hospital Lakewood$175,2162.7×62026-02-28
St Anthony Hospital Gig Harbor$175,2162.7×62026-02-28
Swedish Medical Center Seattle$216,1763.4×52026-04-01

MS-DRG 216

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$191,3962.3×52026-04-01
St Clare Hospital Lakewood$218,5492.6×62026-02-28
St Anthony Hospital Gig Harbor$218,5492.6×62026-02-28
Multicare Good Samaritan Hospital Puyallup$219,6682.7×62026-08-27
Tacoma General Allenmore Hospital Tacoma$219,6682.7×62026-08-27
Swedish Medical Center Seattle$273,8493.3×52026-04-01

MS-DRG 217

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$128,3582.3×52026-04-01
Multicare Good Samaritan Hospital Puyallup$145,8412.6×62026-08-27
Tacoma General Allenmore Hospital Tacoma$145,8412.6×62026-08-27
St Clare Hospital Lakewood$146,2392.6×62026-02-28
St Anthony Hospital Gig Harbor$146,2392.6×62026-02-28
Swedish Medical Center Seattle$183,2423.3×52026-04-01

Questions

How much do insurers pay for heart valve surgery (open) in Washington?

6 Washington hospitals post usable commercial rates for heart valve surgery (open) in their federal price-transparency files. For inpatient stay (MS-DRG 220), the median across 6 hospitals is $119,582, 2.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.