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Hip fracture fixation in Washington: what insurers pay

Posted commercial rates at 15 Washington hospitals, each next to its own Medicare base rate.

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CPT 27245

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$15,5761.9×52026-04-01
St Clare Hospital Lakewood$18,6342.2×32026-02-28
St Anthony Hospital Gig Harbor$19,3522.3×32026-02-28
Swedish Medical Center Seattle$23,4942.8×52026-04-01
Tacoma General Allenmore Hospital Tacoma$26,7273.2×32026-08-27
Multicare Good Samaritan Hospital Puyallup$30,7803.6×22026-08-27

CPT 27244

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$15,5921.9×52026-04-01
St Clare Hospital Lakewood$18,6342.2×32026-02-28
St Anthony Hospital Gig Harbor$19,3522.3×32026-02-28
Swedish Medical Center Seattle$23,4942.8×52026-04-01
Tacoma General Allenmore Hospital Tacoma$26,7273.2×32026-08-27
Multicare Good Samaritan Hospital Puyallup$30,7803.6×22026-08-27

CPT 27235

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$19,4512.3×52026-04-01
St Clare Hospital Lakewood$23,9402.8×52026-02-28
St Anthony Hospital Gig Harbor$23,9402.8×52026-02-28
Swedish Medical Center Seattle$25,5613.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$30,6263.6×52026-08-27
Multicare Good Samaritan Hospital Puyallup$31,9773.8×42026-08-27

MS-DRG 481

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$41,2512.4×62026-04-01
Swedish Edmonds Hospital Edmonds$42,7822.5×52026-04-01
Legacy Salmon Creek Medical Center Vancouver$44,8982.7×42026-04-01
St Anne Hospital Burien$45,3902.6×52026-02-28
St Clare Hospital Lakewood$46,9862.7×62026-02-28
St Anthony Hospital Gig Harbor$46,9862.7×62026-02-28
St Joseph Medical Center Tacoma$46,9862.7×62026-02-28
St Francis Community Hospital Federal Way$46,9862.7×62026-02-28
Multicare Good Samaritan Hospital Puyallup$46,9962.7×62026-08-27
Tacoma General Allenmore Hospital Tacoma$46,9962.7×62026-08-27
Multicare Auburn Medical Center Auburn$46,9962.7×62026-08-27
Multicare Covington Medical Center Covington$46,9962.7×62026-08-27
Swedish Issaquah Issaquah$50,1102.9×42026-04-01
Swedish Medical Center Seattle$58,8793.4×52026-04-01
Swedish Medical Center / Cherry Hill Seattle$58,8793.4×52026-04-01

MS-DRG 482

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$32,1232.4×62026-04-01
Swedish Edmonds Hospital Edmonds$32,9942.5×52026-04-01
St Anne Hospital Burien$34,7042.5×52026-02-28
Legacy Salmon Creek Medical Center Vancouver$35,1082.7×42026-04-01
St Clare Hospital Lakewood$35,9242.6×62026-02-28
St Anthony Hospital Gig Harbor$35,9242.6×62026-02-28
St Joseph Medical Center Tacoma$35,9242.6×62026-02-28
St Francis Community Hospital Federal Way$35,9242.6×62026-02-28
Multicare Good Samaritan Hospital Puyallup$36,2842.6×62026-08-27
Tacoma General Allenmore Hospital Tacoma$36,2842.6×62026-08-27
Multicare Auburn Medical Center Auburn$36,2842.7×62026-08-27
Multicare Covington Medical Center Covington$36,2842.7×62026-08-27
Swedish Issaquah Issaquah$38,4732.8×42026-04-01
Swedish Medical Center Seattle$45,0173.3×52026-04-01
Swedish Medical Center / Cherry Hill Seattle$45,0173.3×52026-04-01

MS-DRG 480

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$57,9382.4×62026-04-01
Tacoma General Allenmore Hospital Tacoma$66,0762.7×62026-08-27
Multicare Good Samaritan Hospital Puyallup$66,0922.7×62026-08-27
St Clare Hospital Lakewood$66,5992.7×62026-02-28
St Anthony Hospital Gig Harbor$66,5992.7×62026-02-28
Swedish Medical Center Seattle$83,4573.4×52026-04-01

Questions

How much do insurers pay for hip fracture fixation in Washington?

15 Washington hospitals post usable commercial rates for hip fracture fixation in their federal price-transparency files. For CPT 27245, hospital outpatient, the median across 6 hospitals is $21,423, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.