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Hip fracture replacement 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 27236

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$15,5751.9×52026-04-01
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

MS-DRG 522

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$41,7082.4×62026-04-01
Swedish Edmonds Hospital Edmonds$43,7402.6×52026-04-01
Legacy Salmon Creek Medical Center Vancouver$45,3882.7×42026-04-01
St Anne Hospital Burien$46,1162.6×52026-02-28
Multicare Good Samaritan Hospital Puyallup$47,6812.7×62026-08-27
Tacoma General Allenmore Hospital Tacoma$47,6812.7×62026-08-27
Multicare Auburn Medical Center Auburn$47,6812.7×62026-08-27
Multicare Covington Medical Center Covington$47,6812.7×62026-08-27
St Clare Hospital Lakewood$47,7382.7×62026-02-28
St Anthony Hospital Gig Harbor$47,7382.7×62026-02-28
St Joseph Medical Center Tacoma$47,7382.7×62026-02-28
St Francis Community Hospital Federal Way$47,7382.7×62026-02-28
Swedish Issaquah Issaquah$51,0642.9×42026-04-01
Swedish Medical Center Seattle$58,9043.3×52026-04-01
Swedish Medical Center / Cherry Hill Seattle$58,9043.3×52026-04-01

MS-DRG 521

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$57,4192.4×62026-04-01
Legacy Salmon Creek Medical Center Vancouver$61,4832.7×42026-04-01
Swedish Edmonds Hospital Edmonds$61,4942.7×52026-04-01
St Anne Hospital Burien$63,7602.6×52026-02-28
St Clare Hospital Lakewood$66,0032.7×62026-02-28
St Anthony Hospital Gig Harbor$66,0032.7×62026-02-28
St Joseph Medical Center Tacoma$66,0032.7×62026-02-28
St Francis Community Hospital Federal Way$66,0032.8×62026-02-28
Tacoma General Allenmore Hospital Tacoma$66,1252.7×62026-08-27
Multicare Auburn Medical Center Auburn$66,1252.8×62026-08-27
Multicare Covington Medical Center Covington$66,1252.8×62026-08-27
Multicare Good Samaritan Hospital Puyallup$66,3202.8×62026-08-27
Swedish Issaquah Issaquah$71,0583.0×42026-04-01
Swedish Medical Center Seattle$82,7083.4×52026-04-01
Swedish Medical Center / Cherry Hill Seattle$82,7083.4×52026-04-01

Questions

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

15 Washington hospitals post usable commercial rates for hip fracture replacement in their federal price-transparency files. For CPT 27236, 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.