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Hip fracture replacement in Washington: what insurers pay

Posted commercial rates at 32 Washington hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27236

HospitalMedian across insurers× MedicareInsurersFile date
Astria Toppenish Hospital Toppenish$4,7220.6×42026-04-01
Providence St Mary Medical Center Walla Walla$13,0431.6×52026-04-01
Providence Regional Medical Center Everett Everett$14,5541.8×62026-04-01
Kadlec Regional Medical Center Richland$14,5551.8×32026-04-01
Swedish Edmonds Hospital Edmonds$14,7501.8×62026-04-01
Overlake Hospital Medical Center Bellevue$15,5751.9×52026-04-01
Swedish Issaquah Issaquah$15,6461.9×62026-04-01
Legacy Salmon Creek Medical Center Vancouver$16,1722.0×62026-04-01
Multicare Capital Medical Center Olympia$17,1422.1×52026-08-27
St Anne Hospital Burien$17,4422.1×42026-02-28
St Clare Hospital Lakewood$17,4422.1×42026-02-28
St Joseph Medical Center Tacoma$17,4422.1×42026-02-28
St Francis Community Hospital Federal Way$17,4422.1×42026-02-28
St Elizabeth Hospital Enumclaw$17,4422.1×42026-02-28
St Anthony Hospital Gig Harbor$18,0752.1×42026-02-28
Multicare Valley Hospital Spokane$18,3562.3×42026-08-27
Providence Holy Family Hospital Spokane$20,5142.5×52026-04-01
Multicare Deaconess Hospital Spokane$20,8002.6×32026-08-27
Swedish Medical Center / Cherry Hill Seattle$21,5782.6×62026-04-01
Multicare Auburn Medical Center Auburn$21,8962.6×52026-08-27
Tacoma General Allenmore Hospital Tacoma$21,8962.6×52026-08-27
Multicare Covington Medical Center Covington$21,8962.6×52026-08-27
Swedish Medical Center Seattle$24,5102.9×62026-04-01
Virginia Mason Medical Center Seattle$24,5942.9×52026-01-01
St Michael Medical Center Bremerton$25,9763.1×22026-02-28
Multicare Good Samaritan Hospital Puyallup$26,7273.2×32026-08-27
Providence Centralia Hospital Centralia$31,7653.9×32026-04-01
Mary Bridge Children'S Hospital Tacoma$34,3614.1×32026-08-27

MS-DRG 522

HospitalMedian across insurers× MedicareInsurersFile date
Trios Kennewick$17,2751.0×72026-07-17
Lourdes Medical Center Pasco$22,7231.3×12026-07-10
Skagit Valley Hospital Mount Vernon$30,8321.8×42026-03-26
Confluence Health Hospital Wenatchee$32,4601.9×22026-04-21
Providence St Mary Medical Center Walla Walla$35,1632.1×42026-04-01
Kadlec Regional Medical Center Richland$35,3712.1×32026-04-01
Multicare Capital Medical Center Olympia$39,0442.3×92026-08-27
Multicare Valley Hospital Spokane$40,4542.4×82026-08-27
St Anne Hospital Burien$40,8842.3×72026-02-28
St Elizabeth Hospital Enumclaw$41,0682.3×72026-02-28
Overlake Hospital Medical Center Bellevue$42,5832.4×72026-04-01
Providence Holy Family Hospital Spokane$42,7342.5×62026-04-01
St Clare Hospital Lakewood$44,5502.5×82026-02-28
St Joseph Medical Center Tacoma$44,5502.5×82026-02-28
St Francis Community Hospital Federal Way$44,5502.5×82026-02-28
Multicare Deaconess Hospital Spokane$44,8282.6×82026-08-27
Legacy Salmon Creek Medical Center Vancouver$45,2612.7×62026-04-01
St Anthony Hospital Gig Harbor$46,2592.6×82026-02-28
Multicare Auburn Medical Center Auburn$46,3422.6×92026-08-27
Tacoma General Allenmore Hospital Tacoma$46,3422.6×92026-08-27
Multicare Covington Medical Center Covington$46,3422.6×92026-08-27
Multicare Good Samaritan Hospital Puyallup$46,4502.6×92026-08-27
Swedish Edmonds Hospital Edmonds$47,0722.8×72026-04-01
Virginia Mason Medical Center Seattle$49,0652.8×62026-01-01
Providence Regional Medical Center Everett Everett$49,3742.9×72026-04-01
Swedish Issaquah Issaquah$50,0002.8×62026-04-01
St Michael Medical Center Bremerton$54,3453.1×32026-02-28
Swedish Medical Center / Cherry Hill Seattle$58,9043.3×72026-04-01
Swedish Medical Center Seattle$58,9043.3×72026-04-01
Mary Bridge Children'S Hospital Tacoma$59,3103.3×62026-08-27
Providence Centralia Hospital Centralia$88,6305.2×22026-04-01

MS-DRG 521

HospitalMedian across insurers× MedicareInsurersFile date
Trios Kennewick$23,8061.0×72026-07-17
Skagit Valley Hospital Mount Vernon$43,2911.9×42026-03-26
Confluence Health Hospital Wenatchee$43,6611.9×22026-04-21
Providence St Mary Medical Center Walla Walla$48,6132.1×42026-04-01
Kadlec Regional Medical Center Richland$50,1412.2×32026-04-01
Multicare Capital Medical Center Olympia$53,9832.4×92026-08-27
Multicare Valley Hospital Spokane$55,3652.4×82026-08-27
St Anne Hospital Burien$57,9562.4×72026-02-28
St Elizabeth Hospital Enumclaw$57,9562.4×72026-02-28
Overlake Hospital Medical Center Bellevue$58,9022.5×72026-04-01
Providence Holy Family Hospital Spokane$59,2302.6×62026-04-01
Legacy Salmon Creek Medical Center Vancouver$61,3122.7×62026-04-01
Multicare Deaconess Hospital Spokane$61,3762.7×82026-08-27
St Clare Hospital Lakewood$61,9502.6×82026-02-28
St Joseph Medical Center Tacoma$61,9502.6×82026-02-28
St Francis Community Hospital Federal Way$61,9502.6×82026-02-28
Multicare Auburn Medical Center Auburn$63,8332.7×92026-08-27
Multicare Good Samaritan Hospital Puyallup$63,8332.6×92026-08-27
Tacoma General Allenmore Hospital Tacoma$63,8332.6×92026-08-27
Multicare Covington Medical Center Covington$63,8332.7×92026-08-27
St Anthony Hospital Gig Harbor$64,7572.7×82026-02-28
Swedish Edmonds Hospital Edmonds$65,9232.9×72026-04-01
Virginia Mason Medical Center Seattle$67,8382.8×62026-01-01
Providence Regional Medical Center Everett Everett$68,2603.0×72026-04-01
Swedish Issaquah Issaquah$70,0972.9×62026-04-01
St Michael Medical Center Bremerton$77,0383.3×32026-02-28
Mary Bridge Children'S Hospital Tacoma$82,3723.4×62026-08-27
Swedish Medical Center / Cherry Hill Seattle$82,7083.4×72026-04-01
Swedish Medical Center Seattle$82,7083.4×72026-04-01
Providence Centralia Hospital Centralia$123,6435.4×22026-04-01

Questions

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

32 Washington hospitals post usable commercial rates for hip fracture replacement in their federal price-transparency files. For CPT 27236, hospital outpatient, the median across 28 hospitals is $17,759, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.