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Pneumonia (hospital stay) in Washington: what insurers pay

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

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MS-DRG 194

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$16,1542.4×62026-04-01
Swedish Edmonds Hospital Edmonds$16,9802.6×52026-04-01
Legacy Salmon Creek Medical Center Vancouver$17,6822.7×42026-04-01
St Anne Hospital Burien$17,9382.7×52026-02-28
Tacoma General Allenmore Hospital Tacoma$18,3552.7×62026-08-27
Multicare Auburn Medical Center Auburn$18,3552.7×62026-08-27
Multicare Covington Medical Center Covington$18,3552.7×62026-08-27
Multicare Good Samaritan Hospital Puyallup$18,4282.7×62026-08-27
St Clare Hospital Lakewood$18,5962.7×62026-02-28
St Anthony Hospital Gig Harbor$18,5962.7×62026-02-28
St Joseph Medical Center Tacoma$18,5962.7×62026-02-28
St Francis Community Hospital Federal Way$18,5962.8×62026-02-28
Swedish Issaquah Issaquah$19,8402.9×42026-04-01
Swedish Medical Center Seattle$23,2693.5×52026-04-01
Swedish Medical Center / Cherry Hill Seattle$23,2693.5×52026-04-01

MS-DRG 193

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$25,9602.4×62026-04-01
Multicare Good Samaritan Hospital Puyallup$29,7722.7×62026-08-27
Tacoma General Allenmore Hospital Tacoma$29,7722.7×62026-08-27
St Clare Hospital Lakewood$29,8392.7×62026-02-28
St Anthony Hospital Gig Harbor$29,8392.7×62026-02-28
Swedish Medical Center Seattle$37,3953.4×52026-04-01

MS-DRG 195

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$12,3782.4×62026-04-01
St Clare Hospital Lakewood$14,1012.7×62026-02-28
St Anthony Hospital Gig Harbor$14,1012.7×62026-02-28
Multicare Good Samaritan Hospital Puyallup$14,1362.7×62026-08-27
Tacoma General Allenmore Hospital Tacoma$14,1362.7×62026-08-27
Swedish Medical Center Seattle$17,6733.4×52026-04-01

Questions

How much do insurers pay for pneumonia (hospital stay) in Washington?

15 Washington hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 15 hospitals is $18,428, 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.