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Pneumonia (hospital stay) in Washington: what insurers pay

Posted commercial rates at 31 Washington hospitals, each next to its own Medicare base rate.

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MS-DRG 194

HospitalMedian across insurers× MedicareInsurersFile date
Lourdes Medical Center Pasco$8,5041.3×22026-07-10
Skagit Valley Hospital Mount Vernon$11,9641.9×42026-03-26
Confluence Health Hospital Wenatchee$12,9342.0×22026-04-21
Kadlec Regional Medical Center Richland$13,8582.1×32026-04-01
Multicare Capital Medical Center Olympia$15,1872.4×92026-08-27
Providence St Mary Medical Center Walla Walla$15,4052.4×32026-04-01
Multicare Valley Hospital Spokane$15,5602.4×82026-08-27
St Elizabeth Hospital Enumclaw$15,9152.4×72026-02-28
Overlake Hospital Medical Center Bellevue$16,4792.4×72026-04-01
Providence Holy Family Hospital Spokane$16,5732.6×62026-04-01
St Anne Hospital Burien$16,9262.5×82026-02-28
Multicare Deaconess Hospital Spokane$17,2502.7×82026-08-27
Legacy Salmon Creek Medical Center Vancouver$17,6352.7×62026-04-01
Multicare Auburn Medical Center Auburn$17,9232.7×92026-08-27
Multicare Good Samaritan Hospital Puyallup$17,9232.6×92026-08-27
Tacoma General Allenmore Hospital Tacoma$17,9232.6×92026-08-27
Multicare Covington Medical Center Covington$17,9232.7×92026-08-27
St Clare Hospital Lakewood$18,2762.7×92026-02-28
St Joseph Medical Center Tacoma$18,2762.7×92026-02-28
St Francis Community Hospital Federal Way$18,2762.7×92026-02-28
St Anthony Hospital Gig Harbor$18,2762.7×92026-02-28
Swedish Edmonds Hospital Edmonds$18,5742.9×72026-04-01
Virginia Mason Medical Center Seattle$19,0852.8×72026-01-01
Providence Regional Medical Center Everett Everett$19,2043.0×72026-04-01
Swedish Issaquah Issaquah$19,5872.9×62026-04-01
St Michael Medical Center Bremerton$21,1543.2×32026-02-28
Mary Bridge Children'S Hospital Tacoma$23,0803.4×62026-08-27
Swedish Medical Center / Cherry Hill Seattle$23,2693.5×72026-04-01
Swedish Medical Center Seattle$23,2693.5×72026-04-01
Providence Centralia Hospital Centralia$34,4835.3×22026-04-01

MS-DRG 193

HospitalMedian across insurers× MedicareInsurersFile date
Trios Kennewick$10,8751.0×72026-07-17
Lourdes Medical Center Pasco$16,0501.5×22026-07-10
Skagit Valley Hospital Mount Vernon$18,9151.8×42026-03-26
Confluence Health Hospital Wenatchee$20,5041.9×22026-04-21
Kadlec Regional Medical Center Richland$22,2152.1×32026-04-01
Multicare Capital Medical Center Olympia$24,4052.3×92026-08-27
Providence St Mary Medical Center Walla Walla$24,7562.4×32026-04-01
Multicare Valley Hospital Spokane$25,1952.4×82026-08-27
St Elizabeth Hospital Enumclaw$25,6782.3×72026-02-28
Overlake Hospital Medical Center Bellevue$25,9672.4×72026-04-01
Providence Holy Family Hospital Spokane$26,1242.5×62026-04-01
St Anne Hospital Burien$27,2522.5×82026-02-28
Multicare Deaconess Hospital Spokane$27,9232.6×82026-08-27
Swedish Edmonds Hospital Edmonds$28,2082.7×72026-04-01
Legacy Salmon Creek Medical Center Vancouver$28,3442.7×62026-04-01
Multicare Auburn Medical Center Auburn$28,9672.6×92026-08-27
Tacoma General Allenmore Hospital Tacoma$28,9672.6×92026-08-27
Multicare Covington Medical Center Covington$28,9672.6×92026-08-27
Multicare Good Samaritan Hospital Puyallup$29,0342.6×92026-08-27
St Clare Hospital Lakewood$29,2832.6×92026-02-28
St Joseph Medical Center Tacoma$29,2832.6×92026-02-28
St Francis Community Hospital Federal Way$29,2832.7×92026-02-28
St Anthony Hospital Gig Harbor$29,2832.6×92026-02-28
Providence Regional Medical Center Everett Everett$30,2262.9×72026-04-01
Swedish Issaquah Issaquah$30,2652.8×62026-04-01
Virginia Mason Medical Center Seattle$30,6692.8×72026-01-01
St Michael Medical Center Bremerton$34,1323.1×32026-02-28
Mary Bridge Children'S Hospital Tacoma$37,1733.4×62026-08-27
Swedish Medical Center / Cherry Hill Seattle$37,3953.4×72026-04-01
Swedish Medical Center Seattle$37,3953.4×72026-04-01
Providence Centralia Hospital Centralia$55,4965.3×22026-04-01

MS-DRG 195

HospitalMedian across insurers× MedicareInsurersFile date
Skagit Valley Hospital Mount Vernon$9,1201.8×42026-03-26
Confluence Health Hospital Wenatchee$10,2942.0×22026-04-21
Kadlec Regional Medical Center Richland$10,8502.2×32026-04-01
Multicare Capital Medical Center Olympia$11,5332.3×92026-08-27
Providence St Mary Medical Center Walla Walla$11,7002.3×32026-04-01
Multicare Valley Hospital Spokane$11,9782.4×82026-08-27
St Elizabeth Hospital Enumclaw$12,1302.3×72026-02-28
Overlake Hospital Medical Center Bellevue$12,6072.4×72026-04-01
Providence Holy Family Hospital Spokane$12,6232.5×62026-04-01
St Anne Hospital Burien$12,8662.5×82026-02-28
Multicare Deaconess Hospital Spokane$13,2722.6×82026-08-27
Multicare Auburn Medical Center Auburn$13,6892.6×92026-08-27
Tacoma General Allenmore Hospital Tacoma$13,6892.6×92026-08-27
Multicare Covington Medical Center Covington$13,6892.6×92026-08-27
Multicare Good Samaritan Hospital Puyallup$13,7212.6×92026-08-27
St Clare Hospital Lakewood$13,8382.6×92026-02-28
St Joseph Medical Center Tacoma$13,8382.6×92026-02-28
St Francis Community Hospital Federal Way$13,8382.6×92026-02-28
St Anthony Hospital Gig Harbor$13,8382.6×92026-02-28
Legacy Salmon Creek Medical Center Vancouver$13,8992.8×62026-04-01
Lourdes Medical Center Pasco$13,9172.8×22026-07-10
Swedish Edmonds Hospital Edmonds$14,3152.9×72026-04-01
Virginia Mason Medical Center Seattle$14,4932.8×72026-01-01
Providence Regional Medical Center Everett Everett$14,5862.9×72026-04-01
Swedish Issaquah Issaquah$15,0262.9×62026-04-01
St Michael Medical Center Bremerton$16,0963.1×32026-02-28
Mary Bridge Children'S Hospital Tacoma$17,5463.3×62026-08-27
Swedish Medical Center / Cherry Hill Seattle$17,6733.4×72026-04-01
Swedish Medical Center Seattle$17,6733.4×72026-04-01
Providence Centralia Hospital Centralia$26,2075.2×22026-04-01

Questions

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

31 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 30 hospitals is $17,923, 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.