45/100
#1,417 nationally
Deaconess Medical Center
W 800 Fifth Avenue, Spokane, WA 99210 · (509) 473-5800
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Deaconess Medical Center billed $5.21 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.2x
- volume-weighted across all its priced work
- Procedures priced
- 94
- inpatient and outpatient combined
- Rank in WA
- #21
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 48% of U.S. hospitals.
Better than 41% of U.S. hospitals.
Better than 47% of U.S. hospitals.
Better than 42% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
230 | $18,934 | $3,245 | -25% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
187 | $52,430 | $15,985 | -20% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
168 | $83,279 | $12,707 | +33% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
145 | $143,351 | $23,162 | +8% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
145 | $10,776 | $1,889 | -8% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
124 | $20,756 | $3,476 | about average |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
117 | $85,830 | $10,949 | +27% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
116 | $18,864 | $2,728 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
112 | $28,254 | $5,156 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
101 | $22,157 | $3,136 | +16% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$119,748 | $9,992 | +100% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$113,935 | $7,611 | +93% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
$303,167 | $33,213 | +65% |
|
O.r. Procedures for Obesity without Complications/mcc
MS-DRG 621 · Inpatient stay |
$103,462 | $13,647 | +58% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$54,444 | $5,605 | +55% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$58,536 | $6,869 | +52% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$33,268 | $3,472 | +43% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$14,070 | $1,613 | +40% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$12,736 | $4,959 | -49% |
|
Percutaneous and Other Intracardiac Procedures with Major Complications
MS-DRG 273 · Inpatient stay |
$101,045 | $31,591 | -45% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$42,574 | $14,358 | -44% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$17,845 | $7,392 | -42% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$31,205 | $12,125 | -41% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$37,505 | $11,690 | -33% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
$63,244 | $18,133 | -32% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$38,576 | $14,253 | -32% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.