CostGrade
C

53/100

#1,157 nationally

Evergreenhealth Medical Center

12040 Ne 128Th Street, Kirkland, WA 98034 · (425) 899-1000

Charges well above the national norm

For every $1 of care Medicare actually paid for here, Evergreenhealth Medical Center billed $4.63 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
4.6x
volume-weighted across all its priced work
Procedures priced
114
inpatient and outpatient combined
Rank in WA
#14
lower markup ranks higher
CMS quality stars
5/5
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.

Inpatient charge markup 11.3/35

Better than 32% of U.S. hospitals.

Outpatient charge markup 20.6/25

Better than 82% of U.S. hospitals.

Price level vs national median 15.5/30

Better than 52% of U.S. hospitals.

Price consistency 5.5/10

Better than 55% 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 Intraocular Procedures

APC 5491 · Hospital outpatient visit

465 $10,779 $2,315 -8%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

256 $57,827 $11,074 +33%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

252 $49,643 $13,232 -21%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

224 $15,031 $2,721 -23%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

196 $86,223 $16,786 +32%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

177 $5,951 $1,641 -41%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

176 $8,755 $2,014 -32%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

172 $12,840 $3,291 -49%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

154 $73,481 $14,531 +34%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

123 $23,797 $5,216 -13%

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 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

$53,796 $5,612 +49%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

$46,412 $7,142 +43%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

$79,873 $13,843 +41%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

$43,814 $7,143 +38%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

$63,690 $11,783 +37%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

$41,615 $6,303 +36%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

$53,035 $9,004 +34%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

$73,481 $14,531 +34%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

$12,840 $3,291 -49%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

$78,391 $33,494 -47%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

$9,605 $3,193 -47%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

$4,751 $1,597 -45%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

$13,608 $3,893 -43%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

$13,365 $3,824 -41%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

$5,951 $1,641 -41%
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc

MS-DRG 027 · Inpatient stay

$73,651 $19,560 -39%

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.