Ungraded
#463 nationally
Evergreenhealth Monroe
14701 179Th Ave Se, Monroe, WA 98272 · (360) 794-7497
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Evergreenhealth Monroe billed $3.16 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
- 3.2x
- volume-weighted across all its priced work
- Procedures priced
- 6
- inpatient and outpatient combined
- Rank in WA
- #3
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
56 | $16,084 | $2,756 | -17% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
40 | $7,286 | $2,285 | -38% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
35 | $25,501 | $14,018 | -41% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
34 | $56,507 | $13,419 | -10% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
18 | $32,379 | $18,175 | -50% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
15 | $24,277 | $3,228 | +4% |
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 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$24,277 | $3,228 | +4% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$56,507 | $13,419 | -10% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$16,084 | $2,756 | -17% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$7,286 | $2,285 | -38% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$25,501 | $14,018 | -41% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$32,379 | $18,175 | -50% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$32,379 | $18,175 | -50% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$25,501 | $14,018 | -41% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$7,286 | $2,285 | -38% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$16,084 | $2,756 | -17% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$56,507 | $13,419 | -10% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$24,277 | $3,228 | +4% |
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.