83/100
#267 nationally
Island Hospital
1211 24Th Street, Anacortes, WA 98221 · (360) 299-1300
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Island Hospital billed $2.74 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
- 2.7x
- volume-weighted across all its priced work
- Procedures priced
- 35
- inpatient and outpatient combined
- Rank in WA
- #2
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 89% of U.S. hospitals.
Better than 91% of U.S. hospitals.
Better than 81% of U.S. hospitals.
Better than 53% 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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
313 | $1,398 | $686 | -55% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
165 | $12,674 | $2,754 | -35% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
135 | $43,713 | $13,285 | -30% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
77 | $7,426 | $1,952 | -35% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
69 | $3,496 | $1,620 | -65% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
61 | $6,144 | $2,039 | -52% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
59 | $31,039 | $17,046 | -52% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
57 | $22,623 | $5,834 | -36% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
46 | $25,652 | $7,108 | -36% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
46 | $43,199 | $18,798 | -48% |
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 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$14,217 | $1,619 | +66% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$30,019 | $5,029 | about average |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$19,768 | $3,187 | about average |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$18,863 | $3,498 | -19% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$22,017 | $5,101 | -20% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$16,507 | $3,525 | -20% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$18,681 | $3,854 | -22% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$31,245 | $8,960 | -30% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$3,496 | $1,620 | -65% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$22,044 | $14,572 | -60% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$71,058 | $39,642 | -60% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$89,850 | $53,930 | -60% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,398 | $686 | -55% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$17,517 | $9,255 | -55% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$19,871 | $11,010 | -54% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$19,310 | $8,753 | -53% |
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.