34/100
#1,777 nationally
Overlake Hospital Medical Center & Clinics
1035-116Th Ave Ne, Bellevue, WA 98004 · (425) 688-5000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Overlake Hospital Medical Center & Clinics billed $5.83 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
- 5.8x
- volume-weighted across all its priced work
- Procedures priced
- 106
- inpatient and outpatient combined
- Rank in WA
- #36
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 27% of U.S. hospitals.
Better than 47% of U.S. hospitals.
Better than 32% of U.S. hospitals.
Better than 34% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
644 | $20,728 | $2,765 | +7% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
459 | $89,240 | $13,290 | +43% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
324 | $126,750 | $24,120 | -4% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
184 | $10,923 | $2,370 | -7% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
158 | $71,368 | $17,151 | +9% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
147 | $10,910 | $1,634 | +8% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
140 | $22,600 | $3,299 | -10% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
139 | $54,923 | $10,604 | +27% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
118 | $52,694 | $5,853 | +50% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
80 | $63,463 | $7,233 | +59% |
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 |
|---|---|---|---|
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$123,875 | $22,090 | +159% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
$163,247 | $19,500 | +119% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$40,979 | $3,306 | +101% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$111,345 | $10,003 | +86% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
$182,996 | $20,852 | +82% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$42,311 | $3,533 | +82% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$129,908 | $15,766 | +62% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$137,950 | $18,127 | +61% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$35,985 | $10,840 | -34% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$25,445 | $8,674 | -33% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$36,357 | $10,708 | -29% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$110,196 | $33,494 | -26% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$8,826 | $1,733 | -23% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
$72,533 | $17,767 | -23% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$40,021 | $10,912 | -22% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$78,348 | $19,851 | -18% |
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.