39/100
#1,624 nationally
Peacehealth Southwest Medical Cente
400 Ne Mother Joseph Place, Vancouver, WA 98664 · (360) 256-2000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Peacehealth Southwest Medical Cente billed $5.05 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
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 122
- inpatient and outpatient combined
- Rank in WA
- #28
- 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 37% of U.S. hospitals.
Better than 47% of U.S. hospitals.
Better than 35% of U.S. hospitals.
Better than 37% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
254 | $82,066 | $18,095 | +26% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
231 | $29,582 | $2,800 | +52% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
161 | $53,743 | $12,005 | +24% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
154 | $155,165 | $24,550 | +17% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
153 | $72,369 | $13,548 | +16% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
138 | $6,890 | $2,431 | -41% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
125 | $26,249 | $3,425 | +4% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
121 | $80,384 | $18,101 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
119 | $10,805 | $1,678 | +7% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
118 | $36,830 | $7,405 | -8% |
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 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$64,110 | $7,176 | +145% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$202,790 | $21,318 | +99% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$190,065 | $18,357 | +99% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
$187,335 | $24,673 | +86% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$20,784 | $1,686 | +85% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$50,710 | $5,429 | +85% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$20,882 | $2,026 | +84% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$122,550 | $11,021 | +81% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$6,890 | $2,431 | -41% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$22,982 | $8,911 | -39% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$15,076 | $5,484 | -38% |
|
Implantation of Drug Infusion Device
APC 5471 · Hospital outpatient visit |
$46,084 | $18,669 | -38% |
|
Respiratory System Diagnosis with Ventilator Support >96 Hours
MS-DRG 207 · Inpatient stay |
$179,189 | $54,833 | -30% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$59,070 | $17,483 | -25% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
$182,920 | $60,347 | -24% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$88,109 | $32,482 | -22% |
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.