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State Price Transparency Index 61 Mapped Hospitals 133 Shoppable Procedures +24% vs. U.S. Median (above the U.S. average)

Washington Hospital Rates

Compare cash discount rates, commercial insurance prices, and fair price benchmarks across all 61 Washington hospitals.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.24×vs. U.S. Fair Price Average
Position vs. 1.00× Fair Price+24% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Across 61 Washington hospitals, typical commercial prices average +24% above the U.S. fair price (1.24×) after accounting for local wages.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Washington Market & Best ValueSummarizes statewide hospital price coverage across Washington, the average commercial markup over federal Medicare rates, and the #1 best-value hospital in the state.61 Hospitals · 133 Procedures
Hospitals Priced61 in WATotal hospitals in Washington with verified machine-readable price disclosures indexed in the Crystal.
Avg vs. Medicare1.5× MedicareAverage commercial insurance negotiated rate across Washington hospitals compared to what federal Medicare pays for the same procedure.
Best Value in WA0.35× FairLowest confounder-adjusted hospital in Washington: Skyline Hospital (White Salmon) at 0.35× fair market price.

Most affordable Washington hospital: Skyline Hospital (White Salmon) at 0.35× the fair price (65% below benchmark).

Statewide Hospital Pricing Fingerprint61 Washington Hospitals Analyzed

Washington Statewide Hospital Pricing Summary

Across 61 reporting hospitals and 133 shoppable procedures in Washington, typical commercial insurance rates sit at 1.24× the U.S. fair price average (1.5× federal Medicare rates). However, prices vary by 6.4× across the state — from 0.35× fair price at the most affordable hospitals up to 2.23× at high-markup facilities.

State Price Index: 1.24× U.S. Fair AverageAvg Commercial Rate: 1.5× Medicare
Advantage

Best Value in Washington (Lowest-Priced Hospitals & Patient Edge)

  • Best-value hospital in Washington: Skyline Hospital (White Salmon) prices care at 0.35× the fair price benchmark.
  • Additional low-cost leaders include Newport Community Hospital (Newport, 0.38× fair) and Jefferson Healthcare (0.44× fair).
  • Bottom-quartile Washington hospitals (Q25) charge 0.96× the fair price or less — comparing quotes before scheduling elective care saves 25%–45%.
  • Nonprofit 501(c)(3) hospitals across Washington must provide free or discounted charity care under federal 26 U.S.C. § 501(r) income rules.
Watchout

Where Washington Patients Get Burned (High-Markup Traps)

  • Highest-markup Washington facilities reach 2.9× Medicare (St Elizabeth Hospital in Enumclaw, Wellfound Behavioral Health Hospital).
  • Prices for the exact same procedure swing 6.4× between the lowest-priced (0.35×) and highest-priced (2.23×) hospitals in Washington.
  • Emergency room, lab, and outpatient surgery facility fees carry significantly higher markups than pre-scheduled imaging or freestanding centers.
Most Affordable WA Hospitals (Bottom 25%)Best Value Tier
0.35× – 0.96× Fair

Led by Skyline Hospital (White Salmon) at 0.35× fair price.

Typical Washington Hospital (State Median)1.5× Medicare
1.17× Fair Price

Middle-of-the-pack commercial rate across all 61 Washington hospitals.

Highest-Markup WA Hospitals (Top 25%)6.4× State Spread
1.59× – 2.23× Fair

Highest-priced quarter of Washington hospitals where shopping around saves the most.

Washington County Price & Affordability Heatmap 25 of 39 Counties with MRF Hospital Data

Washington County-Level Hospital Price & Affordability Heatmap

Hospital price index, Medicare markup, and household affordability burden across 39 counties in Washington

<0.94× Affordable 0.94–1.06× Near Avg 1.06–1.20× Elevated >1.20× High-Markup
King County13hosps
1.44× Fair
Income $122k
Pierce County7hosps
1.55× Fair
Income $97k
Spokane County5hosps
1.25× Fair
Income $74k
Benton County4hosps
0.99× Fair
Income $87k
Adams County2hosps
0.73× Fair
Income $65k
Chelan County2hosps
0.81× Fair
Income $78k
Skagit County2hosps
0.85× Fair
Income $85k
Klickitat County2hosps
0.91× Fair
Income $70k
Yakima County2hosps
0.96× Fair
Income $68k
Clallam County2hosps
1.08× Fair
Income $68k
Lewis County2hosps
1.14× Fair
Income $70k
Snohomish County2hosps
1.31× Fair
Income $108k
Thurston County2hosps
1.66× Fair
Income $94k
Pend Oreille County1hosp
0.38× Fair
Income $64k
Jefferson County1hosp
0.44× Fair
Income $71k
Kittitas County1hosp
0.54× Fair
Income $70k
Lincoln County1hosp
0.90× Fair
Income $71k
Cowlitz County1hosp
1.03× Fair
Income $73k
Whatcom County1hosp
1.12× Fair
Income $81k
Whitman County1hosp
1.14× Fair
Income $53k
Walla Walla County1hosp
1.17× Fair
Income $72k
Kitsap County1hosp
1.24× Fair
Income $99k
Garfield County1hosp
1.24× Fair
Income $62k
Clark County1hosp
1.26× Fair
Income $95k
Showing top 24 counties with hospital price filings of 39 total in Washington

All Hospitals in Washington (61)

Ranked by how their commercial prices compare to the fair BaseRate — best value first. Select any hospital to inspect its full procedure price list.

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Compare Prices by Procedure in Washington (133)

High-impact surgeries, scans, and hospital stays are listed first with the typical Washington price. Search any procedure below.

Browse Washington by Metro Area

Local hospital comparison pages for each Washington regional market.

Which Insurers Negotiate Prices in Washington

Across the 62 Washington hospitals that publish negotiated rates, here is how many hospitals each major insurance carrier has an in-network contract with.

Blue Cross Blue Shield 58 of 62 hospitals
Aetna 55 of 62 hospitals
Cigna 54 of 62 hospitals
UnitedHealthcare 54 of 62 hospitals
Kaiser Permanente 42 of 62 hospitals
Humana 38 of 62 hospitals

Also negotiating in Washington: Molina (51) · Amerigroup (24) · Ambetter (Centene) (20) · WellCare (19) · Providence Health Plan (15) · Health Net (10).

Prices are sourced from each hospital's federally-required public price file, most recently published October 2026. The BaseRate is a modeled fair-price estimate — not a bill or quote. How we build these numbers →