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Public Hospital District 1 of King County

General Acute Care Hospital·Renton, WA·NPI: 1649209230Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $120.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$120.8M

$120,790,195

Total Claims

3.3M

Beneficiaries

2.6M

1.2 claims/patient

Avg Cost/Claim

$37

#994 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Public Hospital District 1 of King County is a General Acute Care Hospital provider based in Renton, WA. From the 2018–2024 period, this provider received $120.8M in Medicaid payments across 3.3M claims.

Important Context

  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.

Why This Matters

This provider received $120.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,098 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 16% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$17.9M
+0%
2019
$18.0M
-11%
2020
$16.0M
+12%
2021
$18.0M
+1%
2022
$18.1M
-3%
2023
$17.6M
-14%
2024
$15.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 32% of total spending.

G0463Top 10%

Hospital outpatient clinic visit

$38.1M

419K claims · 31.6%

Your Cost: $91.02/claim|Median: $26.41
3.5× median
96361Top 25%

IV infusion, hydration, each additional hour

$12.6M

45K claims · 10.4%

Your Cost: $280.81/claim|Median: $38.92
7.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$7.6M

72K claims · 6.3%

Your Cost: $106.16/claim|Median: $42.48
2.5× median
99284Normal range

Emergency dept visit, high complexity

$4.3M

73K claims · 3.6%

Your Cost: $59.27/claim|Median: $69.51
0.8× median
99282Top 25%

Emergency dept visit, low complexity

$4.2M

38K claims · 3.5%

Your Cost: $111.70/claim|Median: $37.72
3.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.1M

51K claims · 2.6%

Your Cost: $60.64/claim|Median: $85.65
0.7× median
74177Normal range

CT abdomen and pelvis with contrast

$2.3M

16K claims · 1.9%

Your Cost: $138.97/claim|Median: $65.76
2.1× median
70450Top 25%

CT head/brain without contrast

$2.0M

16K claims · 1.6%

Your Cost: $122.02/claim|Median: $45.53
2.7× median
97530Normal range

Therapeutic activities, each 15 min

$1.8M

44K claims · 1.5%

Your Cost: $41.75/claim|Median: $33.11
1.3× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$1.8M

16K claims · 1.5%

Your Cost: $113.28/claim|Median: $61.57
1.8× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$1.5M

9K claims · 1.3%

Your Cost: $176.88/claim|Median: $40.12
4.4× median
92507Normal range

Speech/hearing/language treatment

$1.5M

35K claims · 1.3%

Your Cost: $44.22/claim|Median: $49.45
0.9× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$1.5M

19K claims · 1.3%

Your Cost: $82.57/claim|Median: $54.77
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.4M

30K claims · 1.1%

Your Cost: $46.11/claim|Median: $39.70
1.2× median
59025Top 10%

Fetal non-stress test

$1.3M

9K claims · 1.1%

Your Cost: $143.74/claim|Median: $26.45
5.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.3M

18K claims · 1.0%

Your Cost: $70.18/claim|Median: $63.08
1.1× median
43239Top 25%

Upper GI endoscopy with biopsy

$1.2M

4K claims · 1.0%

Your Cost: $294.65/claim|Median: $151.68
1.9× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$1.1M

6K claims · 0.9%

Your Cost: $186.84/claim|Median: $54.68
3.4× median
45380Normal range

Colonoscopy with biopsy

$1.1M

3K claims · 0.9%

Your Cost: $339.39/claim|Median: $200.68
1.7× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$1.0M

267 claims · 0.8%

Your Cost: $3,777.33/claim|Median: $5,391.55
0.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.0M

6K claims · 0.8%

Your Cost: $159.87/claim|Median: $60.19
2.7× median
97110Normal range

Therapeutic exercises, each 15 min

$988K

51K claims · 0.8%

Your Cost: $19.42/claim|Median: $24.49
0.8× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$765K

2K claims · 0.6%

Your Cost: $500.61/claim|Median: $233.73
2.1× median
76705Top 25%

Ultrasound, abdominal, limited

$734K

9K claims · 0.6%

Your Cost: $80.34/claim|Median: $23.81
3.4× median
70553Normal range

MRI brain without contrast, then with contrast

$722K

4K claims · 0.6%

Your Cost: $202.30/claim|Median: $133.68
1.5× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$717K

2K claims · 0.6%

Your Cost: $341.82/claim|Median: $255.17
1.3× median
76830Top 25%

Ultrasound, transvaginal

$701K

8K claims · 0.6%

Your Cost: $83.63/claim|Median: $57.47
1.5× median
70551Normal range

MRI brain without contrast

$636K

4K claims · 0.5%

Your Cost: $162.48/claim|Median: $85.39
1.9× median
77412Top 10%

$623K

1K claims · 0.5%

Your Cost: $451.35/claim|Median: $111.69
4.0× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$584K

3K claims · 0.5%

Your Cost: $188.60/claim|Median: $470.36
0.4× median

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