24%
Publish usable prices
Grades A or B
22%
No usable file found
Grade F
C
Average grade
across 85 mandated hospitals
20
of 85
with usable prices we could parse

Under the federal Hospital Price Transparency Rule, every general acute care hospital in the United States is required to publish a machine-readable file (MRF) listing its standard charges for at least 300 shoppable services. The rule took effect in January 2021, but enforcement has been uneven. CareRanks checks each Washington hospital's MRF on a monthly cycle and assigns a letter grade reflecting what we could find and parse: whether a machine-readable file exists at the hospital's published location, and how much usable pricing it contains.

In Washington, 85 of the 119 facilities reviewed are subject to the rule (VA hospitals, federal psychiatric facilities, children's hospitals, and long-term acute care facilities are exempt or fall under separate transparency programs). Of those, 20 have published comprehensive pricing files that include negotiated rates or cash-pay prices on 25 or more distinct DRGs — earning a Grade A or B. For 19 hospitals we could not locate a usable machine-readable file, which earns a Grade F — that can mean no file is published, or that it is published somewhere our crawler could not find or read.

Use the table below to compare grades, see MRF status, and follow the source link to each hospital's published file. Click a column header to sort. If you spot an out-of-date MRF link or a hospital that should be re-graded, use the "Report an error" link at the bottom of any hospital profile.

85 Washington hospitals graded
Hospital City Grade MRF status Source
Bhc Fairfax Hospital Kirkland N/A Not mandated Hospital site ↗
Chi Franciscan Rehabilitation Hospital Tacoma N/A Not mandated
Confluence Health Hospital (Inpatient Rehab) Wenatchee N/A Not mandated
Eastern State Hospital Medical Lake N/A Not mandated Hospital site ↗
Evergreen Healthcare Kirkland N/A Not mandated
Harborview Medical Center (Inpatient Rehab) Seattle N/A Not mandated
Inland Northwest Behavioral Health Spokane N/A Not mandated
Kindred Hospital-Seattle Seattle N/A Not mandated
Lourdes Counseling Center Richland N/A Not mandated Hospital site ↗
Lourdes Medical Center (Inpatient Rehab) Pasco N/A Not mandated
Madigan AMC (FT Lewis) Joint Base Lewis-McChord N/A Not mandated
Mary Bridge Children's Hospital Tacoma N/A Not mandated
Multicare Auburn Medical Center (Inpatient Rehab) Auburn N/A Not mandated
Multicare Good Samaritan Hospital (Inpatient Rehab) Puyallup N/A Not mandated
Navos - Inpatient Services Seattle N/A Not mandated Hospital site ↗
Overlake Hospital Medical Center Bellevue N/A Not mandated
Peacehealth United General Sedro-Woolley N/A Not mandated
Providence Centralia Hospital (Inpatient Rehab) Centralia N/A Not mandated
Providence St Luke's Rehabilitation Medical Center Spokane N/A Not mandated
Providence St Mary Medical Center (Inpatient Rehab) Walla Walla N/A Not mandated
Providence Swedish Rehabilitation Hospital Lynnwood N/A Not mandated
Rainier Springs Vancouver N/A Not mandated
Seattle Children's Hospital Seattle N/A Not mandated Hospital site ↗
Seattle VA Medical Center (va Puget Sound Healthcare System) Seattle N/A Not mandated Hospital site ↗
Shriners Hospital for Children Spokane N/A Not mandated Hospital site ↗
Smokey Point Behavioral Hospital Marysville N/A Not mandated Hospital site ↗
South Sound Behavioral Hospital Lacey N/A Not mandated Hospital site ↗
Southwest Washington Medical Center Vancouver N/A Not mandated
Spokane VA Medical Center Spokane N/A Not mandated Hospital site ↗
St Joseph Hospital Bellingham N/A Not mandated
St. Joseph Medical Center (Inpatient Rehab) Tacoma N/A Not mandated
Swedish Medical Center (Inpatient Rehab) Seattle N/A Not mandated
University of Washington Medical Center Seattle N/A Not mandated
Wellfound Behavioral Health Hospital Tacoma N/A Not mandated Hospital site ↗
Cascade Valley Hospital Arlington No MRF found Hospital site ↗
EvergreenHealth Medical Center Kirkland Kirkland No MRF found Hospital site ↗
EvergreenHealth Monroe Monroe No MRF found Hospital site ↗
Grays Harbor Community Hospital Aberdeen No MRF found Hospital site ↗
Highline Medical Center Burien No MRF found Hospital site ↗
Legacy Salmon Creek Medical Center Vancouver No MRF found Hospital site ↗
Lincoln Hospital Davenport No MRF found Hospital site ↗
Mason General Hospital & Family of Clinics Shelton No MRF found Hospital site ↗
Mid Valley Hospital Omak No MRF found Hospital site ↗
North Valley Hospital Tonasket No MRF found Hospital site ↗
Ocean Beach Hospital Ilwaco No MRF found Hospital site ↗
Samaritan Hospital Moses Lake No MRF found Hospital site ↗
Skagit Valley Hospital Mount Vernon No MRF found Hospital site ↗
Skyline Hospital White Salmon No MRF found Hospital site ↗
Summit Pacific Medical Center Elma No MRF found Hospital site ↗
Tri-State Memorial Hospital Clarkston No MRF found Hospital site ↗
University of Washington Medical Center Seattle No MRF found Hospital site ↗
WhidbeyHealth Medical Center Coupeville No MRF found Hospital site ↗
Whitman Hospital & Medical Clinics Colfax No MRF found Hospital site ↗
Astria Sunnyside Hospital Sunnyside MRF published Hospital site ↗
Astria Toppenish Hospital Toppenish MRF published Hospital site ↗
Cascade Medical Leavenworth MRF published Hospital site ↗
Columbia Basin Hospital Ephrata MRF published Hospital site ↗
Confluence Health Hospital (Acute Care) Wenatchee MRF published Hospital site ↗
Coulee Medical Center Grand Coulee MRF published Hospital site ↗
Dayton General Hospital Dayton MRF published Hospital site ↗
Ferry County Memorial Hospital Republic MRF published Hospital site ↗
Garfield County Hospital District Pomeroy MRF published Hospital site ↗
Kadlec Regional Medical Center Richland MRF published Hospital site ↗
Kaiser Permanente Bellevue Medical Center Seattle MRF published Hospital site ↗
Klickitat Valley Hospital Goldendale MRF published Hospital site ↗
Newport Community Hospital Newport MRF published Hospital site ↗
Odessa Memorial Healthcare Center Odessa MRF published Hospital site ↗
PeaceHealth Peace Island Medical Center Friday Harbor MRF published Hospital site ↗
PeaceHealth St. Joseph Medical Center Bellingham MRF published Hospital site ↗
PeaceHealth United General Medical Center Sedro Woolley MRF published Hospital site ↗
Prov Sacred Hrt Medical Center & Childs Hospital Spokane MRF published Hospital site ↗
Providence Centralia Hospital (Acute Care) Centralia MRF published Hospital site ↗
Providence Holy Family Hospital Spokane MRF published Hospital site ↗
Providence Mount Carmel Hospital Colville MRF published Hospital site ↗
Providence Regional Medical Center Everett Everett MRF published Hospital site ↗
Providence St. Joseph's Hospital Chewelah MRF published Hospital site ↗
Providence St. Mary Medical Center (Acute Care) Walla Walla MRF published Hospital site ↗
Providence St. Peter Hospital Olympia MRF published Hospital site ↗
Quincy Valley Medical Center Quincy MRF published Hospital site ↗
Snoqualmie Valley Health - Hospital Snoqualmie MRF published Hospital site ↗
Swedish Edmonds Campus Edmonds MRF published Hospital site ↗
Swedish Issaquah Campus Issaquah MRF published Hospital site ↗
Swedish Medical Center (Acute Care) Seattle MRF published Hospital site ↗
Swedish Medical Center / Cherry Hill Seattle MRF published Hospital site ↗
Three Rivers Hospital Brewster MRF published Hospital site ↗
MultiCare Capital Medical Center Olympia MRF published Hospital site ↗
Deaconess Medical Center Spokane MRF published Hospital site ↗
Harborview Medical Center (Acute Care) Seattle MRF published Hospital site ↗
MultiCare Auburn Medical Center (Acute Care) Auburn MRF published Hospital site ↗
MultiCare Covington Medical Center Covington MRF published Hospital site ↗
MultiCare Good Samaritan Hospital (Acute Care) Puyallup MRF published Hospital site ↗
Multicare Valley Hospital Spokane Valley MRF published Hospital site ↗
Overlake Hospital Medical Center & Clinics Bellevue MRF published Hospital site ↗
PeaceHealth Southwest Medical Center Vancouver MRF published Hospital site ↗
PeaceHealth St. John Medical Center Longview MRF published Hospital site ↗
Prosser Memorial Hospital Prosser MRF published Hospital site ↗
St. Michael Medical Center Silverdale MRF published Hospital site ↗
MultiCare Allenmore Hospital Tacoma MRF published Hospital site ↗
MultiCare Yakima Memorial Hospital Yakima MRF published Hospital site ↗
East Adams Rural Healthcare Ritzville MRF published Hospital site ↗
Lourdes Medical Center (Critical Access) Pasco MRF published Hospital site ↗
Olympic Medical Center Port Angeles MRF published Hospital site ↗
Willapa Harbor Hospital South Bend MRF published Hospital site ↗
Arbor Health—Morton Hospital Morton MRF published Hospital site ↗
Forks Community Hospital Forks MRF published Hospital site ↗
Island Hospital Anacortes MRF published Hospital site ↗
Jefferson Healthcare Port Townsend MRF published Hospital site ↗
Kittitas Valley Healthcare Ellensburg MRF published Hospital site ↗
Lake Chelan Health Hospital Chelan MRF published Hospital site ↗
Othello Community Hospital Othello MRF published Hospital site ↗
Pullman Regional Hospital Pullman MRF published Hospital site ↗
St. Anthony Hospital Gig Harbor MRF published Hospital site ↗
St. Clare Hospital Lakewood MRF published Hospital site ↗
St. Elizabeth Hospital Enumclaw MRF published Hospital site ↗
St. Francis Hospital Federal Way MRF published Hospital site ↗
St. Joseph Medical Center (Acute Care) Tacoma MRF published Hospital site ↗
Trios Health Southridge Hospital Kennewick MRF published Hospital site ↗
Valley Medical Center Renton MRF published Hospital site ↗
Virginia Mason Medical Center Seattle MRF published Hospital site ↗
About the grades

CareRanks grades reflect the depth and usability of a hospital's Machine-Readable File under the federal Hospital Price Transparency Rule:

  • A — MRF published with negotiated rates or cash-pay prices on 25 or more distinct DRGs.
  • B — MRF published with negotiated or cash prices on fewer than 25 DRGs.
  • C — MRF published, but priced rows include only gross charges (no cash or negotiated rates).
  • D — MRF exists in our archive, but no priced rows could be parsed.
  • F — No MRF found, despite the federal mandate.
  • One letter lower (A→B, B→C, C→D) — when the file we found does not identify this hospital by name and street address, naming its health system or another facility instead; the rule requires each hospital location to be identifiable. Combined system files that list the location are not penalized.
  • N/A — Not mandated (VA, federal psychiatric, children's, long-term acute care).