The Price of a Heartbeat Cardiac rehab across the United States

Compare every state in a table

Washington, up close

Your hospital Hospitals of the same type Other Washington hospitals Medicare rate

Where your hospital sits, service by service

Each row is one billing code. The ticks are Washington hospitals’ typical contracted rate; the comparison is with hospitals of the same type. Select a row to see its insurer contracts below.

What closing the price gap is worth

Each insurer’s rate at your hospital against the same insurer’s typical rate at peer hospitals. Enter your department’s annual volume per insurer to see the revenue difference.

What each insurer pays across Washington

Who starts and who finishes, county by county

Medicare patients eligible for cardiac rehab after a heart attack, bypass, stent or similar event, 2019–2020 (CDC). Bars show sessions attended per starter against the 36-session program.

Your program

What more patients and more sessions are worth.

Forecast with your department’s data

One row per month: month,referrals,enrollments,sessions, with month as YYYY-MM. At least 12 months; 24 or more lets the model learn seasonality. Your numbers stay in this tab and are not saved or uploaded.

How these numbers are built
  • Prices. Hospital price-transparency files compiled in the Oria lake (Trilliant Health, snapshot ). Only fee-schedule contract rates from commercial plans are used; Medicare Advantage, Medicaid and traditional Medicare contracts are classified from plan names and left out. Rows labeled as professional fees are excluded, and so are rates under 25% of Medicare, which are almost always physician fees or unit errors. A state’s price is the median across its price files, each file’s rate being its median across commercial contracts; states with fewer than 10 files are left blank. Some states’ commercial rates come out unusually low (Texas is about $79 a session), which more likely reflects how their hospitals file rates than what plans actually pay.
  • Patients. CDC Interactive Atlas of Heart Disease and Stroke, Medicare fee-for-service, 2019–2020. Participation is the share of eligible patients with at least one session within a year of their event; completion is the share of starters reaching 36 sessions. The CDC publishes these by county only, so a state’s value here is its typical (median) county, not a patient-weighted average. Small counties are suppressed by the CDC.
  • Unbilled Medicare sessions per 100 eligible patients compare today’s participation × sessions with the Million Hearts goal of 70% participation and a full 36-session program, valued at Medicare’s 2026 rate of $131.70 per session.
  • Hospitals with cardiac rehab are CDC’s 2022 map layer (2,210 sites, 22 not assignable to a state).
  • Washington detail. “Typical rate” is the median of a hospital’s fee-schedule rates across its insurer contracts. Peers are hospitals of the same CMS type; each price file counts once, however many campuses it covers. Insurer comparisons need at least hospitals with that insurer.
  • Your program. Without your data, figures are per 100 eligible Medicare patients in the chosen state’s typical county, using CDC participation and sessions and that state’s commercial price; US top quarter means the 75th-percentile county (47.5% start, 27 sessions). With your monthly data, sessions are fitted with a linear trend plus month-of-year seasonality (24+ months), checked on the last 6 months held out, and projected 12 months with an 80% range. Levers scale referrals × enrollment × sessions per patient, phased in over 6 months.
  • Medicare is the national OPPS payment for 2026 (October update), not adjusted for local wages. A published rate is a contract term, not proof of what was paid.

Preview limits. Washington hospital matches were reviewed facility by facility against CMS records (74 accepted, 20 rejected as ERs, clinics or data errors) and await the author’s final sign-off. UW Medical Center and Harborview do not appear in the price data.

Disclosure. Built by a clinical exercise physiologist employed by UW Medicine, from public data only.