The Bill Rate Index What the hour costs, and who keeps it
171 facilities · most recent filing each

What Washington pays for an agency hour.

Hospitals and nursing homes in Washington, each against what it pays its own staff. Every figure below was filed by the facility itself.

Hospitals, FY2025
43% median premium
across 49 hospitals · national median 85%
Nursing homes, FY2025
118% median premium
across 122 nursing homes · national median 100%

Every hospital on record

49 hospitals, most recent filing each. In FY2025 the typical one paid 43% more for an hour of contract staff than for an hour of its own, against a national median of 85%.

HospitalCityEmployed hourContract hourPremiumYear
Wenatchee Valley HospitalWenatchee$36.11$146.43FY2023
Island HospitalAnacortes$50.60$173.86FY2024
Samaritan HospitalMoses Lake$37.68$109.65FY2024
Legacy Salmon Creek HospitalVancouver$43.71$114.69FY2024
Confluence HealthWenatchee$44.36$108.62FY2024
Yakima Valley Memorial HospitalYakima$57.08$130.32FY2025
Kindred Hospital First HillSeattle$49.09$108.94FY2021
Phd#1 Dba Skagit Valley HospitalMount Vernon$61.96$136.89FY2024
Olympic Medical CenterPort Angeles$48.36$97.59FY2025
Evergreen Health MonroeMonroe$52.18$103.01FY2024
Cascade Valley HospitalArlington$56.90$109.02FY2024
Deaconess Medical CenterSpokane$59.97$111.58FY2025
Trios HealthKennewick$53.50$95.36FY2025
Grays Harbor Community HospitalAberdeen$55.47$98.64FY2024
Valley Hospital & Medical CenterSpokane$61.11$108.00FY2025
Northwest Washington RehabilitationLynnwood$58.21$101.15FY2024
Harrison Medical CenterSiverdale$56.21$97.14FY2024
Highline Medical CenterSeattle$58.34$99.12FY2024
Kadlec Regional Medical CenterRichland$53.76$90.88FY2024
Evergreen HealthcareKirkland$63.86$103.28FY2024
Peacehealth Southwest Medical CenterVancouver$62.25$97.85FY2024
Tacoma General Allenmore HospitalTacoma$66.64$103.32FY2025
St. John Medical CenterLongview$62.29$96.14FY2024
Chi Franciscan Rehabilitation HospitTacoma$47.32$71.32FY2024
St. Joseph Medical CenterBellingham$64.10$94.10FY2024
Multicare Auburn Medical CenterAuburn$65.62$95.73FY2025
Multicare Covington Medical CenterCovington$62.83$90.91FY2025
Capital Medical CenterOlympia$61.57$87.16FY2025
Toppenish Community HospitalToppenish$53.99$76.44FY2025
Overlake Hospital Medical CenterBellevue$68.52$95.51FY2024
Valley Medical CenterRenton$67.23$92.46FY2024
Good Samaritan HospitalPuyallup$67.89$93.07FY2025
St Joseph Medical CenterTacoma$60.06$81.43FY2024
St Francis HospitalFederal Way$61.24$82.21FY2024
Providence Centralia HospitalCentralia$54.54$68.13FY2025
St Clare HospitalLakewood$57.26$71.20FY2024
St Anthony HospitalGig Harbor$59.75$73.00FY2024
Providence Holy Family HospitalSpokane$48.41$56.05FY2024
Virginia Mason Medical CenterSeattle$72.93$81.97FY2024
Harborview Medical CenterSeattle$58.69$65.37FY2024
University Of Washington Med CtrSeattle$61.12$67.68FY2024
Prov St Mary Medical CenterWalla Walla$47.68$50.99FY2024
Swedish IssaquahIssaquah$60.71$64.73FY2025
Swedish EdmondsEdmonds$59.73$63.01FY2025
Prov Regl Med Center EverettEverett$54.46$55.59FY2024
Prov Sacred Heart Medical CenterSpokane$54.91$54.12FY2024
Swedish Medical Center Cherry HillSeattle$60.46$59.33FY2025
Providence St. Peter HospitalOlympia$51.23$48.70FY2024
Swedish Medical CenterSeattle$63.68$59.70FY2025

Every nursing home on record

122 nursing homes, most recent filing each. In FY2025 the typical one paid 118% more for an hour of contract staff than for an hour of its own, against a national median of 100%.

Nursing homeCityEmployed hourContract hourPremiumYear
Josephine Caring CommunityStanwood$36.09$154.30FY2024
Rockwood SouthSpokane$28.24$118.62FY2024
Regency Omak Rehab & Nursing CenterOmak$24.82$99.80FY2022
Willapa Harbor CareRaymond$20.49$81.22FY2022
Sharon Care CenterCentralia$31.23$120.74FY2023
Regency At The ParkCollege Place$32.13$123.63FY2024
Regency Harmony House RehabilitationBrewster$26.93$102.76FY2024
Willow Springs Care IncYakima$31.05$111.44FY2024
Othello Nursing & RehabOthello$20.83$72.47FY2022
Washington Care CenterSeattle$26.52$88.00FY2024
Spokane Health & RehabilitationSpokane$25.36$78.32FY2024
Regency Coupeville Rehab & Nsg CtrCoupeville$30.71$93.67FY2024
Park Rose Care CenterTacoma$32.39$97.63FY2024
Pullman CarePullman$22.90$68.85FY2022
Regency Care Center At MonroeMonroe$29.91$88.59FY2023
Arcadia Medical Resort Of ParksideUnion Gap$32.01$92.97FY2023
Garden VillageYakima$27.96$80.99FY2024
Bothell Health CareBothell$38.53$109.46FY2024
Springs At Pacific Regent-bellevueBellevue$29.13$80.83FY2023
Life Care Center Of Federal WayFederal Way$32.60$89.07FY2024
Landmark Care CenterYakima$32.67$88.74FY2024
Good Samaritan Health Care CenterYakima$27.46$72.47FY2023
Cheney Care CenterCheney$28.08$72.81FY2024
Woodland Convalescent CenterWoodland$27.83$71.24FY2024
Heartwood Extended Health CareTacoma$33.84$84.36FY2024
Mirabella SeattleSeattle$30.45$75.75FY2024
Garden Terrace WaFederal Way$34.50$84.22FY2024
Ltc Division Of North Valley HospitaTonasket$32.95$78.99FY2024
Life Care Center Of KennewickKennewick$31.96$76.32FY2024
Avalon Health & Rehab Center - PascoPasco$31.15$73.54FY2024
Life Care Center Of RichlandRichland$32.54$75.97FY2024
Park ShoreSeattle$32.48$74.28FY2024
Manor Park Healthcare LlcWalla Walla$34.49$77.96FY2024
Grays Harbor Care CenterAberdeen$32.01$71.86FY2024
The Terrace At SkylineSeattle$30.71$68.95FY2024
Regency Canyon Lakes Rehab & Nsg CtrKennewick$32.80$73.56FY2024
Marysville Care CenterMarysville$35.80$79.66FY2024
Touchmark On South HillSpokane$32.80$72.86FY2024
Life Care Center Of PuyallupPuyallup$32.62$71.90FY2024
Cottesmore Of Life CareGig Harbor$33.64$74.08FY2024
Life Care Center Of Skagit ValleySedro Wooley$35.52$78.18FY2024
Life Care Center Of Mount VernonMount Vernon$33.71$74.16FY2024
Life Care Center Of Port TownsendPort Townsend$31.54$69.19FY2024
Cascades At St. AnneSeattle$32.46$70.88FY2025
Life Care Center Of KirklandKirkland$37.55$81.44FY2024
Benson Heights Rehabilitation CenterKent$32.13$69.62FY2024
Alaska Gardens Health And RehabTacoma$25.26$54.32FY2024
Woodard Creek Healthcare LlcOlympia$35.74$76.35FY2024
Buena Vista HealthcareColville$30.47$65.00FY2024
Regency Olympia Rehab & NursingOlympia$30.19$63.97FY2024
Lake Washington Healthcare Inc.Shoreline$36.88$77.93FY2023
Regency Wenatchee Rehab & Nursing CtWenatchee$28.96$59.34FY2023
Olympic Marmot Healthcare LlcBremerton$33.35$67.95FY2024
Lacey Post Acute & RehabilitationLacey$25.46$51.34FY2024
Colville Of Cascadia LlcColville$31.07$62.50FY2024
Clarkston Of CascadiaClarkston$33.93$67.92FY2024
North Central Care CenterSpokane$35.49$70.87FY2024
Birch Creek Post Acute & RehabilitaiTacoma$24.01$47.86FY2024
Life Care Center Of Port OrchardPort Orchard$32.29$64.30FY2024
Colfax Of Cascadia LlcColfax$34.10$67.27FY2024
Frontier Rehab & Extended Care FacilLongview$32.49$62.72FY2024
Hallmark ManorFederal Way$33.32$63.68FY2024
Life Care Center Of South HillPuyallup$35.64$67.47FY2024
Avalon Care Center-federal Way LlcFederal Way$35.54$67.25FY2024
Briarwood At Timber RidgeIssaquah$30.41$57.47FY2024
Linden Grove Health Care CenterPuyallup$25.56$47.42FY2024
Hoquiam Healthcare Inc.Hoquiam$34.68$64.07FY2024
Covenant Shores Health CenterMercer Island$36.64$67.64FY2024
Avalon Care Center - NorthpointeSpokane$33.59$61.81FY2024
Gig Harbor Health & RehabilitationGig Harbor$25.58$46.58FY2024
Colonial Vista Post AcuteWenatchee$33.20$59.93FY2024
Regency At NorthpointeSpokane$33.44$60.36FY2024
American Lake Healthcare Inc.Lakewood$34.14$60.53FY2022
Soundview Rehabilitation And HealthAnacortes$38.98$66.12FY2024
Mountian View Post AcuteEllensburg$32.45$54.98FY2024
Eagle Harbor Healthcare LlcBainbridge Island$38.30$64.47FY2024
Americana Health & RehabLongview$34.74$58.04FY2024
Lynnwood Health Services Inc.Lynnwood$40.41$66.46FY2024
Bayview Manor HomesSeattle$40.29$65.24FY2023
Alderwood ManorSpokane$33.99$54.98FY2024
Washington Soldiers HomeOrting$37.16$60.06FY2024
Union Hill Healthcare Inc.Redmond$44.35$70.69FY2024
South Creek Post AcuteCentralia$32.70$51.81FY2024
Richland Post AcuteRichland$36.63$57.96FY2024
Beacon Hill Healthcare Inc.Longview$30.03$47.42FY2022
Terraces At SummitviewYakima$28.53$44.97FY2024
Royal Park Health And RehabilitationSpokane$31.33$48.82FY2024
Highland Health And Rehabilitation OBellingham$36.61$56.86FY2024
Orchard Park Health Care And RehabTacoma$26.24$40.63FY2024
Allen Creek Healthcare Inc.Marysville$37.23$57.44FY2023
Washington Veterans Home RetsilRetsil$37.06$56.99FY2024
Alderwood Post Acute & RehabilitaionLynnwood$28.46$43.75FY2024
Fort Vancouver Of Cascadia LlcVancouver$37.98$58.10FY2024
Wildwood Healthcare Inc.Puyallup$46.12$69.02FY2024
Ballard CenterSeattle$26.27$39.21FY2024
Spokane Valley Health And RehabSpokane Valley$36.43$54.25FY2024
Brookfield Health And Rehab Of CascaBattle Ground$37.09$54.80FY2024
Shuksan Healthcare CenterBellingham$35.73$51.55FY2024
Salmon Creek Post Acute & RehabilitaVancouver$26.80$38.58FY2024
Stafholt Health And RehabBlaine$37.93$54.57FY2024
Tacoma Nursing And Rehab CenterTacoma$35.18$50.03FY2024
Sunnyside Healthcare CenterSunnyside$34.01$47.53FY2024
Lacamas Creek Post AcuteCamas$35.03$48.79FY2024
Little Mountain Healthcare Inc.Mount Vernon$37.40$51.34FY2024
Bridge Crest Post AcuteVancouver$34.58$46.41FY2024
Judson Park Health CenterDes Moines$31.47$42.22FY2024
Snohomish Of Cascadia LlcSnohomish$42.42$56.82FY2024
North Cascades Health & Rehab CtrBellingham$38.74$51.75FY2024
Vancouver Specialty Rehab CareVancouver$32.71$43.66FY2022
Sullivan Park Care CenterSpokane$34.63$45.38FY2024
Alderwood Park Health And RehabilitaBellingham$40.33$52.35FY2024
Canterbury HouseAuburn$34.58$44.63FY2024
Seattle Transitional CareSeattle$43.43$55.29FY2024
Foss Home And VillageSeattle$38.42$48.44FY2024
Washington State Walla Walla VeteranWalla Walla$37.48$47.23FY2024
Spokane Veterans HomeSpokane$39.98$49.06FY2024
Seattle Medical & Rehab CenterSeattle$37.60$45.99FY2024
Crescent Health CareYakima$26.78$32.68FY2024
Columbia Lutheran HomeSeattle$36.32$44.07FY2024
Pine Ridge Post AcuteEdmonds$40.10$47.43FY2024
Shelton Health & Rehab CenterShelton$35.28$40.49FY2024
Enumclaw Health & Rehab CenterEnumclaw$37.50$35.54FY2024

Working a contract in Washington?

See your own package against these figures.

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