Not legal, medical or financial advice. This is a free, independent guide built from each hospital's own published policy. Policies change. The hospital's current policy and its decision on your application are what count. Always check the linked source.
Washington hospital charity care
State rules
All hospitals (not just nonprofits) must give charity care under RCW 70.170.060 and WAC 246-453. Since July 1, 2022: Tier 1 hospitals (large King/Clark County hospitals and those in systems of 3+ hospitals) give free care to 300% FPL, 75% off at 301-350%, 50% off at 351-400%. Tier 2 hospitals give free care to 200% FPL, 75% off at 201-250%, 50% off at 251-300%. Hospitals file policies with WA DOH, which posts them. Denied patients have 30 days to appeal (per DOH guidance). Hospitals may reduce the 75% and 50% discounts by amounts reasonably related to assets, but only under a public asset policy, and must exclude the first $5,000 of money for one person ($8,000 for two, plus $1,500 each extra person), home equity, retirement plans other than 401(k)s, one car (two if needed for work or medical care), burial plans, and life insurance of $10,000 or less (RCW 70.170.060(5)(c)). The statute's asset wording applies only to the discount tiers, not to free care. DOH posts which hospitals are Tier 1 and Tier 2.
26 hospitals
| Hospital | Free care up to | Discount up to | Assets counted? | Links | Notes |
|---|---|---|---|---|---|
| MultiCare Tacoma General/Allenmore Hospital Tacoma, WA MultiCare Washington rules | 300% FPL | 400% FPL | only for catastrophic discounts (all income and non-income resources considered) | Policy Apply Sources [1] [2] [3] [4] | 100% at or below 300% FPL; sliding scale 300.5-400%. WA Tier 1 minimums apply. Checked 2026-10-23 |
| MultiCare Mary Bridge Children's Hospital Tacoma, WA MultiCare Washington rules | 300% FPL | 400% FPL | only for catastrophic discounts (all income and non-income resources considered) | Policy Apply Sources [1] [2] [3] [4] | 100% at or below 300% FPL; sliding scale 300.5-400%. WA Tier 1 minimums apply. Checked 2026-10-23 |
| MultiCare Good Samaritan Hospital Puyallup, WA MultiCare Washington rules | 300% FPL | 400% FPL | only for catastrophic discounts (all income and non-income resources considered) | Policy Apply Sources [1] [2] [3] [4] | 100% at or below 300% FPL; sliding scale 300.5-400%. WA Tier 1 minimums apply. Checked 2026-10-23 |
| MultiCare Auburn Medical Center Auburn, WA MultiCare Washington rules | 300% FPL | 400% FPL | only for catastrophic discounts (all income and non-income resources considered) | Policy Apply Sources [1] [2] [3] [4] | 100% at or below 300% FPL; sliding scale 300.5-400%. WA Tier 1 minimums apply. Checked 2026-10-23 |
| MultiCare Capital Medical Center Olympia, WA MultiCare Washington rules | 300% FPL | 400% FPL | only for catastrophic discounts (all income and non-income resources considered) | Policy Apply Sources [1] [2] [3] [4] | 100% at or below 300% FPL; sliding scale 300.5-400%. WA Tier 1 minimums apply. Checked 2026-10-23 |
| MultiCare Deaconess Hospital Spokane, WA MultiCare Washington rules | 300% FPL | 400% FPL | only for catastrophic discounts (all income and non-income resources considered) | Policy Apply Sources [1] [2] [3] [4] | 100% at or below 300% FPL; sliding scale 300.5-400%. WA Tier 1 minimums apply. Checked 2026-10-23 |
| MultiCare Valley Hospital Spokane, WA MultiCare Washington rules | 300% FPL | 400% FPL | only for catastrophic discounts (all income and non-income resources considered) | Policy Apply Sources [1] [2] [3] [4] | 100% at or below 300% FPL; sliding scale 300.5-400%. WA Tier 1 minimums apply. Checked 2026-10-23 |
| MultiCare Yakima Memorial Hospital Yakima, WA MultiCare Washington rules | 300% FPL | 400% FPL | only for catastrophic discounts (all income and non-income resources considered) | Policy Apply Sources [1] [2] [3] [4] | 100% at or below 300% FPL; sliding scale 300.5-400%. WA Tier 1 minimums apply. Checked 2026-10-23 |
| Providence Sacred Heart Medical Center Spokane, WA Providence Washington rules | 300% FPL | 400% FPL | yes (not for households under 300% FPL; first $100,000 excluded) | Policy Apply Sources [1] [2] | Discount 301-400%; medical-expense hardship help up to 400%. Assets ignored under 300% FPL except Medicare patients without Medicaid. Checked 2026-10-23 |
| Providence Holy Family Hospital Spokane, WA Providence Washington rules | 300% FPL | 400% FPL | yes (not for households under 300% FPL; first $100,000 excluded) | Policy Apply Sources [1] [2] | Discount 301-400%; medical-expense hardship help up to 400%. Assets ignored under 300% FPL except Medicare patients without Medicaid. Checked 2026-10-23 |
| Providence Regional Medical Center Everett Everett, WA Providence Washington rules | 300% FPL | 400% FPL | yes (not for households under 300% FPL; first $100,000 excluded) | Policy Apply Sources [1] [2] | Discount 301-400%; medical-expense hardship help up to 400%. Assets ignored under 300% FPL except Medicare patients without Medicaid. Checked 2026-10-23 |
| Providence St. Peter Hospital Olympia, WA Providence Washington rules | 300% FPL | 400% FPL | yes (not for households under 300% FPL; first $100,000 excluded) | Policy Apply Sources [1] [2] | Discount 301-400%; medical-expense hardship help up to 400%. Assets ignored under 300% FPL except Medicare patients without Medicaid. Checked 2026-10-23 |
| Providence Centralia Hospital Centralia, WA Providence Washington rules | 300% FPL | 400% FPL | yes (not for households under 300% FPL; first $100,000 excluded) | Policy Apply Sources [1] [2] | Discount 301-400%; medical-expense hardship help up to 400%. Assets ignored under 300% FPL except Medicare patients without Medicaid. Checked 2026-10-23 |
| Providence Swedish Medical Center Seattle, WA Providence Swedish Washington rules | 300% FPL | 400% FPL | yes (not for households under 300% FPL; first $100,000 excluded) | Policy Apply Sources [1] [2] | Same structure as Providence policy. Checked 2026-10-23 |
| Providence Swedish Edmonds Edmonds, WA Providence Swedish Washington rules | 300% FPL | 400% FPL | yes (not for households under 300% FPL; first $100,000 excluded) | Policy Apply Sources [1] [2] | Same structure as Providence policy. Checked 2026-10-23 |
| Providence Swedish Issaquah Issaquah, WA Providence Swedish Washington rules | 300% FPL | 400% FPL | yes (not for households under 300% FPL; first $100,000 excluded) | Policy Apply Sources [1] [2] | Same structure as Providence policy. Checked 2026-10-23 |
| PeaceHealth Southwest Medical Center Vancouver, WA PeaceHealth Washington rules | 300% FPL | 400% FPL | no | Policy Apply Sources [1] [2] | 85% off at 301-350%, 70% off at 351-400%. Policy says assets are not considered. Checked 2026-10-23 |
| PeaceHealth St. Joseph Medical Center Bellingham, WA PeaceHealth Washington rules | 300% FPL | 400% FPL | no | Policy Apply Sources [1] [2] | 85% off at 301-350%, 70% off at 351-400%. Policy says assets are not considered. Checked 2026-10-23 |
| PeaceHealth St. John Medical Center Longview, WA PeaceHealth Washington rules | 300% FPL | 400% FPL | no | Policy Apply Sources [1] [2] | 85% off at 301-350%, 70% off at 351-400%. Policy says assets are not considered. Checked 2026-10-23 |
| UW Medicine/Harborview Medical Center Seattle, WA UW Medicine Washington rules | 300% FPL | 400% FPL | no | Policy Apply Sources [1] [2] | 75% off at 301-350%, 50% off at 351-400%. Policy says assets are not considered for financial assistance. Checked 2026-10-23 |
| UW Medicine/UW Medical Center Seattle, WA UW Medicine Washington rules | 300% FPL | 400% FPL | no | Policy Apply Sources [1] [2] | 75% off at 301-350%, 50% off at 351-400%. Policy says assets are not considered for financial assistance. Checked 2026-10-23 |
| Virginia Mason Medical Center Seattle, WA Virginia Mason Franciscan Health (CommonSpirit) Washington rules | 300% FPL | 400% FPL | yes (for discount tiers, per asset testing policy) | Policy Apply Sources [1] [2] [3] [4] | Discounts at 301-350% and 351-400%; amounts may be reduced by assets per a separate Asset Testing Procedure posted on VMFH's page. Apply link is the official page that hosts the application PDF. Checked 2026-10-23 |
| Virginia Mason Franciscan Health St. Joseph Medical Center Tacoma, WA Virginia Mason Franciscan Health (CommonSpirit) Washington rules | 300% FPL | 400% FPL | yes (for discount tiers, per asset testing policy) | Policy Apply Sources [1] [2] [3] [4] | Discounts at 301-350% and 351-400%; amounts may be reduced by assets per a separate Asset Testing Procedure posted on VMFH's page. Apply link is the official page that hosts the application PDF. Checked 2026-10-23 |
| Virginia Mason Franciscan Health St. Michael Medical Center Silverdale, WA Virginia Mason Franciscan Health (CommonSpirit) Washington rules | 300% FPL | 400% FPL | yes (for discount tiers, per asset testing policy) | Policy Apply Sources [1] [2] [3] [4] | Discounts at 301-350% and 351-400%; amounts may be reduced by assets per a separate Asset Testing Procedure posted on VMFH's page. Apply link is the official page that hosts the application PDF. Checked 2026-10-23 |
| EvergreenHealth Medical Center Kirkland, WA EvergreenHealth Washington rules | 300% FPL | 400% FPL | no | Policy Apply Sources [1] [2] | 75% off at 301-350% and 50% off at 351-400%. Policy says assets are not considered. The policy covers both Kirkland and Monroe at these levels, even though DOH lists EvergreenHealth Monroe as a Tier 2 hospital (lower legal minimum). Apply link is the official page that hosts the application PDF. Checked 2026-10-23 |
| EvergreenHealth Monroe Monroe, WA EvergreenHealth Washington rules | 300% FPL | 400% FPL | no | Policy Apply Sources [1] [2] | 75% off at 301-350% and 50% off at 351-400%. Policy says assets are not considered. The policy covers both Kirkland and Monroe at these levels, even though DOH lists EvergreenHealth Monroe as a Tier 2 hospital (lower legal minimum). Apply link is the official page that hosts the application PDF. Checked 2026-10-23 |