CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Island Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,634
  • Cash Discount Price: $22,419
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Island Hospital is $6,634. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22,419. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.17x the Medicare baseline. Located in 1211 24Th Street, Anacortes, WA.
Cash / Self-Pay
$22,419

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,634

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Cash / Self-Pay: $22,419 (395%)
Insurance Median: $6,634 (117%)
Cash: $22,419 (395% of Medicare)
Ins. Median: $6,634 (117% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Premera Comm - All Other Plans $5,404 95%
UnitedHealthcare $6,008 - $6,121 106%
Aarp Mcr Adv - All Plans $6,121 108%
Kaiser Mcr Adv $6,121 108%
Samish Indian Health - All Plans $6,121 108%
Swinomish Indian Health - All Plans $6,121 108%
Tricare $6,121 108%
Aetna $6,427 - $21,298 113%
Humana $6,427 - $19,056 113%
Premera Mcr Adv $6,427 113%
Regence Mcr Adv $6,488 114%
Kaiser Comm - All Other Plans $6,781 119%
Molina Mcaid - All Plans $7,142 126%
Amerigroup Mcaid - All Plans $7,499 132%
Chpw Mcaid - All Plans $7,856 138%
First Choice - All Plans $8,136 143%
Coordinated Care Mcaid - All Plans $8,213 145%
Regence Comm - All Other Plans $16,814 296%
Cigna $17,935 316%
First Health - All Plans $19,056 336%
Multiplan - All Plans $19,056 336%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1211 24Th Street, Anacortes, WA 98221
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals