CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St Clare Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$14,078

about 2.5× the $5,676 Medicare rate · typically $8,932–$16,972

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,096

About the fair price

about $18 over the fair price · 2.5× Medicare

Medicare pays $5,676 Fair price $14,078 This hospital $14,096

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Highest price of the 9 WA hospitals we have prices for — worth calling around.

Cheapest $4,682 Priciest $14,096

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $14,078 (about 2.5× the $5,676 Medicare rate). St Clare Hospital charges insurers about $14,096 — about the fair price. Located in Lakewood, WA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$7,333 - $18,488	129%
Blue Cross Blue Shieldmajor	$7,479 - $19,459	132%
Aetnamajor	$7,479 - $20,401	132%
Cignamajor	$15,029	265%
Humanamajor	$7,769	137%
Kaiser Permanentemajor	$7,261 - $15,715	128%
Amerigroup	$7,769	137%
Molina	$7,842 - $13,904	138%
+ 6 smaller / regional plans	$7,261 - $15,262

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm St Clare Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Clare Hospital

Compare: Digestive disorders treatment (inpatient stay) at other WA hospitals

Prosser Memorial Hospital · Prosser $4,682
Island Hospital · Anacortes $6,427
Trios Health · Kennewick $6,698
Providence St Mary Medical Center · Walla Walla $7,636
Valley Medical Center · Renton $7,658
Kadlec Regional Medical Center · Richland $8,216
Highline Medical Center · Burien $8,459
Legacy Salmon Creek Medical Center · Vancouver $9,239

Insurance negotiated median for the same procedure, sorted lowest first.