CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Swedish Medical Center / Cherry Hill

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $13,408
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.36x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Swedish Medical Center / Cherry Hill is $13,408. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 2.36x the Medicare baseline. Located in 500 17Th Avenue, Seattle, WA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$13,408

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%)
Insurance Median: $13,408 (236%)
Ins. Median: $13,408 (236% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 236% of the Medicare baseline (a markup of 136%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Kaiser $8,380 - $12,570 148%
Molina $8,380 - $9,050 148%
Aetna $8,631 - $28,351 152%
Blue Cross Blue Shield $8,715 - $21,772 154%
Providence Health Plan $8,715 - $20,294 154%
UnitedHealthcare $8,799 - $24,536 155%
Humana $8,883 157%
Blue Shield $9,050 - $26,920 159%
Amerigroup $9,218 162%
Community Health Plan Of Washington $9,218 162%
Cigna $10,056 - $22,143 177%
Community Health Plan $13,408 236%
Coordinated Care $13,408 - $15,503 236%
First Choice $30,202 - $30,455 532%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 17Th Avenue, Seattle, WA 98122
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals