CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Capital Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$13,486

about 2.4× the $5,676 Medicare rate · typically $8,099–$14,838

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,477

About the fair price

about $9 under the fair price · 2.4× Medicare

Medicare pays $5,676 Fair price $13,486 This hospital $13,477

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 $13,477

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 $13,486 (about 2.4× the $5,676 Medicare rate). Capital Medical Center charges insurers about $13,477 — about the fair price. Located in Olympia, WA.

What each insurance company pays

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

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

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

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	$7,063 - $18,060	124%
Blue Cross Blue Shieldmajor	$6,860 - $15,531	121%
Aetnamajor	$6,995 - $13,743	123%
Cignamajor	$13,477	237%
Kaiser Permanentemajor	$15,915	280%
Ambetter (Centene)	$10,677	188%
Molina	$12,565	221%
PacificSource	$8,699 - $12,682	153%
WellCare	$7,131	126%
+ 3 smaller / regional plans	$6,792 - $15,563

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 Capital Medical Center 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 Capital Medical Center

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.