CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St Anthony Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$14,028

about 2.5× the $5,676 Medicare rate · typically $8,634–$16,910

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,104

About the fair price

about $924 under the fair price · 2.3× Medicare

Medicare pays $5,676 Fair price $14,028 This hospital $13,104

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 $13,104

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 $14,028 (about 2.5× the $5,676 Medicare rate). St Anthony Hospital charges insurers about $13,104 — about the fair price. Located in Gig Harbor, 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	$6,626 - $18,488	117%
Blue Cross Blue Shieldmajor	$6,757 - $21,575	119%
Aetnamajor	$6,757 - $20,401	119%
Cignamajor	$15,029	265%
Humanamajor	$7,019	124%
Kaiser Permanentemajor	$6,560 - $15,715	116%
Amerigroup	$7,019	124%
Molina	$7,085 - $12,563	125%
+ 6 smaller / regional plans	$6,560 - $16,986

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 Anthony 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 Anthony 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.