CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Pullman Regional Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,165

about 1.3× the $5,676 Medicare rate · typically $4,474–$11,693

modeled estimate · not a bill or quote

Medicare pays $5,676 Fair price $7,165 Cash price $10,911 Hospital's list price $12,836

How we calculate the fair BaseRate →

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	$4,550	80%
Blue Cross Blue Shieldmajor	$6,284 - $14,045	111%
Aetnamajor	$12,195	215%
Cignamajor	$11,553	204%
Humanamajor	$13,186	232%
Kaiser Permanentemajor	$9,550 - $26,742	168%
Molina	$10,417	184%
WellCare	$10,417 - $27,209	184%
+ 15 smaller / regional plans	$8,729 - $20,421

Government programs also on file: Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 10,911), 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 Pullman Regional 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 Pullman Regional 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.