Capital Medical Center
3900 Capital Mall Dr Sw, Olympia, WA 98502 · 123 Priced Procedures · 72% Patient Recommendation
Typical commercial prices here are +61% above the fair benchmark (1.61×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.61× fair market pricing.
Consolidated System Premium Pricer
Operating in a concentrated regional market (CBSA HHI 4,826), Capital Medical Center commands a 1.61× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.12× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 30% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (64/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (17.4% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.61× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 1.54× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.99×) jump +29% above the median procedure ratio (Q50 1.54×)
- Consolidated metro market (HHI 4,826) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Capital Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $57,025 | 1.9× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $35,138 | 1.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $34,324 | 1.8× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $31,596 | 1.8× |
| Total hip replacement CPT Code: 27130 | $25,891 | 1.9× |
| Total knee replacement CPT Code: 27447 | $25,891 | 1.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $14,038 | 1.7× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $12,130 | 2.0× |
| Breast lump removal CPT Code: 19120 | $8,220 | 2.1× |
| Bunion correction surgery CPT Code: 28296 | $8,085 | 2.3× |
| Inguinal hernia repair CPT Code: 49505 | $7,184 | 2.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $6,565 | 1.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $4,630 | 1.8× |
| Trauma team activation HCPCS Code: G0390 | $3,452 | 2.4× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,128 | 2.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,016 | 2.0× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,482 | 1.7× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,460 | 1.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,221 | 2.1× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,134 | 1.2× |
| Blood transfusion CPT Code: 36430 | $1,019 | 2.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $902 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $902 | unverified |
| Neurobehavioral status check CPT Code: 96116 | $688 | 3.0× |
| Psychological testing by technician CPT Code: 96138 | $641 | 1.6× |
Audit a Bill or Quote at Capital Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $23,827
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (17.4% of gross = $23,827).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Capital Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($136,860) is $106,085 above the denoised Fair BaseRate ($30,775) and 5.8× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (17.4% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (929 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Capital Medical Center.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.