CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Adventist Health St Helena

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$9,399

about 1.7× the $5,676 Medicare rate · typically $5,307–$19,167

modeled estimate · not a bill or quote

What this hospital charges insurers

$8,004

Below the fair price — a good deal

about $1,395 under the fair price · 1.4× Medicare

Medicare pays $5,676 Fair price $9,399 This hospital $8,004 Cash price $11,884 Hospital's list price $79,227

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $5,150 Priciest $8,004

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $9,399 (about 1.7× the $5,676 Medicare rate). Adventist Health St Helena charges insurers about $8,004, or about $11,884 in cash — below the fair price — a good deal. Located in Saint Helena, CA.

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	$8,004 - $48,574	141%
Blue Cross Blue Shieldmajor	$8,004 - $52,968	141%
Aetnamajor	$39,484	696%
Cignamajor	$55,459	977%
Kaiser Permanentemajor	$46,714	823%
Health Net	$30,784	542%
+ 6 smaller / regional plans	$8,004 - $67,343

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

Excludes 6 rental-network / third-party entries (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 11,884), 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 Adventist Health St Helena 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 Adventist Health St Helena

Compare: Digestive disorders treatment (inpatient stay) at other CA hospitals

College Medical Center · Long Beach $5,150
Salinas Valley Memorial Hospital · Salinas $6,988
Shriners Hospitals for Children Northern Calif · Sacramento $7,300
Good Samaritan Hospital, LP · Bakersfield $7,405
Casa Colina Hospital · Pomona $7,407
French Hospital Medical Center · San Luis Obispo $7,451
Oak Valley Hospital District · Oakdale $7,456
Adventist Health and Rideout · Marysville $7,527

Insurance negotiated median for the same procedure, sorted lowest first.