CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Providence St Mary Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$9,298
about 1.6× the $5,676 Medicare rate · typically $7,117–$13,195
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,505
About the fair price
about $793 under the fair price · 1.5× Medicare
Medicare pays $5,676 Fair price $9,298 This hospital $8,505

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 $8,505

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 $9,298 (about 1.6× the $5,676 Medicare rate). Providence St Mary Medical Center charges insurers about $8,505 — about the fair price. Located in Apple Valley, CA.

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 $8,505 - $12,894 150%
Blue Cross Blue Shieldmajor $8,505 - $17,292 150%
Aetnamajor $8,505 150%
Cignamajor $8,505 150%
Humanamajor $8,505 150%
Kaiser Permanentemajor $8,505 150%
Health Net $8,505 - $14,659 150%
Molina $8,505 150%
Providence Health Plan $8,505 150%
WellCare $8,505 150%
+ 10 smaller / regional plans $8,505

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Facility Profile & Credentials

  • Address: 18300 Highway 18, Apple Valley, CA 92307
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals