CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: Adventist Health Clearlake
Billing Code: 392 (MS-DRG)
The BaseRate · fair price medium confidence
A fair price for this
$15,398
about 2.7× the $5,676 Medicare rate · typically $6,056–$22,406
modeled estimate · not a bill or quote
Medicare pays $5,676 Fair price $15,398 Cash price $14,098 Hospital's list price $39,162
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 | $28,416 - $32,661 | 501% |
| Blue Cross Blue Shieldmajor | $25,833 - $86,640 | 455% |
| Aetnamajor | $29,262 | 516% |
| Cignamajor | $35,245 | 621% |
| Humanamajor | $33,287 | 586% |
| Kaiser Permanentemajor | $25,833 - $35,245 | 455% |
| Health Net | $32,113 | 566% |
| + 6 smaller / regional plans | $16,037 - $33,287 |
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Adventist Health Clearlake
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.