CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Sky Ridge Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$9,266

about 1.6× the $5,676 Medicare rate · typically $6,465–$13,656

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,208

Below the fair price — a good deal

about $2,058 under the fair price · 1.3× Medicare

Medicare pays $5,676 Fair price $9,266 This hospital $7,208

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

On the higher side — 6 of 8 other CO hospitals charge less.

Cheapest $5,013 Priciest $7,427

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $9,266 (about 1.6× the $5,676 Medicare rate). Sky Ridge Medical Center charges insurers about $7,208 — below the fair price — a good deal. Located in Lone Tree, CO.

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	$2,967 - $9,415	52%
Blue Cross Blue Shieldmajor	$7,208 - $16,072	127%
Aetnamajor	$5,738 - $12,000	101%
Cignamajor	$3,494 - $7,424	62%
Humanamajor	$7,208	127%
Kaiser Permanentemajor	$4,200 - $7,352	74%
Bright Health	$7,208	127%
Devoted Health	$7,352	130%
HealthPartners	$1,680 - $1,975	30%
WellCare	$7,424	131%
+ 8 smaller / regional plans	$800 - $9,415

Government programs also on file: Military & VA.

Excludes 2 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, 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 Sky Ridge Medical Center 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 Sky Ridge Medical Center

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

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