CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St Anthony Summit Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$5,735

about 1.0× the $5,676 Medicare rate · typically $5,466–$12,363

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,552

Well above the fair price

about $9,817 over the fair price · 2.7× Medicare

Medicare pays $5,676 Fair price $5,735 This hospital $15,552

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

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

Cheapest $5,013 Priciest $15,552

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 $5,735 (about 1.0× the $5,676 Medicare rate). St Anthony Summit Medical Center charges insurers about $15,552 — well above the fair price. Located in Frisco, CO.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $5,735. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$5,580 - $15,552	98%
Blue Cross Blue Shieldmajor	$15,552 - $90,214	274%
Aetnamajor	$15,552	274%
Cignamajor	$15,552	274%
Humanamajor	$15,552	274%
Kaiser Permanentemajor	$15,552	274%
Devoted Health	$15,552	274%

Government programs also on file: Medicare.

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 St Anthony Summit 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 St Anthony Summit Medical Center

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

San Luis Valley Regional Medical Center · Alamosa $5,013
Animas Surgical Hospital, LLC · Durango $5,876
Montrose Regional Health · Montrose $6,052
Centura Health-Penrose St Francis Health Services · Colorado Springs $6,738
HCA Healthone Rose · Denver $6,982
Community Hospital · Grand Junction $7,191
Sky Ridge Medical Center · Lone Tree $7,208
Hca-Healthone DBA Swedish Medical Center · Englewood $7,301

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