CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St Francis Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$10,057

about 1.8× the $5,676 Medicare rate · typically $7,150–$14,219

modeled estimate · not a bill or quote

What this hospital charges insurers

$11,611

Above the fair price

about $1,554 over the fair price · 2.0× Medicare

Medicare pays $5,676 Fair price $10,057 This hospital $11,611 Cash price $19,650

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

On the higher side — 4 of 5 other DE hospitals charge less.

Cheapest $7,386 Priciest $15,046

Black dot = this hospital, among the 6 DE hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $10,057 (about 1.8× the $5,676 Medicare rate). St Francis Hospital charges insurers about $11,611, or about $19,650 in cash — above the fair price. Located in Wilmington, DE.

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 $10,057. 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.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor	$6,604 - $18,616	116%
Aetnamajor	$8,649 - $11,611	152%
Cignamajor	$8,249	145%
AmeriHealth	$11,312	199%
+ 5 smaller / regional plans	$2,106 - $18,616

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (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 19,650), 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 Francis Hospital 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 Francis Hospital

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

Bayhealth Hospital, Sussex Campus · Milford $7,386
Christiana Hospital · Newark $7,611
Bayhealth Medical Center, Kent Campus · Dover $8,020
Tidalhealth Nanticoke, Inc. · Seaford $10,041
Beebe Medical Center · Lewes $15,046

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