CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Veterans Memorial Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$9,067

about 1.6× the $5,676 Medicare rate · typically $4,955–$13,273

modeled estimate · not a bill or quote

Medicare pays $5,676 Fair price $9,067 Cash price $3,359 Hospital's list price $5,893

How we calculate the fair BaseRate →

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

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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	$5,009 - $8,400	88%
Aetnamajor	$4,054 - $8,400	71%
Humanamajor	$4,420 - $8,400	78%
Amerigroup	$7,265 - $8,400	128%
Medica	$7,847 - $8,400	138%
Molina	$7,265 - $8,400	128%
Quartz	$8,400 - $9,000	148%
+ 4 smaller / regional plans	$7,265 - $8,400

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 3,359), 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 Veterans Memorial 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 Veterans Memorial Hospital

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

Henry County Health Center · Mount Pleasant $5,245
Grinnell Regional Medical Center · Grinnell $5,426
Mary Greeley Medical Center · Ames $5,456
University of Iowa Health Care Medical Center Down · Iowa City $5,841
St Lukes Hospital · Cedar Rapids $5,977
Ottumwa Regional Health Center · Ottumwa $6,053
Finley Hospital · Dubuque $6,098
Spencer Municipal Hospital · Spencer $6,167

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