CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Presence St Marys Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,315

about 1.3× the $5,676 Medicare rate · typically $6,616–$8,953

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,172

About the fair price

about $143 under the fair price · 1.3× Medicare

Medicare pays $5,676 Fair price $7,315 This hospital $7,172 Cash price $6,830

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $4,941 Priciest $7,172

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,315 (about 1.3× the $5,676 Medicare rate). Presence St Marys Hospital charges insurers about $7,172, or about $6,830 in cash — about the fair price. Located in Kankakee, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 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	$6,831	120%
Blue Cross Blue Shieldmajor	$6,489 - $10,430	114%
Aetnamajor	$6,831 - $11,499	120%
Cignamajor	$6,709 - $6,831	118%
Humanamajor	$6,831 - $7,514	120%
Ambetter (Centene)	$11,066	195%
Devoted Health	$6,831	120%
Health Net	$8,197	144%
HealthLink	$11,499	203%
Meridian	$7,172	126%
Molina	$7,036 - $10,246	124%
WellCare	$6,831	120%
+ 6 smaller / regional plans	$6,831 - $10,588

Government programs also on file: Medicare, Military & VA.

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 6,830), 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 Presence St Marys 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 Presence St Marys Hospital

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

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