CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Community First Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,661

about 1.3× the $5,676 Medicare rate · typically $6,068–$10,020

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,404

Below the fair price — a good deal

about $1,257 under the fair price · 1.1× Medicare

Medicare pays $5,676 Fair price $7,661 This hospital $6,404 Cash price $10,674 Hospital's list price $21,348

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 $6,404

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 $7,661 (about 1.3× the $5,676 Medicare rate). Community First Medical Center charges insurers about $6,404, or about $10,674 in cash — below the fair price — a good deal. Located in Chicago, 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	$11,694	206%
Blue Cross Blue Shieldmajor	$6,205 - $9,766	109%
Aetnamajor	$6,205 - $7,796	109%
Cignamajor	$3,779 - $8,288	67%
Humanamajor	$6,205 - $8,576	109%
Meridian	$6,205	109%
Molina	$6,205	109%
+ 2 smaller / regional plans	$6,205

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 10,674), 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 Community First 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 Community First Medical Center

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

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