CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St Mary Medical Center Inc

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$12,167

about 2.1× the $5,676 Medicare rate · typically $7,101–$14,140

modeled estimate · not a bill or quote

What this hospital charges insurers

$11,281

About the fair price

about $886 under the fair price · 2.0× Medicare

Medicare pays $5,676 Fair price $12,167 This hospital $11,281 Cash price $17,484 Hospital's list price $29,140

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $4,209 Priciest $11,281

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $12,167 (about 2.1× the $5,676 Medicare rate). St Mary Medical Center Inc charges insurers about $11,281, or about $17,484 in cash — about the fair price. Located in Hobart, IN.

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	$10,033 - $11,679	177%
Blue Cross Blue Shieldmajor	$6,200 - $16,476	109%
Aetnamajor	$14,581 - $15,032	257%
Cignamajor	$9,034 - $12,318	159%
Humanamajor	$7,211 - $7,796	127%
Ambetter (Centene)	$6,200	109%
+ 13 smaller / regional plans	$6,200 - $16,476

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 17,484), 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 Mary Medical Center Inc 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 Mary Medical Center Inc

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

Putnam County Hospital · Greencastle $4,209
Dukes Memorial Hospital · Peru $4,414
Johnson Memorial Hospital · Franklin $4,890
Norton Scott Hospital · Scottsburg $4,966
Pinnacle Hospital · Crown Point $5,047
Orthopaedic Hospital at Parkview North · Fort Wayne $6,043
Cameron Memorial Community Hospital Inc · Angola $6,278
Hancock Regional Hospital · Greenfield $6,327

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