CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Major Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$10,650

about 1.9× the $5,676 Medicare rate · typically $5,542–$16,020

modeled estimate · not a bill or quote

What this hospital charges insurers

$11,537

About the fair price

about $887 over the fair price · 2.0× Medicare

Medicare pays $5,676 Fair price $10,650 This hospital $11,537 Cash price $6,820 Hospital's list price $22,001

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 $11,537

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 $10,650 (about 1.9× the $5,676 Medicare rate). Major Hospital charges insurers about $11,537, or about $6,820 in cash — about the fair price. Located in Shelbyville, 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	$11,165 - $14,323	197%
Blue Cross Blue Shieldmajor	$6,308 - $11,161	111%
Aetnamajor	$18,481	326%
Cignamajor	$21,781	384%
Humanamajor	$19,834	349%
Ambetter (Centene)	$12,144	214%
CareSource	$11,537	203%
+ 2 smaller / regional plans	$12,497 - $19,141

Excludes 2 rental-network / third-party entries (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 6,820), 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 Major 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 Major Hospital

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.