CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Indiana University Health Tipton Hospital Inc

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$12,095

about 2.1× the $5,676 Medicare rate · typically $5,667–$21,108

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,518

About the fair price

about $1,423 over the fair price · 2.4× Medicare

Medicare pays $5,676 Fair price $12,095 This hospital $13,518

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 $13,518

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 $12,095 (about 2.1× the $5,676 Medicare rate). Indiana University Health Tipton Hospital Inc charges insurers about $13,518 — about the fair price. Located in Tipton, IN.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor	$4,788 - $15,629	84%
Aetnamajor	$4,788	84%
Humanamajor	$4,788 - $4,884	84%
Ambetter (Centene)	$7,900	139%
CareSource	$7,182	127%
Health Net	$11,970 - $16,045	211%
WellCare	$4,884	86%
+ 5 smaller / regional plans	$4,788 - $15,982

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, 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 Indiana University Health Tipton Hospital 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 Indiana University Health Tipton Hospital 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.