CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Mercy Hospital Pittsburg, Inc

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,458

about 1.3× the $5,676 Medicare rate · typically $6,114–$8,142

modeled estimate · not a bill or quote

What this hospital charges insurers

$8,136

About the fair price

about $678 over the fair price · 1.4× Medicare

Medicare pays $5,676 Fair price $7,458 This hospital $8,136 Cash price $10,482 Hospital's list price $16,126

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

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

Cheapest $3,495 Priciest $8,136

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,458 (about 1.3× the $5,676 Medicare rate). Mercy Hospital Pittsburg, Inc charges insurers about $8,136, or about $10,482 in cash — about the fair price. Located in Pittsburg, KS.

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	$8,294	146%
Blue Cross Blue Shieldmajor	$3,835 - $8,868	68%
Aetnamajor	$3,373 - $8,198	59%
Cignamajor	$7,986 - $9,286	141%
Humanamajor	$3,373 - $8,136	59%
Ambetter (Centene)	$8,294	146%
Medica	$6,539	115%
+ 14 smaller / regional plans	$6,081 - $10,080

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

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 10,482), 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 Mercy Hospital Pittsburg, 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 Mercy Hospital Pittsburg, Inc

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

Scott County Hospital · Scott City $3,495
Rehabilitation Hospital of Overland Park · Overland Park $3,789
Children's Mercy South · Overland Park $4,242
McPherson Hospital · McPherson $4,984
Kansas Spine & Specialty Hospital, LLC · Wichita $5,093
Hiawatha Community Hospital · Hiawatha $5,154
Kingman Healthcare Center · Kingman $5,183
Saint John Hospital · Leavenworth $5,456

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