CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Baptist Health Deaconess Madisonville

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$5,263
about 0.9× the $5,676 Medicare rate · typically $4,909–$6,128
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,131
Above the fair price
about $868 over the fair price · 1.1× Medicare
Medicare pays $5,676 Fair price $5,263 This hospital $6,131

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $5,231 Priciest $6,131

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $5,263 (about 0.9× the $5,676 Medicare rate). Baptist Health Deaconess Madisonville charges insurers about $6,131 — above the fair price. Located in Madisonville, KY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $5,263. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $6,052 107%
Blue Cross Blue Shieldmajor $6,052 - $11,013 107%
Aetnamajor $6,052 - $6,131 107%
Humanamajor $6,052 - $22,214 107%
Ambetter (Centene) $11,035 194%
HealthLink $11,013 194%
Molina $6,052 107%
WellCare $5,415 95%
+ 6 smaller / regional plans $6,131 - $12,874

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 900 Hospital Drive, Madisonville, KY 42431
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals