CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Metrowest Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,471

about 1.5× the $5,676 Medicare rate · typically $5,907–$12,679

modeled estimate · not a bill or quote

Medicare pays $5,676 Fair price $8,471

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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	$25,884 - $32,618	456%

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 Metrowest Medical Center 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.

Other Procedures at Metrowest Medical Center

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

Fairview Hospital · Great Barrington $4,909
North Adams Regional Hospital Corporation · North Adams $5,164
Beth Israel Deaconess Hospital - Milton · Milton $5,558
Newton-Wellesley Hospital · Newton $6,619
Emerson Hospital - · W Concord $6,647
Winchester Hospital · Winchester $6,676
Heywood Hospital - · Gardner $6,781
Anna Jaques Hospital · Newburyport $6,916

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