CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Promedica Monroe Regional Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,362

about 1.3× the $5,676 Medicare rate · typically $6,480–$8,610

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,503

Below the fair price — a good deal

about $859 under the fair price · 1.1× Medicare

Medicare pays $5,676 Fair price $7,362 This hospital $6,503

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $5,277 Priciest $6,503

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,362 (about 1.3× the $5,676 Medicare rate). Promedica Monroe Regional Hospital charges insurers about $6,503 — below the fair price — a good deal. Located in Monroe, MI.

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	$6,062 - $12,337	107%
Aetnamajor	$6,062 - $6,822	107%
Humanamajor	$6,244	110%
Paramount	$5,911	104%
Priority Health	$6,123 - $7,771	108%
+ 1 smaller / regional plan	$1,538 - $6,184

Government programs also on file: 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, 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 Promedica Monroe Regional 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 Promedica Monroe Regional Hospital

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

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