CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Up Health System Portage

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,231

about 1.5× the $5,676 Medicare rate · typically $6,382–$9,802

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,602

About the fair price

about $629 under the fair price · 1.3× Medicare

Medicare pays $5,676 Fair price $8,231 This hospital $7,602 Cash price $13,793 Hospital's list price $22,989

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 $7,602

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 $8,231 (about 1.5× the $5,676 Medicare rate). Up Health System Portage charges insurers about $7,602, or about $13,793 in cash — about the fair price. Located in Hancock, MI.

What each insurance company pays

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

6 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	$7,602	134%
Blue Cross Blue Shieldmajor	$7,602	134%
Aetnamajor	$7,602 - $7,678	134%
Cignamajor	$7,602	134%
Humanamajor	$7,602	134%
Kaiser Permanentemajor	$7,602	134%
Health Net	$7,602	134%
Molina	$7,602	134%
Priority Health	$7,602	134%
Security Health Plan	$7,602	134%
UCare	$7,602	134%
UniCare	$7,602	134%
WellCare	$7,602	134%
+ 9 smaller / regional plans	$7,602

Government programs also on file: Medicare, 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 13,793), 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 Up Health System Portage 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 Up Health System Portage

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

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