CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Mosaic Life Care at St Joseph

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$5,314

about 0.9× the $5,676 Medicare rate · typically $3,732–$7,187

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,925

Below the fair price — a good deal

about $1,389 under the fair price · 0.7× Medicare

Medicare pays $5,676 Fair price $5,314 This hospital $3,925

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

One of the lower prices — 6 of 8 other MO hospitals charge more for the same procedure.

Cheapest $3,902 Priciest $6,120

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $5,314 (about 0.9× the $5,676 Medicare rate). Mosaic Life Care at St Joseph charges insurers about $3,925 — below the fair price — a good deal. Located in Saint Joseph, MO.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$3,484 - $7,230	61%
Blue Cross Blue Shieldmajor	$7,230	127%
Aetnamajor	$3,484 - $7,230	61%
Ambetter (Centene)	$13,737	242%
Amerigroup	$3,925	69%
Molina	$3,925	69%
+ 1 smaller / regional plan	$3,925

Government programs also on file: Medicaid.

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 Mosaic Life Care at St Joseph 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 Mosaic Life Care at St Joseph

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

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