CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: SSM Health Saint Louis University Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,875

about 1.4× the $5,676 Medicare rate · typically $6,310–$11,003

modeled estimate · not a bill or quote

What this hospital charges insurers

$10,517

Above the fair price

about $2,642 over the fair price · 1.9× Medicare

Medicare pays $5,676 Fair price $7,875 This hospital $10,517

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $3,902 Priciest $10,517

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 $7,875 (about 1.4× the $5,676 Medicare rate). SSM Health Saint Louis University Hospital charges insurers about $10,517 — above the fair price. Located in Saint Louis, MO.

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 $7,875. 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.

5 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	$10,517 - $14,813	185%
Blue Cross Blue Shieldmajor	$10,307	182%
Aetnamajor	$10,517 - $10,728	185%
Cignamajor	$10,379	183%
Humanamajor	$10,696	188%
Ambetter (Centene)	$9,394 - $10,623	166%
Medica	$7,029 - $10,517	124%
Molina	$10,517	185%
+ 6 smaller / regional plans	$10,517 - $10,833

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 SSM Health Saint Louis University 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 SSM Health Saint Louis University Hospital

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

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