CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Mercy Hospital Aurora

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$6,288

about 1.1× the $5,676 Medicare rate · typically $4,145–$9,973

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,655

Below the fair price — a good deal

about $1,633 under the fair price · 0.8× Medicare

Medicare pays $5,676 Fair price $6,288 This hospital $4,655 Cash price $11,012 Hospital's list price $16,941

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

A typical price — 4 charge more and 3 charge less, among the 9 MO hospitals compared.

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 $6,288 (about 1.1× the $5,676 Medicare rate). Mercy Hospital Aurora charges insurers about $4,655, or about $11,012 in cash — below the fair price — a good deal. Located in Aurora, MO.

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	$2,102 - $4,576	37%
Blue Cross Blue Shieldmajor	$2,102 - $19,646	37%
Aetnamajor	$2,102	37%
Cignamajor	$2,102	37%
Humanamajor	$2,102	37%
Ambetter (Centene)	$3,640	64%
+ 23 smaller / regional plans	$2,102 - $4,655

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 11,012), 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 Mercy Hospital Aurora 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 Mercy Hospital Aurora

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

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