CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Providence St Joseph Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$11,032

about 1.9× the $5,676 Medicare rate · typically $4,669–$20,698

modeled estimate · not a bill or quote

Medicare pays $5,676 Fair price $11,032

How we calculate the fair BaseRate →

What each insurance company pays

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

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
No insurance-company prices are published for this procedure.
+ 1 smaller / regional plan	$26,608

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 Providence St Joseph Medical Center 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.

Other Procedures at Providence St Joseph Medical Center

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

St Peters Health · Helena $6,276
St. Patrick Hospital · Missoula $6,769
Logan Health Medical Center · Kalispell $6,796
Great Falls Clinic Hospital · Great Falls $11,414

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