CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Phelps Memorial Health Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,502

about 1.5× the $5,676 Medicare rate · typically $4,655–$11,853

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,857

Below the fair price — a good deal

about $3,645 under the fair price · 0.9× Medicare

Medicare pays $5,676 Fair price $8,502 This hospital $4,857 Cash price $17,791 Hospital's list price $19,767

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $4,043 Priciest $7,528

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,502 (about 1.5× the $5,676 Medicare rate). Phelps Memorial Health Center charges insurers about $4,857, or about $17,791 in cash — below the fair price — a good deal. Located in Holdrege, NE.

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	$19,174	338%
Blue Cross Blue Shieldmajor	$18,779	331%
Aetnamajor	$18,225	321%
HealthPartners	$18,779	331%
Medica	$18,581	327%
+ 6 smaller / regional plans	$4,857 - $18,779

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 17,791), 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 Phelps Memorial Health 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.

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 Phelps Memorial Health Center

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

CHI Health Schuyler · Schuyler $4,043
CHI Health St. Marys · Nebraska City $4,043
Children's Nebraska · Omaha $5,421
Mary Lanning Healthcare · Hastings $5,907
CHI Health Nebraska Heart · Lincoln $6,860
Midwest Surgical Hospital LLC · Omaha $6,898
Methodist Fremont Health · Fremont $7,468
Faith Regional Health Services · Norfolk $7,528

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