CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Lima Memorial Health System

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$7,182
about 1.3× the $5,676 Medicare rate · typically $6,593–$11,230
modeled estimate · not a bill or quote
What this hospital charges insurers
$10,312
Above the fair price
about $3,130 over the fair price · 1.8× Medicare
Medicare pays $5,676 Fair price $7,182 This hospital $10,312

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $2,859 Priciest $10,312

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,182 (about 1.3× the $5,676 Medicare rate). Lima Memorial Health System charges insurers about $10,312 — above the fair price. Located in Lima, OH.

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 $7,182. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $6,066 107%
Blue Cross Blue Shieldmajor $6,066 - $12,488 107%
Aetnamajor $6,066 107%
Humanamajor $6,066 107%
CareSource $10,615 187%
Devoted Health $6,126 108%
Medical Mutual $12,648 - $15,810 223%
Molina $6,066 - $10,312 107%
+ 1 smaller / regional plan $10,312

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1001 Bellefontaine Avenue, Lima, OH 45804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals