CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Metrohealth System

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$7,107
about 1.3× the $5,676 Medicare rate · typically $4,434–$10,136
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,808
Well above the fair price
about $5,701 over the fair price · 2.3× Medicare
Medicare pays $5,676 Fair price $7,107 This hospital $12,808

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 $12,808

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 $7,107 (about 1.3× the $5,676 Medicare rate). Metrohealth System charges insurers about $12,808 — well above the fair price. Located in Cleveland, 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 $7,107. 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 $10,875 - $16,650 192%
Blue Cross Blue Shieldmajor $8,305 - $12,808 146%
Aetnamajor $7,467 - $19,212 132%
Cignamajor $9,120 - $12,808 161%
Humanamajor $12,808 226%
CareSource $12,808 - $17,931 226%
Clover Health $12,808 226%
Devoted Health $12,808 226%
Medical Mutual $8,835 - $12,808 156%
Molina $12,808 - $17,931 226%
Paramount $12,808 226%
UniCare $12,808 226%
+ 10 smaller / regional plans $4,678 - $19,212

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2500 Metrohealth Drive, Cleveland, OH 44109
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals