CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Upper Valley Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$10,285
about 1.8× the $5,676 Medicare rate · typically $6,984–$15,840
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,440
Above the fair price
about $7,155 over the fair price · 3.1× Medicare
Medicare pays $5,676 Fair price $10,285 This hospital $17,440

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 $17,440

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 $10,285 (about 1.8× the $5,676 Medicare rate). Upper Valley Medical Center charges insurers about $17,440 — above the fair price. Located in Troy, 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 $10,285. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $17,440 307%
Blue Cross Blue Shieldmajor $9,473 - $13,935 167%
Medical Mutual $24,505 432%
+ 1 smaller / regional plan $6,114 - $22,995
Government programs also on file: Medicare.

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: 3130 N Dixie Highway, Troy, OH 45373
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals