CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Clinton Memorial Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,232

about 1.3× the $5,676 Medicare rate · typically $6,503–$10,343

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,737

About the fair price

about $495 under the fair price · 1.2× Medicare

Medicare pays $5,676 Fair price $7,232 This hospital $6,737

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 $6,737

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 $7,232 (about 1.3× the $5,676 Medicare rate). Clinton Memorial Hospital charges insurers about $6,737 — about the fair price. Located in Wilmington, OH.

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	$6,737 - $11,957	119%
Blue Cross Blue Shieldmajor	$6,737	119%
Aetnamajor	$6,737 - $13,637	119%
Cignamajor	$6,737 - $7,640	119%
Humanamajor	$6,737	119%
CareSource	$6,737 - $8,758	119%
Molina	$6,737	119%
Oscar Health	$6,737	119%
+ 3 smaller / regional plans	$6,737 - $9,768

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 Clinton Memorial Hospital 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 Clinton Memorial Hospital

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

Mercy Health - Urbana Hospital · Urbana $2,859
Mercy Allen Hospital · Oberlin $2,878
Mount Carmel East & West · Columbus $2,921
Diley Ridge Medical Center · Canal Winchester $2,921
Fulton County Health Center · Wauseon $3,508
Mount Carmel New Albany Surgical Hospital · New Albany $4,782
Cincinnati Children's Hospital Medical Center · Cincinnati $5,103
Medina Hospital · Medina $5,212

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