CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Mount Carmel New Albany Surgical Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$7,508
about 1.3× the $5,676 Medicare rate · typically $5,450–$18,340
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,782
Below the fair price — a good deal
about $2,726 under the fair price · 0.8× Medicare
Medicare pays $5,676 Fair price $7,508 This hospital $4,782 Cash price $15,427

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 3 charge more and 5 charge less, among the 9 OH hospitals compared.

Cheapest $2,859 Priciest $5,319

Black dot = this hospital, among the 9 OH 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 $7,508 (about 1.3× the $5,676 Medicare rate). Mount Carmel New Albany Surgical Hospital charges insurers about $4,782, or about $15,427 in cash — below the fair price — a good deal. Located in New Albany, OH.

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 $4,782 - $7,902 84%
Blue Cross Blue Shieldmajor $17,171 303%
Aetnamajor $3,563 - $10,484 63%
GEHA $7,902 139%
+ 4 smaller / regional plans $632 - $3,563

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: 7333 Smith's Mill Road, New Albany, OH 43054
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals