CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Mercy Hospital Oklahoma City, Inc

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,676

about 1.4× the $5,676 Medicare rate · typically $6,179–$9,808

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,289

Below the fair price — a good deal

about $1,387 under the fair price · 1.1× Medicare

Medicare pays $5,676 Fair price $7,676 This hospital $6,289 Cash price $16,908 Hospital's list price $26,012

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $3,373 Priciest $6,289

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,676 (about 1.4× the $5,676 Medicare rate). Mercy Hospital Oklahoma City, Inc charges insurers about $6,289, or about $16,908 in cash — below the fair price — a good deal. Located in Oklahoma City, OK.

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	$6,289 - $10,652	111%
Blue Cross Blue Shieldmajor	$6,289 - $16,153	111%
Aetnamajor	$2,785 - $11,973	49%
Cignamajor	$3,150 - $6,411	55%
Humanamajor	$2,812 - $6,717	50%
Ambetter (Centene)	$8,335	147%
Medica	$5,922	104%
+ 24 smaller / regional plans	$4,389 - $14,152

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 16,908), 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 Mercy Hospital Oklahoma City, Inc 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 Mercy Hospital Oklahoma City, Inc

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

Mercy Hospital Tishomingo Inc · Tishomingo $3,373
Alliancehealth Madill · Madill $3,430
Mercy Hospital Watonga, Inc · Watonga $4,137
Mercy Hospital Kingfisher, Inc · Kingfisher $4,137
Mercy Hospital Logan County · Guthrie $4,328
Oklahoma Spine Hospital · Oklahoma City $5,165
Weatherford Regional Hospital, Inc of Weatherford · Weatherford $5,245
Oklahoma Surgical Hospital, LLC · Tulsa $5,362

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