CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Legacy Emanuel Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$9,215

about 1.6× the $5,676 Medicare rate · typically $7,001–$14,963

modeled estimate · not a bill or quote

What this hospital charges insurers

$10,848

Above the fair price

about $1,633 over the fair price · 1.9× Medicare

Medicare pays $5,676 Fair price $9,215 This hospital $10,848

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $6,624 Priciest $10,848

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $9,215 (about 1.6× the $5,676 Medicare rate). Legacy Emanuel Medical Center charges insurers about $10,848 — above the fair price. Located in Portland, OR.

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 $9,215. 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.

6 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	$10,142 - $17,478	179%
Blue Cross Blue Shieldmajor	$10,338 - $16,433	182%
Aetnamajor	$10,338 - $21,439	182%
Cignamajor	$10,831	191%
Humanamajor	$10,338	182%
Kaiser Permanentemajor	$9,846 - $19,692	173%
Devoted Health	$10,338	182%
Health Net	$10,437	184%
Moda Health	$11,028 - $19,692	194%
PacificSource	$10,634 - $14,883	187%
Providence Health Plan	$19,692	347%
+ 7 smaller / regional plans	$10,142 - $14,045

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 Legacy Emanuel Medical Center 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 Legacy Emanuel Medical Center

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

Santiam Hospital & Clinics · Stayton $6,624
Mid-Columbia Medical Center · The Dalles $6,808
St Charles Medical Center - Bend · Bend $7,157
Willamette Valley Medical Center · McMinnville $7,747
Providence Newberg Medical Center · Newberg $8,034
Legacy Meridian Park Medical Center · Tualatin $8,095
Sky Lakes Medical Center · Klamath Falls $8,396
Providence Medford Medical Center · Medford $8,683

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