CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Legacy Mount Hood Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$9,250

about 1.6× the $5,676 Medicare rate · typically $7,008–$14,963

modeled estimate · not a bill or quote

What this hospital charges insurers

$9,803

About the fair price

about $553 over the fair price · 1.7× Medicare

Medicare pays $5,676 Fair price $9,250 This hospital $9,803

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 $9,803

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 $9,250 (about 1.6× the $5,676 Medicare rate). Legacy Mount Hood Medical Center charges insurers about $9,803 — about the fair price. Located in Gresham, OR.

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	$9,096 - $17,478	160%
Blue Cross Blue Shieldmajor	$9,273 - $16,433	163%
Aetnamajor	$9,273 - $21,439	163%
Cignamajor	$9,714	171%
Humanamajor	$9,273	163%
Kaiser Permanentemajor	$8,831 - $17,663	156%
Devoted Health	$9,273	163%
Health Net	$9,361	165%
Moda Health	$9,891 - $19,332	174%
PacificSource	$9,538 - $14,883	168%
+ 6 smaller / regional plans	$9,096 - $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 Mount Hood 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 Mount Hood 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.