CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Sky Lakes Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,626

about 1.3× the $5,676 Medicare rate · typically $6,749–$11,102

modeled estimate · not a bill or quote

What this hospital charges insurers

$8,396

About the fair price

about $770 over the fair price · 1.5× Medicare

Medicare pays $5,676 Fair price $7,626 This hospital $8,396 Cash price $16,689 Hospital's list price $22,252

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

On the higher side — 6 of 8 other OR hospitals charge less.

Cheapest $6,624 Priciest $9,576

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 $7,626 (about 1.3× the $5,676 Medicare rate). Sky Lakes Medical Center charges insurers about $8,396, or about $16,689 in cash — about the fair price. Located in Klamath Falls, 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	$8,396	148%
Blue Cross Blue Shieldmajor	$8,396 - $16,055	148%
Aetnamajor	$8,396	148%
Cignamajor	$8,396	148%
Humanamajor	$8,396	148%
Kaiser Permanentemajor	$8,396	148%
Moda Health	$18,304	322%
PacificSource	$8,396	148%
Providence Health Plan	$12,962	228%
WellCare	$8,396	148%
+ 6 smaller / regional plans	$4,348 - $8,396

Government programs also on file: Medicare.

Excludes 2 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 16,689), 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 Sky Lakes 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 Sky Lakes 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
Providence Medford Medical Center · Medford $8,683
Legacy Good Samaritan Medical Center · Portland $9,576

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