CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St Charles Medical Center Prineville

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$11,089

about 2.0× the $5,676 Medicare rate · typically $5,956–$21,485

modeled estimate · not a bill or quote

Medicare pays $5,676 Fair price $11,089 Cash price $7,594 Hospital's list price $9,493

How we calculate the fair BaseRate →

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	$5,349	94%
Blue Cross Blue Shieldmajor	$5,884	104%
Aetnamajor	$5,349	94%
Cignamajor	$5,349	94%
Humanamajor	$5,349	94%
Kaiser Permanentemajor	$5,349	94%
Devoted Health	$5,349	94%
Health Net	$5,349	94%
UniCare	$5,349	94%
WellCare	$5,349	94%
+ 7 smaller / regional plans	$5,349 - $16,996

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

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 7,594), 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 St Charles Medical Center Prineville 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 St Charles Medical Center Prineville

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.