CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St Charles Madras

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$11,210
about 2.0× the $5,676 Medicare rate · typically $5,973–$22,028
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,997
Above the fair price
about $5,787 over the fair price · 3.0× Medicare
Medicare pays $5,676 Fair price $11,210 This hospital $16,997 Cash price $21,529 Hospital's list price $26,911

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 $16,997

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 $11,210 (about 2.0× the $5,676 Medicare rate). St Charles Madras charges insurers about $16,997, or about $21,529 in cash — above the fair price. Located in Madras, 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 $11,210. 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 $5,338 94%
Blue Cross Blue Shieldmajor $5,872 103%
Aetnamajor $5,338 94%
Cignamajor $5,338 94%
Humanamajor $5,338 94%
Kaiser Permanentemajor $5,338 94%
Devoted Health $5,338 94%
Health Net $5,338 94%
UniCare $5,338 94%
WellCare $5,338 94%
+ 7 smaller / regional plans $5,338 - $16,996
Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 470 Ne A Street, Madras, OR 97741
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals