CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Pennsylvania Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$9,563
about 1.7× the $5,676 Medicare rate · typically $6,513–$13,074
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,067
Above the fair price
about $2,504 over the fair price · 2.1× Medicare
Medicare pays $5,676 Fair price $9,563 This hospital $12,067

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $4,806 Priciest $12,067

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $9,563 (about 1.7× the $5,676 Medicare rate). Pennsylvania Hospital charges insurers about $12,067 — above the fair price. Located in Philadelphia, PA.

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 $9,563. 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.

5 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 $3,308 - $17,157 58%
Blue Cross Blue Shieldmajor $6,951 - $18,544 122%
Aetnamajor $7,368 - $13,514 130%
Cignamajor $7,160 - $16,434 126%
Humanamajor $7,160 126%
Clover Health $7,368 130%
Geisinger $7,160 - $23,501 126%
HealthPartners $7,160 126%
Oscar Health $13,394 236%
UPMC Health Plan $6,951 122%
+ 18 smaller / regional plans $6,877 - $20,878
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 800 Spruce Street, Philadelphia, PA 19107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals