CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: The Monroe Clinic

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$7,481
about 1.3× the $5,676 Medicare rate · typically $5,550–$13,369
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,545
Below the fair price — a good deal
about $1,936 under the fair price · 1.0× Medicare
Medicare pays $5,676 Fair price $7,481 This hospital $5,545

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 4 charge more and 4 charge less, among the 9 WI hospitals compared.

Cheapest $5,090 Priciest $7,010

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,481 (about 1.3× the $5,676 Medicare rate). The Monroe Clinic charges insurers about $5,545 — below the fair price — a good deal. Located in Monroe, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $5,545 - $12,510 98%
Blue Cross Blue Shieldmajor $5,545 - $11,303 98%
Aetnamajor $5,545 98%
Humanamajor $5,545 98%
Molina $5,545 98%
Quartz $11,269 199%
+ 4 smaller / regional plans $5,545 - $15,508

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Facility Profile & Credentials

  • Address: 515 22Nd Ave, Monroe, WI 53566
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals