CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St Josephs Community Hospital West Bend

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$14,781
about 2.6× the $5,676 Medicare rate · typically $6,560–$16,894
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,274
About the fair price
about $507 under the fair price · 2.5× Medicare
Medicare pays $5,676 Fair price $14,781 This hospital $14,274

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $5,090 Priciest $14,274

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 $14,781 (about 2.6× the $5,676 Medicare rate). St Josephs Community Hospital West Bend charges insurers about $14,274 — about the fair price. Located in West Bend, 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 $5,544 - $22,970 98%
Blue Cross Blue Shieldmajor $5,544 - $24,263 98%
Aetnamajor $5,655 100%
Humanamajor $5,544 98%
Health Net $17,245 304%
HealthPartners $5,544 - $15,884 98%
Molina $5,544 98%
Security Health Plan $5,544 98%
+ 9 smaller / regional plans $5,544 - $20,430

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Facility Profile & Credentials

  • Address: 3200 Pleasant Valley Road, West Bend, WI 53095
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals