CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Thedacare Regional Medical Center - Appleton Inc

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$8,560
about 1.5× the $5,676 Medicare rate · typically $4,419–$12,933
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,529
About the fair price
about $31 under the fair price · 1.5× Medicare
Medicare pays $5,676 Fair price $8,560 This hospital $8,529 Cash price $12,617 Hospital's list price $22,531

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 $8,529

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 $8,560 (about 1.5× the $5,676 Medicare rate). Thedacare Regional Medical Center - Appleton Inc charges insurers about $8,529, or about $12,617 in cash — about the fair price. Located in Appleton, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $5,868 103%
Blue Cross Blue Shieldmajor $11,241 - $11,832 198%
Humanamajor $4,038 71%
HealthPartners $8,529 150%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1818 N Meade St, Appleton, WI 54911
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals