CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Flowers Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $3,373
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.59x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Flowers Hospital is $3,373. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 0.59x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,373

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $3,373 (59%)
Ins. Median: $3,373 (59% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $754 - $1,254 13%
Compassionate Hands $1,047 18%
Covenant Hospice $1,047 18%
Dayspring Hospice $1,047 18%
Node Hospice Non Par $1,047 18%
Southern Care Hospice $1,047 18%
Vistacare Hospice $1,047 18%
Wiregrass Hospice $1,047 18%
Ccn/Mednet Ppo $1,400 25%
Health Choice $1,400 25%
Industry Buying Group $1,430 25%
Standard Textile $1,600 28%
Viva Health $2,000 35%
Occunet $2,500 44%
Alamed Wc $2,680 47%
Blue Cross Blue Shield $2,696 - $5,816 47%
Prime Health $2,848 - $6,412 50%
Coventry Healthcare $3,082 54%
Equian $3,182 56%
Alabama Work Comp $3,350 59%
UnitedHealthcare $3,396 - $6,155 60%
Humana $5,995 106%
Medicare (plans) $5,995 106%
Node Viva Mcr Adv $5,995 106%
Select Health $6,054 107%
Node Va $6,082 107%
Cigna $6,114 108%
Node Devoted Health Mcr Adv $6,114 108%
Care Improvement Plus $6,115 108%
Node Clover Health Mcr Adv $6,142 108%
Aetna $6,173 109%
Node Wellcare Mcr Adv $6,203 109%
Eon Health Care $6,386 113%
Choicecare Commercial $6,627 117%
Ambetter / Centene $7,894 139%
Node Us Dept Of Labor $9,785 172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals