CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: Mercy Hospital Northwest Arkansas
Billing Code: 392 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 392
- Insurance Median: $6,507
- Cash Discount Price: $17,403
- vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Mercy Hospital Northwest Arkansas is $6,507. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,403. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.15x the Medicare baseline. Located in 2710 South Rife Medical Lane, Rogers, AR.
Cash / Self-Pay
$17,403
Average discount available for prompt cash payment at this facility.
Insurance Median
$6,507
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%)
Cash / Self-Pay: $17,403 (307%)
Insurance Median: $6,507 (115%)
Cash: $17,403 (307% of Medicare)
Ins. Median: $6,507 (115% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Workers Comp [20426] | $1,271 | 22% |
| Aetna | $2,812 - $7,695 | 50% |
| Humana | $2,812 - $7,444 | 50% |
| Medicaid / KanCare | $2,812 - $6,081 | 50% |
| United Medical Resources Contracted [320454] | $3,357 | 59% |
| UnitedHealthcare | $3,357 - $6,507 | 59% |
| Private Health Care Systems Contracted [320320] | $4,939 | 87% |
| Private Health Care Systems [20320] | $4,939 | 87% |
| Novasys Contracted [320285] | $5,239 - $6,081 | 92% |
| Tricare | $5,998 | 106% |
| Ambetter / Centene | $6,081 | 107% |
| Home State Health Plan Contracted [320187] | $6,081 | 107% |
| Blue Cross Blue Shield | $6,268 - $8,498 | 110% |
| American Health Advantage Of Mo Mcr [20264] | $6,507 | 115% |
| Cigna | $6,507 - $8,282 | 115% |
| Cross Timbers Hospice [20098] | $6,507 | 115% |
| Elara Caring Aspire Hospice Contracted [320433] | $6,507 | 115% |
| Elara Caring Aspire Hospice [20433] | $6,507 | 115% |
| Globalhealth Contracted [320145] | $6,507 | 115% |
| Halo Hcr Inc Hospice Contracted [320432] | $6,507 | 115% |
| Halo Hcr Inc Hospice [20432] | $6,507 | 115% |
| Independent Health [20197] | $6,507 | 115% |
| Jordan Valley Senior Care Pace [20515] | $6,507 | 115% |
| Kindful Hospice Contracted [320434] | $6,507 | 115% |
| Kindful Hospice [20434] | $6,507 | 115% |
| Medical Associates Health [20444] | $6,507 | 115% |
| Medicare (plans) | $6,507 - $6,879 | 115% |
| Mercy Hospice Okc [20252] | $6,507 | 115% |
| Pace Of The Ozarks [20518] | $6,507 | 115% |
| Provider Partners Health Plans Contracted [320450] | $6,507 | 115% |
| Qual Choice Contracted [320325] | $6,507 | 115% |
| Spina Bifida Hlthcare Benefit [20506] | $6,507 | 115% |
| St Johns Mercy Rehab Llc Contracted [320359] | $6,507 | 115% |
| St Johns Mercy Rehab Llc [20359] | $6,507 | 115% |
| Tribute Health Plan Mcr [20338] | $6,507 | 115% |
| Valir Pace [20503] | $6,507 | 115% |
| Wellfirst Health Mcr [20443] | $6,507 | 115% |
| Cherokee Nation Health Serv Contracted [320066] | $6,610 | 116% |
| Dept Of Veteran Affairs Contracted [320106] | $6,610 | 116% |
| Indian Health Service Contracted [320198] | $6,610 | 116% |
| Indian Health Service [20198] | $6,610 | 116% |
| Municipal Health Plan Contracted [320271] | $7,640 | 135% |
| Employers Health Coalition Contracted [320116] | $7,744 | 136% |
| Aither Health Contracted [320449] | $7,955 | 140% |
| Edison Health Solutions Contracted [320502] | $7,955 | 140% |
| Mercy Benefit Admin Contracted [320251] | $7,955 | 140% |
| Yuzu Health Contracted [320521] | $7,955 | 140% |
| Usable Contracted [320409] | $8,498 | 150% |
| Health Choice Contracted [320166] | $9,803 | 173% |
| First Health Contracted [320128] | $10,012 | 176% |
| Qual Choice Contracted [320324] | $10,230 | 180% |