CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Mercy Hospital Paris

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $1,513
Cash Discount Price: $9,242
vs. Medicare Baseline: 0.27x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Mercy Hospital Paris is $1,513. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,242. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 0.27x the Medicare baseline. Located in 500 East Academy, Paris, AR.

Cash / Self-Pay

$9,242

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,513

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: $9,242 (163%)

Insurance Median: $1,513 (27%)

Cash: $9,242 (163% of Medicare)

Ins. Median: $1,513 (27% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Workers Comp [20426]	$787	14%
Aetna	$1,513	27%
American Health Advantage Of Mo Mcr [20264]	$1,513	27%
Blue Cross Blue Shield	$1,513 - $4,572	27%
Cherokee Nation Health Serv Contracted [320066]	$1,513	27%
Cross Timbers Hospice [20098]	$1,513	27%
Dept Of Veteran Affairs Contracted [320106]	$1,513	27%
Elara Caring Aspire Hospice Contracted [320433]	$1,513	27%
Elara Caring Aspire Hospice [20433]	$1,513	27%
Globalhealth Contracted [320145]	$1,513	27%
Halo Hcr Inc Hospice Contracted [320432]	$1,513	27%
Halo Hcr Inc Hospice [20432]	$1,513	27%
Humana	$1,513	27%
Indian Health Service Contracted [320198]	$1,513	27%
Indian Health Service [20198]	$1,513	27%
Jordan Valley Senior Care Pace [20515]	$1,513	27%
Kindful Hospice Contracted [320434]	$1,513	27%
Kindful Hospice [20434]	$1,513	27%
Medicare (plans)	$1,513 - $1,588	27%
Mercy Hospice Okc [20252]	$1,513	27%
Pace Of The Ozarks [20518]	$1,513	27%
Provider Partners Health Plans Contracted [320450]	$1,513	27%
Qual Choice Contracted [320325]	$1,513	27%
Spina Bifida Hlthcare Benefit [20506]	$1,513	27%
UnitedHealthcare	$1,513 - $9,749	27%
Valir Pace [20503]	$1,513	27%
Cigna	$1,588	28%
Medicaid / KanCare	$3,373 - $3,727	59%
Ambetter / Centene	$3,727	66%
Home State Health Plan Contracted [320187]	$3,727	66%
Novasys Contracted [320285]	$3,727 - $5,270	66%
Usable Contracted [320409]	$4,572	81%
United Medical Resources Contracted [320454]	$9,749	172%
Qual Choice Contracted [320324]	$9,980	176%
Health Choice Contracted [320166]	$10,080	178%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $9,242.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Hospital Paris is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.