CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Honor Health John C. Lincoln Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,964
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Honor Health John C. Lincoln Medical Center is $6,964. 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 1.23x the Medicare baseline. Located in 250 East Dunlap Avenue, Phoenix, AZ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,964

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: $6,964 (123%)
Ins. Median: $6,964 (123% 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
Aetna $6,964 - $14,629 123%
Allwell $6,964 123%
Az Health Advantage $6,964 123%
Azpc $6,964 123%
Banner $6,964 123%
Banner University Health Plan $6,964 123%
Blue Cross Blue Shield $6,964 - $12,749 123%
Cigna $6,964 - $12,746 123%
Devoted Health $6,964 123%
Gold Kidney Of Arizona $6,964 123%
Health Choice $6,964 - $10,585 123%
Humana $6,964 - $11,001 123%
Imperial Health $6,964 123%
Mercy Care Plan $6,964 123%
Molina $6,964 123%
Scan Desert Health Plan $6,964 123%
Triwest $6,964 123%
Wellcare $6,964 123%
UnitedHealthcare $7,034 - $12,976 124%
Oscar Health Plan $7,317 129%
Ambetter / Centene $9,750 172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 East Dunlap Avenue, Phoenix, AZ 85020
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals