CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Western Arizona Regional Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,562
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Western Arizona Regional Medical Center is $6,562. 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 1.16x the Medicare baseline. Located in 2735 Silver Creek Road, Bullhead City, AZ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,562

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: $6,562 (116%)
Ins. Median: $6,562 (116% 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
Node Non Par Hospice Agree $1,127 20%
Sierra Health Plan $1,530 - $3,696 27%
Health Direct Partners $3,743 66%
Laughlin Healthcare $3,743 66%
Humana $6,251 110%
Medicare (plans) $6,251 110%
Node Health Choice Mcr Adv $6,251 110%
Node Triwest $6,343 112%
Healthnet $6,438 113%
Node Va $6,470 114%
Aetna $6,562 116%
Magellan $6,562 116%
Mercy Care Mcr Adv $6,562 116%
Node Banner Mcr Adv $6,562 116%
Node Devoted Health Mcr Adv $6,562 116%
Onecare $6,562 116%
Blue Cross Blue Shield $9,402 - $15,599 166%
Node Us Dept Of Labor $10,134 179%
Node Az Complete Health Exchange $10,784 190%
Node Health Choice Integrated Care $11,735 207%
UnitedHealthcare $15,858 279%
Node Health Choice Health Exchange $16,175 285%
Coventry Work Comp Al $17,628 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2735 Silver Creek Road, Bullhead City, AZ 86442
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals