CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Select Specialty Hospital - Phoenix

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $1,620
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.29x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Select Specialty Hospital - Phoenix is $1,620. 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 0.29x the Medicare baseline. Located in 350 W Thomas Rd, Phoenix, AZ.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,620

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: $1,620 (29%)

Ins. Median: $1,620 (29% 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
Arizona Foundation For Medical Care	$880	16%
Arizona Complete Health	$973 - $1,620	17%
Bridgeway Health Solutions	$973	17%
Health Choice	$973	17%
Mercy Care Plan	$973	17%
University Of Arizona Health Plans	$973	17%
UnitedHealthcare	$1,012 - $1,802	18%
Cigna	$1,400	25%
Imagine Health	$1,425	25%
Aetna	$1,538 - $1,880	27%
Occunet	$1,550	27%
Blue Cross Blue Shield	$1,720	30%
Naphcare	$1,951	34%
Centivo	$1,995	35%
Health Smart	$2,019 - $2,242	36%
Corecivic	$2,250	40%

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 $X.
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 Select Specialty Hospital - Phoenix 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.