CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: San Gorgonio Memorial Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,718
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at San Gorgonio Memorial Hospital is $8,718. 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 1.54x the Medicare baseline. Located in 600 North Highland Springs Avenue, Banning, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,718

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: $8,718 (154%)
Ins. Median: $8,718 (154% 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
Beaver Medical Group $840 15%
Health Net- Medi $1,379 24%
Epic Management $1,600 - $9,359 28%
Cigna $1,764 31%
Redlands Community Hospital $1,800 - $8,914 32%
UnitedHealthcare $1,829 - $8,914 32%
Primecare Medical Network $1,875 - $1,981 33%
Blue Cross Blue Shield $2,142 - $8,914 38%
Inland Empire Health Plan $2,300 - $9,805 41%
Heritage Provider Network $3,653 64%
Lasalle Medical Associates $8,468 149%
Blue Shield $8,522 - $8,914 150%
Choice Physicians Network $8,914 157%
Imperial Health Plan $8,914 157%
Kaiser $8,914 - $17,827 157%
Providence Health Network $8,914 157%
Easy Choice Health Plan $9,359 165%
Velocity $9,805 173%
Health Net $11,124 - $11,392 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 North Highland Springs Avenue, Banning, CA 92220
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals