CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: Adventist Health White Memorial
Billing Code: 392 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 392
- Insurance Median: $12,594
- Cash Discount Price: $12,247
- vs. Medicare Baseline: 2.22x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Adventist Health White Memorial is $12,594. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,247. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 2.22x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$12,247
Average discount available for prompt cash payment at this facility.
Insurance Median
$12,594
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: $12,247 (216%)
Insurance Median: $12,594 (222%)
Cash: $12,247 (216% of Medicare)
Ins. Median: $12,594 (222% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 222% of the Medicare baseline (a markup of 122%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Sunlight Living Hlth Mcal | $573 | 10% |
| Care First Medi-Cal | $7,500 | 132% |
| Blue Shield Medi-Cal | $7,625 | 134% |
| Access Group | $7,685 | 135% |
| Ahp - All Other Plans | $7,685 | 135% |
| Lasalle Mg Commercial - All Other Plans | $7,685 | 135% |
| Kindred Ip Only-All Plans | $8,150 | 144% |
| Bright Health - All Plans | $8,381 | 148% |
| Preferred Ipa La Care Mcal Cap | $8,700 | 153% |
| Blue Shield Mcr Adv | $8,861 | 156% |
| Access Senior - All Other Plans | $9,041 | 159% |
| Ahp Senior | $9,041 | 159% |
| Altamed Connect | $9,041 | 159% |
| Avanti Mcr Adv - All Other Plans | $9,041 | 159% |
| Brand New Day Mcare - All Plans | $9,041 | 159% |
| Bs Va Mcare | $9,041 | 159% |
| Care First Mcare - All Other Plans | $9,041 | 159% |
| Clever Care - All Plans | $9,041 | 159% |
| Healthnet Mcr Adv | $9,041 | 159% |
| Humana | $9,041 | 159% |
| La Care Mcr Adv - All Plans | $9,041 | 159% |
| Lasalle Mg Senior | $9,041 | 159% |
| Medicare (plans) | $9,041 | 159% |
| Molina Mcare | $9,041 | 159% |
| Pacific Alliance Medi-Cal | $9,041 | 159% |
| Preferred Senior | $9,041 | 159% |
| Scan Health Mcare - All Plans | $9,041 | 159% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $9,041 | 159% |
| Tricare | $9,041 | 159% |
| UnitedHealthcare | $9,041 - $42,596 | 159% |
| Pacific Alliance Mcare - All Other Plans | $9,222 | 162% |
| Blue Cross Blue Shield | $9,403 - $49,332 | 166% |
| Intergrated Medical - All Plans | $9,950 | 175% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $10,292 | 181% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $10,850 | 191% |
| Preferred Commercial - All Other Plans | $10,850 | 191% |
| Molina Benefit Exchange - All Other Plans | $12,206 | 215% |
| Access Medi-Cal | $12,594 | 222% |
| Ahp Medi-Cal | $12,594 | 222% |
| Alta Los Angeles Mcal 1/1/19 | $12,594 | 222% |
| Avanti Mcal | $12,594 | 222% |
| Healthcare Inc Medi-Cal | $12,594 | 222% |
| Lasalle Mg Medi-Cal | $12,594 | 222% |
| Medi-Cal | $12,594 | 222% |
| Molina Medi-Cal | $12,594 | 222% |
| Pacific Ipa Medi-Cal | $12,594 | 222% |
| Preferred Medi-Cal | $12,594 | 222% |
| Php-Prospect Health Plan Cap - All Plans | $13,110 | 231% |
| Altamed Medi-Cal - All Other Plans | $13,748 | 242% |
| Caremore Mcare - All Plans | $14,483 | 255% |
| Bc Medi-Cal | $14,924 | 263% |
| Healthnet Mcal | $14,999 | 264% |
| Preferred Healthy | $15,743 | 277% |
| Ah Employee Health Plan - All Plans | $16,275 | 287% |
| Assoc Hispanic Physcns Mcal | $17,632 | 311% |
| Centivo - All Plans | $20,343 | 358% |
| Healthcare Inc - All Other Plans | $20,616 | 363% |
| Pacific Ipa - All Other Plans | $25,855 | 456% |
| Blue Shield Epn | $26,322 | 464% |
| Kaiser- All Plans | $27,896 | 491% |
| Blue Shield - All Other Plans | $30,060 | 530% |
| Cigna | $33,654 - $37,018 | 593% |
| Healthnet Comm Care | $36,872 | 650% |
| Interplan Ppo - All Plans | $37,166 | 655% |
| First Heatlh Ppo - All Plans | $39,463 | 695% |
| Hcpamg - All Plans | $39,851 | 702% |
| Healthnet - All Other Plans | $40,966 | 722% |
| Aetna | $43,796 | 772% |
| Phcs Ppo - All Plans | $44,225 | 779% |
| Beech Street - All Plans | $45,586 | 803% |
| Western Growers/Pinnacle - All Plans | $50,090 | 883% |
| Ahf - All Plans | $51,029 | 899% |
| Corvel Corp - All Plans | $54,431 | 959% |
| Multiplan Ppo - All Plans | $56,472 | 995% |
| Healthmannet - All Plans | $57,833 | 1019% |
| Next Inc Ppo - All Plans | $57,833 | 1019% |
| Trpn - All Plans | $57,833 | 1019% |
| Fpn Ppo - All Plans | $61,235 | 1079% |