CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 392 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 392
- Insurance Median: $8,753
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at AHMC Anaheim Regional Medical Center is $8,753. 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 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$8,753
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: $8,753 (154%)
Ins. Median: $8,753 (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
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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 |
|---|---|---|
| Allnet Preferred Provider | $835 | 15% |
| Capp Care | $950 - $13,944 | 17% |
| Corvel | $950 | 17% |
| Orange County Preferred Provider Organization | $990 - $13,526 | 17% |
| Interplan | $1,025 | 18% |
| Affiliated Health Fund | $1,240 | 22% |
| Multiplan Inc | $1,273 | 22% |
| Healthcare Partners | $1,379 - $8,753 | 24% |
| Altamed Health Network | $1,387 - $8,753 | 24% |
| Private Healthcare Systems | $1,489 | 26% |
| Care First | $1,500 - $8,753 | 26% |
| Health Net Inc | $1,503 - $20,123 | 26% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $1,503 | 26% |
| Caloptima | $1,750 - $8,753 | 31% |
| First Health | $1,840 - $13,526 | 32% |
| Ahmc Reciprocity Agreement | $1,937 - $2,562 | 34% |
| Choicecare | $1,975 | 35% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $2,391 | 42% |
| Private Pay Flat Rate | $2,500 | 44% |
| One Legacy | $3,000 | 53% |
| Medical Acquisition Company | $4,000 | 70% |
| Alta Los Angeles Hospital | $4,307 | 76% |
| Prospect Health Plan | $4,307 - $12,010 | 76% |
| Ahmc Health Self-Insurance Epo | $4,365 | 77% |
| Aetna | $4,478 - $8,753 | 79% |
| Blue Cross Blue Shield | $5,706 - $8,753 | 101% |
| Blue Shield Of California | $5,835 - $8,753 | 103% |
| Veterans Administration | $6,227 | 110% |
| Cigna | $7,370 - $13,944 | 130% |
| Monarch Health Plan | $8,315 - $8,753 | 146% |
| Humana | $8,578 | 151% |
| Aids Health Foundation | $8,753 | 154% |
| Alignment Health Plan | $8,753 | 154% |
| Apa Aco Inc | $8,753 | 154% |
| Avanti | $8,753 - $10,675 | 154% |
| Beverly Hospital | $8,753 - $9,786 | 154% |
| Brand New Day | $8,753 - $11,120 | 154% |
| California Health Plan | $8,753 | 154% |
| Central Health Of California | $8,753 | 154% |
| Davita Heatlhcare Partners Plan Inc | $8,753 | 154% |
| Healthnet | $8,753 | 154% |
| Heritage Provider Network | $8,753 - $12,010 | 154% |
| Kaiser Foundation Hospitals | $8,753 | 154% |
| Medicare (plans) | $8,753 - $9,278 | 154% |
| Pacificare | $8,753 | 154% |
| Scan Health Plan | $8,753 | 154% |
| Seoul Medical Group | $8,753 - $8,896 | 154% |
| Wellcare | $8,753 | 154% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $8,896 | 157% |
| Emanate Health | $8,896 - $11,120 | 157% |
| Innovative Integrated Health (Iih)/Orange County Pace | $8,896 | 157% |
| Self-Pay | $8,896 | 157% |
| Nchp | $9,190 | 162% |
| Align Senior Care | $9,278 | 163% |
| Knox-Keene Act | $11,120 | 196% |
| Angels Baseball Workers Comp | $11,852 | 209% |
| Athens Administrators | $13,944 | 246% |
| Marriot Intl | $13,944 | 246% |
| Non Contracted Workers Comp | $13,944 | 246% |