Digestive disorders treatment (inpatient stay)
Facility: Alhambra Hospital Medical Center
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $8,471
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.49x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Scan Senior Plan | $1,000 | 18% |
| Blue Shield Promise Medi-Cal | $1,100 | 19% |
| Stewart Mg Senior Hmo | $1,200 | 21% |
| Wellcare Allied Senior Hmo | $1,200 | 21% |
| Molina Health Plan | $1,350 | 24% |
| Medicare (plans) | $1,700 - $9,295 | 30% |
| Citrus Valley Health Partners | $1,751 | 31% |
| Ahmc-Reciprocity-Medi-Cal/Healthy Families | $1,937 | 34% |
| Allied Physicians Comm/Sr | $2,350 | 41% |
| Ahmc-Reciprocity-Comm/Senior | $2,562 | 45% |
| Health Net Exchange Enhanced Ppo | $2,653 | 47% |
| Blue Cross Blue Shield | $3,204 - $8,710 | 56% |
| Ahmc Health | $3,950 | 70% |
| Blue Shield Value Network Exchange | $3,972 | 70% |
| Cigna | $4,200 - $6,496 | 74% |
| Blue Shield Hmo/Ppo | $4,429 | 78% |
| Aetna | $5,766 - $8,852 | 102% |
| Blue Shield 65 Plus | $8,362 | 147% |
| Apa Aco | $8,579 | 151% |
| Humana | $8,675 | 153% |
| Altamed Senior Services | $8,710 | 153% |
| Brand New Day Sr | $8,710 | 153% |
| Central Health Plan Of Ca Senior Hmo | $8,710 | 153% |
| Health Net Senior Hmo | $8,710 | 153% |
| La Care Exchange | $8,852 | 156% |
| Miscellaneous Senior Hmo | $8,852 | 156% |
| UnitedHealthcare | $8,852 | 156% |
| Wellcare Senior Hmo | $8,852 | 156% |
| Alignment Senior Hmo | $9,146 | 161% |
| Health Net Exchange | $9,994 | 176% |
| Health Net Salud Con Hmo | $9,994 | 176% |
| Health Net Ppo/Epo/Pos | $10,809 | 190% |
| Molina Exchange | $10,888 | 192% |
| Miscellaneous Work Comp Hmo | $14,434 | 254% |