CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Desert Valley Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $7,986
Cash Discount Price: $8,064
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Desert Valley Hospital is $7,986. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,064. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.41x the Medicare baseline. Located in 16850 Bear Valley Rd, Victorville, CA.

Cash / Self-Pay

$8,064

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,986

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: $8,064 (142%)

Insurance Median: $7,986 (141%)

Cash: $8,064 (142% of Medicare)

Ins. Median: $7,986 (141% 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
Blue Shield Of Ca	$7,672 - $8,697	135%
Aetna	$7,749 - $12,136	137%
Alignment	$7,749	137%
Blue Cross Blue Shield	$7,749	137%
Blue Shield Of Promise	$7,749	137%
Choice Physicians Network	$7,749	137%
Elite Health Plan	$7,749	137%
Epic Health Plan	$7,749 - $11,291	137%
Health Net Of Ca	$7,749 - $14,904	137%
Heritage Victor Valley Medical Group	$7,749 - $10,484	137%
High Desert Pace	$7,749	137%
High Desert Primary Care	$7,749 - $12,904	137%
Inland Empire Health Plan	$7,749 - $10,081	137%
Medicare (plans)	$7,749 - $8,065	137%
Molina	$7,749 - $8,065	137%
Renal Payor Solutions	$7,749	137%
The Geo Group Inc	$7,749	137%
UnitedHealthcare	$7,749	137%
Vantage Care	$7,749	137%
Brand New Day	$7,827	138%
Tricare	$7,908 - $8,065	139%
Inland Empire Foundation For Medical Care	$8,065	142%
Imperial Health Plan Of Ca	$8,214	145%
Employer Direct Healthcare	$10,484	185%
Wellpath	$10,694	188%
Naphcare	$11,291	199%
Prime Health Services Inc	$11,936	210%
Workers Compensation	$12,511	220%
National Healthcare Solutions, Inc (Nhsi)	$12,904	227%

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 $8,064.
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 Desert Valley Hospital 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.