CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: Whittier Hospital Medical Center
Billing Code: 392 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 392
- Insurance Median: $8,828
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Whittier Hospital Medical Center is $8,828. 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 1.56x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$8,828
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: $8,828 (156%)
Ins. Median: $8,828 (156% 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 |
|---|---|---|
| Universal Care | $745 - $800 | 13% |
| Care First Health Plan | $750 | 13% |
| Kaiser Foundation | $800 - $31,406 | 14% |
| Central Health Plan Of California | $809 | 14% |
| Asi/Flex | $850 | 15% |
| Managed Care Administrators | $850 | 15% |
| Blue Cross Blue Shield | $865 - $8,828 | 15% |
| Community Care Network | $900 | 16% |
| Us Comp Care | $900 | 16% |
| Value Healthplan Of California | $900 | 16% |
| Cost Containment | $975 | 17% |
| Prohealth | $1,000 | 18% |
| Care 1St Health Plan | $1,100 - $1,750 | 19% |
| UnitedHealthcare | $1,100 - $1,500 | 19% |
| Health Net | $1,235 - $8,828 | 22% |
| Aids Healthcare Foundation | $1,260 - $8,828 | 22% |
| Molina Medical Center | $1,350 - $11,216 | 24% |
| Alta Med Health Network | $1,386 - $8,828 | 24% |
| Health Net Inc | $1,500 - $10,543 | 26% |
| Medicare (plans) | $1,560 - $9,270 | 27% |
| Scan Health Plan | $1,620 | 29% |
| La Care Health Plan | $1,700 - $8,828 | 30% |
| Coventry Health Care | $1,800 | 32% |
| Coventry Health Care National Network | $1,800 | 32% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,850 | 33% |
| Ahmc Medi-Cal Reciprocity Agreement | $1,937 | 34% |
| Ahmc Reciprocity | $2,562 | 45% |
| Aetna | $2,574 - $12,801 | 45% |
| Healthnet | $2,715 - $12,966 | 48% |
| One Legacy | $3,000 | 53% |
| Caremore | $3,473 | 61% |
| Great-West Healthcare Of California | $3,500 | 62% |
| Private Pay | $3,589 | 63% |
| Ahmc Health | $3,818 | 67% |
| Blue Shield Of California | $3,839 - $9,457 | 68% |
| Veterans Administration | $6,281 | 111% |
| Cigna | $6,400 | 113% |
| Humana | $8,652 | 152% |
| Allied Physicians | $8,828 | 156% |
| Alta Los Angeles Hospitals Inc | $8,828 | 156% |
| Apa/Aco Inc | $8,828 | 156% |
| Avanti | $8,828 - $10,768 | 156% |
| Beverly Hospital | $8,828 - $9,940 | 156% |
| Brand New Day | $8,828 - $11,035 | 156% |
| Caloptima | $8,828 | 156% |
| Central Health Plan | $8,828 | 156% |
| Easy Choice Health Plan | $8,828 | 156% |
| Emanate Health | $8,828 - $11,035 | 156% |
| Heritage Provider Network | $8,828 - $12,114 | 156% |
| Pacific Alliance Medical Center | $8,828 | 156% |
| Pacificare Of California | $8,828 | 156% |
| Prospect Health Plan | $8,828 - $14,357 | 156% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $8,973 | 158% |
| La Care Covered Direct | $8,973 | 158% |
| Self-Pay | $8,973 | 158% |
| Alignment Health Plan | $9,270 | 163% |
| Molina Healthcare Of California | $9,270 | 163% |
| San Miguel Health Plan | $9,870 | 174% |
| Chinatown Service Center Pace | $10,768 | 190% |
| Knox-Keene Act | $11,216 | 198% |
| Fmc Los Angeles County | $13,301 | 234% |
| Interplan Health Group | $13,581 | 239% |
| Athens Administrators Ahmc Work Comp | $14,001 | 247% |
| Misc 1 | $14,001 | 247% |
| Multiplan Wc | $14,001 | 247% |