CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: Monterey Park Hospital
Billing Code: 392 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 392
- Insurance Median: $4,327
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Monterey Park Hospital is $4,327. 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 0.76x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$4,327
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: $4,327 (76%)
Ins. Median: $4,327 (76% 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 |
|---|---|---|
| Garfield Medical Center | $720 | 13% |
| Universal Care | $725 - $735 | 13% |
| Altamed Health Services Corporation | $750 | 13% |
| Crown City Medical Group Inc | $750 | 13% |
| Universal Care M Cal/Advantage Health Network | $750 | 13% |
| One Health Plan | $775 | 14% |
| Bella Vista Medical Group | $785 | 14% |
| Community Health Plan M Cal Joy Ipa | $785 | 14% |
| Tenet Reciprocity | $800 | 14% |
| Central Health Plan Of California | $809 | 14% |
| Asi Flex Ppo W/C | $850 | 15% |
| UnitedHealthcare | $850 - $9,063 | 15% |
| Caloptima Direct | $892 | 16% |
| Employee Health Systems Medical Group | $900 | 16% |
| Hispanic Physicians Ipa Medical Corporation | $900 | 16% |
| Corvel Corporation | $925 | 16% |
| Medical Managed Care Program | $992 | 17% |
| Choice Care Network | $1,045 | 18% |
| Altamed Health Services | $1,100 | 19% |
| Assess Ipa | $1,100 | 19% |
| Care 1St M Cal | $1,100 | 19% |
| Healthnet/Ehs Capitation | $1,100 | 19% |
| Healthnet | $1,162 | 20% |
| Bella Vista Medical Group Ancillary | $1,198 | 21% |
| Central Health Plan | $1,198 | 21% |
| Alta Med Health Services Corp | $1,236 - $9,063 | 22% |
| Blue Shield Of California | $1,336 - $9,213 | 24% |
| Molina Medical Centers | $1,350 | 24% |
| Blue Cross Blue Shield | $1,351 - $9,213 | 24% |
| Altamed Health Network | $1,387 - $3,000 | 24% |
| Care 1St Mcl/Gar Cap | $1,394 | 25% |
| Family Health Alliance Medical Group | $1,394 | 25% |
| Healthnet Inc | $1,394 | 25% |
| La Care | $1,394 - $2,750 | 25% |
| Molina Healthcare | $1,394 | 25% |
| Preferred Ipa Of California | $1,394 | 25% |
| Health Net | $1,500 - $9,063 | 26% |
| Health Net Of California | $1,600 - $10,512 | 28% |
| Scan Health Plan | $1,620 | 29% |
| La Care Health Plan | $1,700 - $9,063 | 30% |
| Care 1St Health Plan | $1,750 | 31% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,850 | 33% |
| Ahmc Healthcare Inc | $1,937 - $2,562 | 34% |
| Aetna | $2,574 - $9,063 | 45% |
| Healthcare Partners Affiliates Medical Group | $2,632 | 46% |
| Health Net Inc | $2,715 - $14,501 | 48% |
| One Legacy | $3,000 | 53% |
| Ahmc Health Epo | $3,950 | 70% |
| Veterans Administration | $6,449 | 114% |
| Cigna | $6,805 | 120% |
| Senior Citizens Choice | $8,157 | 144% |
| Humana | $8,882 | 156% |
| Alignment Health Plan | $8,927 | 157% |
| Aids Health Foundation | $9,063 | 160% |
| Apa/Aco Inc | $9,063 | 160% |
| Avanti | $9,063 - $11,055 | 160% |
| Beverly Hospital | $9,063 - $10,134 | 160% |
| Brand New Day | $9,063 - $11,516 | 160% |
| Cms | $9,063 | 160% |
| Easy Choice Health Plan | $9,063 | 160% |
| Medicare (plans) | $9,063 - $9,516 | 160% |
| Secure Horizons | $9,063 | 160% |
| Ucla/Impact Cancer | $9,063 | 160% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $9,213 | 162% |
| Emanate Health | $9,213 - $11,516 | 162% |
| La Care Covered Direct | $9,213 | 162% |
| Self-Pay | $9,213 | 162% |
| Molina Healthcare Medi-Connect | $9,516 | 168% |
| San Miguel Health Plan | $10,134 | 179% |
| Knox-Keene Act | $11,516 | 203% |
| Molina Healthcare Of California | $11,516 | 203% |
| First Health Senior | $11,987 | 211% |
| Preferred Health Network | $14,434 | 254% |
| Interplan | $14,737 | 260% |
| Athens Administrators | $15,193 | 268% |
| Indemnity W Comp Fee Schedule | $15,193 | 268% |
| Multiplan | $15,193 | 268% |