CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: Anaheim Global Medical Center
Billing Code: 392 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 392
- Insurance Median: $11,238
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Anaheim Global Medical Center is $11,238. 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 1.98x the Medicare baseline. Located in 1025 S Anaheim Blvd, Anaheim, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$11,238
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: $11,238 (198%)
Ins. Median: $11,238 (198% 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 |
|---|---|---|
| Ihhi Reciprocity | $800 | 14% |
| Nrc Research Institute | $1,200 | 21% |
| Primecare Medical Network Inc | $1,800 | 32% |
| Healthcare Partners Hmo | $2,375 | 42% |
| Health Net | $2,700 - $23,419 | 48% |
| Altamed Health Services | $2,800 - $3,548 | 49% |
| Heritage Provider Network | $3,189 - $11,238 | 56% |
| Altamed | $3,548 - $11,238 | 63% |
| Monarch Health Plan | $3,604 | 63% |
| Humana | $7,213 | 127% |
| Cigna | $8,462 | 149% |
| Victim Of Violent Crime | $8,990 | 158% |
| Victim Of Violent Crime (Mep) | $8,990 | 158% |
| Health Net Inc | $10,720 - $27,971 | 189% |
| Onecare | $10,901 | 192% |
| Naphcare | $11,180 | 197% |
| Aetna | $11,238 | 198% |
| Astiva | $11,238 | 198% |
| Blue Shield Of California | $11,238 - $22,700 | 198% |
| California Health Plan | $11,238 | 198% |
| Caloptima | $11,238 | 198% |
| Central Health Plan Of California Inc | $11,238 | 198% |
| Choice Physicians Network | $11,238 | 198% |
| Citizens Choice | $11,238 | 198% |
| Clever Care Health Plan | $11,238 | 198% |
| Easy Choice | $11,238 | 198% |
| For Your Benefit | $11,238 | 198% |
| Healthcare Partners Sr Hmo | $11,238 | 198% |
| Hollywood Presbyerian | $11,238 | 198% |
| Imperial Health Plan Of Ca | $11,238 | 198% |
| Innovative Integrated Health | $11,238 | 198% |
| Kaiser | $11,238 | 198% |
| Medcare Partners Health Plan | $11,238 | 198% |
| Medicare (plans) | $11,238 | 198% |
| Monarch | $11,238 | 198% |
| Other Sr Non Contract | $11,238 | 198% |
| Physicians For Healthy Hospitals | $11,238 | 198% |
| Prospect Health Plan | $11,238 - $16,857 | 198% |
| Scan | $11,238 | 198% |
| Self Pay/Ab774/Cbo Use Only | $11,238 | 198% |
| St Joseph Hospital Sr | $11,238 | 198% |
| UnitedHealthcare | $11,238 | 198% |
| Us Dept Of Labor | $11,238 | 198% |
| Us Federal Marshall/Department Of Immigration | $11,238 | 198% |
| Velocity National Provider Network Sr | $11,238 | 198% |
| Verda Health Plan | $11,238 | 198% |
| Veterans Administration | $11,238 | 198% |
| Victoria Hospice | $11,238 | 198% |
| Brand New Day | $11,912 - $14,047 | 210% |
| Champion Health Plan | $12,137 | 214% |
| Coventry Health | $12,697 - $13,190 | 224% |
| Prime Health Services | $12,697 - $12,923 | 224% |
| Interplan | $12,838 | 226% |
| Multiplan | $13,825 | 244% |
| Three Rivers Network | $13,825 - $19,666 | 244% |
| County Of Orange | $14,047 | 247% |
| State Of California | $14,107 | 249% |
| Velocity National Provider Network Wc | $14,107 | 249% |
| Velocity National Provider Network Ppo | $19,666 | 346% |