CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Providence Cedars Sinai Tarzana Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $9,136
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Providence Cedars Sinai Tarzana Medical Center is $9,136. 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 1.61x the Medicare baseline. Located in 18321 Clark Street, Tarzana, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,136

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: $9,136 (161%)
Ins. Median: $9,136 (161% 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.

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
Aetna $7,927 - $14,691 140%
Blue Cross Blue Shield $7,927 - $10,650 140%
Brand New Day $7,927 140%
Brandman Centers $7,927 140%
Caremore $7,927 140%
Healthnet $7,927 - $16,965 140%
Humana $7,927 140%
Kaiser $7,927 140%
La Care Health Plan $7,927 - $10,306 140%
Monarch Health Plan $7,927 140%
Providence Health Plan $7,927 140%
Scan Health Plan $7,927 140%
UnitedHealthcare $7,927 - $15,268 140%
Wellcare $7,927 140%
Molina Healthcare $8,086 142%
Central Health Plan $8,720 154%
Blue Shield $9,136 - $14,056 161%
Cigna $11,008 - $12,372 194%
Multiplan $14,240 251%
First Health/Coventry $44,604 786%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18321 Clark Street, Tarzana, CA 91356
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals