CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Kern Valley Healthcare District

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $10,472
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.85x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Kern Valley Healthcare District is $10,472. 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 1.85x the Medicare baseline. Located in 6412 Laurel Ave, Lake Isabella, CA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,472

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: $10,472 (185%)

Ins. Median: $10,472 (185% 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
Medi-Cal	$3,632	64%
Healthnet (Aim)	$4,290	76%
Healthnet Mcal	$4,290	76%
Brand New Day - All Plans	$6,891	121%
Blue Cross Blue Shield	$7,002	123%
UnitedHealthcare	$9,309	164%
Healthnet Med Adv	$11,634	205%
Humana	$11,634	205%
Blue Shield - All Plans	$11,724	207%
Tricare	$12,107	213%
Healthnet- All Other Plans	$13,664	241%
Cigna	$14,702	259%

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 $X.
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 Kern Valley Healthcare District 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.