CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Longmont United Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,278
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Longmont United Hospital is $8,278. 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 1.46x the Medicare baseline. Located in 1950 Mountain View Ave, Longmont, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,278

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: $8,278 (146%)
Ins. Median: $8,278 (146% 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
Direct To Employer $6,491 - $10,526 114%
Aetna $8,278 - $12,296 146%
Blue Cross Blue Shield $8,278 - $30,140 146%
Cigna $8,278 - $17,980 146%
Denver Health $8,278 146%
Devoted Health $8,278 146%
Humana $8,278 146%
Innovage $8,278 146%
Kaiser $8,278 - $10,106 146%
Medicare (plans) $8,278 146%
True Pace $8,278 146%
UnitedHealthcare $8,278 146%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1950 Mountain View Ave, Longmont, CO 80501
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals