CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: HCA Healthone Rose

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,982
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at HCA Healthone Rose is $6,982. 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 1.23x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,982

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: $6,982 (123%)
Ins. Median: $6,982 (123% 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
Colorado Program For Children With Special Needs $675 12%
Seasons Hospice $800 14%
Western Plains Community Health $950 17%
Physician Health Partners $1,680 - $1,975 30%
United $2,701 - $9,422 48%
Cigna $3,421 - $7,610 60%
Rocky Mountain Health Plan $3,682 - $9,422 65%
Kaiser $4,253 - $7,121 75%
Aetna $5,738 - $12,000 101%
Blue Cross Blue Shield $6,982 - $16,072 123%
Bright Health $6,982 123%
Humana $6,982 123%
Rocky Mountain Health $6,982 123%
Total Longterm Care $6,982 123%
Triwest Health Alliance $6,982 123%
Devoted Health $7,121 125%
Innovage Pace $7,121 125%
Wellcare $7,191 127%
Mutual Of Omaha $7,331 129%
Delaware Life Insurance $7,470 132%
Pinnacol Workers Comp $9,065 160%
Multiplan $9,446 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4567 E 9Th Ave, Denver, CO 80220
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals