CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Select Specialty Hospital-The Villages

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $1,761
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.31x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Select Specialty Hospital-The Villages is $1,761. 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 0.31x the Medicare baseline. Located in 5050 County Road 472, Oxford, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,761

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: $1,761 (31%)

Ins. Median: $1,761 (31% 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
Zelis Network Solutions	$1,303	23%
Molina	$1,325 - $1,406	23%
Blue Cross Blue Shield	$1,371 - $2,004	24%
Occunet	$1,550	27%
Cigna	$1,560	27%
Aetna	$1,613 - $1,937	28%
UnitedHealthcare	$1,698	30%
Phcs-Multiplan	$1,700	30%
Avmed	$1,891 - $1,986	33%
Naphcare	$1,951	34%
Centivo	$1,995	35%
Sidecare Health Insurance Solutions	$2,000	35%
Health Smart	$2,019 - $2,242	36%

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 Select Specialty Hospital-The Villages 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.