CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: West Valley Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,142
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at West Valley Medical Center is $8,142. 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 1.43x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,142

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: $8,142 (143%)
Ins. Median: $8,142 (143% 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
True Blue $7,184 127%
Corizon Health $7,331 129%
United $7,695 - $16,538 136%
Four Rivers Hospice $7,983 141%
Humana $7,983 141%
Molina $7,983 141%
Regence Blue Shield $7,983 141%
St Luke'S Health Partners $7,983 - $16,933 141%
Veteran'S Administration $7,983 141%
Blue Cross Blue Shield $8,142 - $17,089 143%
Regence $12,855 226%
Select Health Idaho (Eirmc Only) $16,456 290%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1717 Arlington Street, Caldwell, ID 83605
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals