CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Steele Memorial Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $19,261
Cash Discount Price: $14,970
vs. Medicare Baseline: 3.39x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Steele Memorial Medical Center is $19,261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,970. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 3.39x the Medicare baseline. Located in 203 South Daisy Street, Salmon, ID.

Cash / Self-Pay

$14,970

Average discount available for prompt cash payment at this facility.

Insurance Median

$19,261

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%)

Cash / Self-Pay: $14,970 (264%)

Insurance Median: $19,261 (339%)

Cash: $14,970 (264% of Medicare)

Ins. Median: $19,261 (339% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 339% of the Medicare baseline (a markup of 239%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$16,392 - $18,962	289%
Pacific Source - All Other Plans	$17,964	316%
Cigna	$18,403	324%
Blue Cross Blue Shield	$18,563 - $32,307	327%
Mountain Health Co-Op - All Plans	$18,962	334%
Regence Blue Shield - All Plans	$18,962	334%
Select Health Inc - All Other Plans	$18,962	334%
UnitedHealthcare	$18,962	334%
Multiplan - All Plans	$19,561	345%
Three Rivers - All Plans	$19,561	345%
Ichn, Llc - All Plans	$19,960	352%
Pacific Source Mcr Adv	$31,674	558%
Windsor Hp Mcr Adv - All Plans	$31,674	558%
Select Health Mcr Adv	$31,991	564%
Liberty Healthshare - All Plans	$50,678	893%

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 $14,970.
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 Steele Memorial Medical Center 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.