CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Louis A Weiss Memorial Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $9,691
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Louis A Weiss Memorial Hospital is $9,691. 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 1.71x the Medicare baseline. Located in 4646 N Marine Drive, Chicago, IL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,691

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: $9,691 (171%)
Ins. Median: $9,691 (171% 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
Blue Cross Blue Shield $7,015 - $9,691 124%
UnitedHealthcare $7,826 - $8,327 138%
Golden Rule $8,327 147%
Humana $9,400 - $9,691 166%
Aetna $9,691 171%
Ambetter / Centene $9,691 171%
Cigna $9,691 - $10,366 171%
Longevity $9,691 171%
Wellcare $9,691 171%
Zing $9,691 171%
Oscar $9,885 174%
Nalc $10,366 183%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4646 N Marine Drive, Chicago, IL 60640
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals