CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Amita Health Resurrection Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $7,209
Cash Discount Price: $7,375
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Amita Health Resurrection Medical Center is $7,209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,375. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.27x the Medicare baseline. Located in 7435 W Talcott Avenue, Chicago, IL.

Cash / Self-Pay

$7,375

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,209

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: $7,375 (130%)

Insurance Median: $7,209 (127%)

Cash: $7,375 (130% of Medicare)

Ins. Median: $7,209 (127% 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
Hfn Inc (Healthcare Finest Network)	$5,540 - $12,358	98%
Blue Cross Blue Shield	$6,226 - $11,228	110%
Aetna	$6,553 - $6,881	115%
Celtic (Wellcare)	$6,553	115%
Cigna	$6,553 - $8,965	115%
Devoted Health	$6,553	115%
Humana	$6,553 - $7,209	115%
Illinois Physicians Alliance	$6,553	115%
Longevity Health Plan Of Illinois	$6,553	115%
UnitedHealthcare	$6,553 - $7,376	115%
Clear Spring Health Of Illinois	$6,619	117%
Molina	$6,750 - $11,063	119%
Zing Health Provider Network	$6,750	119%
Meridian	$6,881	121%
Providers Partners Health Plan	$6,881	121%
Tricare	$7,330	129%
Medicare (plans)	$7,376	130%
Self-Pay	$7,376	130%
Access Community Health Network	$8,851	156%
Keenan	$11,250	198%
Clifton Health System	$11,432	201%
Ambetter / Centene	$11,949	211%
Coventry	$12,624	222%
Workers Comp	$13,288	234%

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 $7,375.
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 Amita Health Resurrection 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.