CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Rush University Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $10,302
Cash Discount Price: $15,521
vs. Medicare Baseline: 1.82x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Rush University Medical Center is $10,302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,521. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.82x the Medicare baseline. Located in 1653 West Congress Parkway, Chicago, IL.

Cash / Self-Pay

$15,521

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,302

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: $15,521 (273%)

Insurance Median: $10,302 (182%)

Cash: $15,521 (273% of Medicare)

Ins. Median: $10,302 (182% 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
UnitedHealthcare	$802 - $12,551	14%
Cigna	$8,088 - $15,832	142%
Aetna	$9,297 - $15,301	164%
Blue Cross Blue Shield	$9,297 - $15,357	164%
Devoted Mcr Adv - All Plans	$9,297	164%
Humana	$9,297	164%
Wellcare Mcr Adv - All Plans	$9,297	164%
Molina Fide-Snp	$9,669	170%
Meridian Dnsp	$9,762	172%
Zing Hlth Mcr Adv - All Plans	$9,855	174%
Ambetter / Centene	$12,551	221%
Molina Exch - All Other Plans	$12,644	223%

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 $15,521.
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 Rush University 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.