CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Ingalls Memorial Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,979
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Ingalls Memorial Hospital is $7,979. 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 1.41x the Medicare baseline. Located in 1 Ingalls Drive, Harvey, IL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,979

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: $7,979 (141%)
Ins. Median: $7,979 (141% 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 $5,428 - $7,979 96%
UnitedHealthcare $5,479 - $9,878 97%
Cigna $7,211 - $10,836 127%
Oscar $7,406 130%
Aetna $7,979 - $10,021 141%
Coventry Health Care $7,979 141%
Essence Healthcare $7,979 141%
Humana $7,979 141%
Provider Partner $7,979 141%
Zing $7,979 141%
Meritain $8,108 143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Ingalls Drive, Harvey, IL 60426
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals