CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Warner Hospital and Health Services

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $6,761
Cash Discount Price: $17,258
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Warner Hospital and Health Services is $6,761. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,258. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.19x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$17,258

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,761

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: $17,258 (304%)

Insurance Median: $6,761 (119%)

Cash: $17,258 (304% of Medicare)

Ins. Median: $6,761 (119% 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
Humana	$1,100 - $6,564	19%
UnitedHealthcare	$1,200 - $6,564	21%
Aetna	$1,827 - $6,564	32%
Blue Cross Blue Shield	$6,564 - $16,913	116%
Health Alliance Med Adv	$6,564	116%
Molina Mcr/Mcd Dual	$6,564	116%
Wellcare Mcr Adv-All Plans	$6,564	116%
Healthlink Hmo	$13,461	237%
City Of Clinton (Employees Serv)-All Plans	$13,806	243%
Cigna	$14,324	252%
Caterpillar-All Plans	$14,669	258%
Health Alliance-All Other Plans	$14,669	258%
Multiplan Phcs-All Plans	$14,669	258%
Healthlink Ppo/Work Comp-All Other Plans	$15,187	268%
Consociate Care Ppo-All Plans	$15,532	274%
Hfn Ppo/Epo-All Plans	$15,532	274%
Three Rivers-All Plans	$16,395	289%

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 $17,258.
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 Warner Hospital and Health Services 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.