CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Lutheran Hospital of Indiana

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $9,400
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Lutheran Hospital of Indiana is $9,400. 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 1.66x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,400

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: $9,400 (166%)
Ins. Median: $9,400 (166% 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
Node Hospice Non Par Agree $1,225 22%
Lutheran Preferred $4,502 79%
Lutheran Preferred Network $5,613 - $5,789 99%
UnitedHealthcare $5,846 - $9,129 103%
Aetna $6,496 114%
Blue Cross Blue Shield $6,496 - $12,787 114%
Humana $6,496 114%
Iu Health Plan $6,496 114%
Managed Health Services $6,496 - $13,520 114%
Medicare (plans) $6,496 - $6,660 114%
Node Devoted Health Mcr Adv $6,625 117%
Node Va $6,760 119%
In Dept Of Correction $6,856 121%
Node Pphp Mcr Adv $6,922 122%
Ky Work Comp $7,403 130%
Physicians Health Plan Of Northern Indiana $8,633 - $9,400 152%
Sagamore $9,979 - $11,694 176%
Lutheran Advanced Network $10,140 179%
Node Lutheran Network $10,140 - $11,830 179%
Node Lutheran Preferred Fixed 2 $10,140 179%
Amish Aid $10,577 186%
Us Department Of Labor $10,689 188%
Php Freedom Network $11,727 207%
Encore Ppo $11,861 209%
Encore Work Comp In $11,867 209%
Prime Health Services $12,168 214%
Lutheran Network $13,520 - $27,911 238%
Node Encore Kba Epo $16,224 286%
Node Encore Kba Ppo $20,280 357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals