CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Deaconess Hospital Inc

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $10,710
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Deaconess Hospital Inc is $10,710. 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 1.89x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$10,710

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: $10,710 (189%)
Ins. Median: $10,710 (189% 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $3,170 - $11,731 56%
Humana $3,170 - $6,770 56%
Medicaid / KanCare $3,170 56%
UnitedHealthcare $3,170 - $15,917 56%
Triwest Vapc3 $6,166 109%
Blue Cross Blue Shield $6,491 - $20,554 114%
Immergrun $6,491 114%
Medicare (plans) $6,491 114%
Meridiancare (Il) $6,491 114%
Meridiancomplete (Il) $6,491 114%
Molina (Il) Mmai $6,491 114%
Molina Il $6,491 114%
Mytru Advantage $6,491 114%
Wellcare (Il) Mmai $6,491 114%
Ambetter / Centene $10,386 183%
Caresource In Marketplace $10,386 183%
Noncontracted $10,386 183%
Naphcare $10,710 189%
Encircle/Encore Prime $11,575 204%
Iu Health Network $11,690 206%
Patoka Valley Health Care (90/10 Plan) $11,879 209%
Alliance Coal $12,658 223%
Center Care Narrow Select $12,827 226%
Deaconess Onecare $12,982 229%
Patoka Valley Health Care (80/20 Plan) $13,063 230%
Encircle/Encore Elite+ $14,280 252%
Encircle/Encore Combined $14,519 256%
Center Care Open Access $14,752 260%
Cigna $15,384 271%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $15,384 271%
Allied National $15,578 274%
Chamber Care $15,578 274%
Claimdoc $15,578 274%
Healthscope $15,578 274%
Hopetrust $15,578 274%
Hstechnology $15,578 274%
Claritev (Formerly Phcs Multiplan) $15,828 279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals