Digestive disorders treatment (inpatient stay)
Facility: Dukes Memorial Hospital
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $4,414
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.78x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | $3,531 - $12,787 | 62% |
| Encore Work Comp In | $3,973 | 70% |
| Prime Health Services | $3,973 | 70% |
| Humana | $4,360 | 77% |
| Iu Health Plan | $4,360 | 77% |
| Managed Health Services | $4,360 - $8,828 | 77% |
| Medicare (plans) | $4,360 | 77% |
| Node Devoted Health Mcr Adv | $4,360 | 77% |
| UnitedHealthcare | $4,360 - $4,414 | 77% |
| Lutheran Advanced Network | $4,414 | 78% |
| Lutheran Northwest Health Preferred | $4,414 | 78% |
| Lutheran Three Rivers Preferred Plus 150 | $4,414 | 78% |
| Lutheran Three Rivers Preferred Plus 175 | $4,414 | 78% |
| Miami County Sheriffs Department | $4,414 | 78% |
| Node Lutheran Preferred Fixed 2 | $4,414 | 78% |
| Work Comp | $4,414 | 78% |
| Aetna | $4,447 | 78% |
| Three Rivers Preferred Plus | $4,502 | 79% |
| In Dept Of Correction | $4,591 | 81% |
| Node Pphp Mcr Adv | $4,635 | 82% |
| Partners Direct Health Llc | $5,600 | 99% |
| Three Rivers Preferred | $5,730 | 101% |
| Lutheran Preferred | $5,789 | 102% |
| Encore Ppo | $10,232 | 180% |
| Encore Kba Epo | $10,594 | 187% |
| Encore Kba Ppo | $13,242 | 233% |
| Amish Aid | $16,159 | 285% |