Digestive disorders treatment (inpatient stay)
Facility: St. Catherine Hospital - Garden City
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $8,159
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.44x 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 |
|---|---|---|
| UnitedHealthcare | $5,939 - $18,160 | 105% |
| Devoted Health | $6,001 | 106% |
| Innovage | $6,001 | 106% |
| Aetna | $6,001 - $12,296 | 106% |
| Cigna | $6,001 - $17,980 | 106% |
| Medicare (plans) | $6,001 - $8,159 | 106% |
| Humana | $6,001 - $8,159 | 106% |
| Blue Cross Blue Shield | $6,001 - $30,140 | 106% |
| Kaiser | $6,001 - $8,854 | 106% |
| Direct To Employer | $6,491 - $10,526 | 114% |
| Kansas Health | $8,159 | 144% |
| Peak Health | $8,770 | 155% |
| United Colorado Doctor'S Plan | $11,741 | 207% |
Consumer Guidance & Cost Commentary
For the inpatient treatment of digestive disorders at St. Catherine Hospital in Garden City, Kansas, the negotiated rates for commercial payers range from $5,939 to $30,140, with a median negotiated amount of $8,159. This facility is a voluntary non-profit church-owned acute care hospital located in Garden City (ZIP 67846). While specific cash and median paid values are not currently available for this code, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs compared to insurance negotiated rates, particularly for those with high-deductible plans. It is highly recommended to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can significantly reduce the final bill by bypassing administrative claim processing fees.
The Medicare benchmark for this service is $5,675.87, which serves as a scientifically validated baseline for evaluating pricing markups. Commercial negotiated rates often exceed this benchmark due to administrative structures and contract dynamics, with some payer plans showing rates up to 1.4 times the Medicare amount. Since the facility is located in Garden City, KS, and operates within the state of Kansas, patients should verify that their specific insurance plan's negotiated rate aligns with the facility's published range to avoid unexpected costs. If you receive a summary bill, do not accept it as final; instead, request a full itemized audit to identify any unbundled codes or services not rendered, as these errors can substantially inflate your medical debt.