Digestive disorders treatment (inpatient stay)
Facility: Labette Health
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $7,737
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.36x 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 |
|---|---|---|
| Uhccp | $3,195 | 56% |
| Medicaid / KanCare | $3,227 - $7,737 | 57% |
| Healthy Blue | $3,259 | 57% |
| Blue Cross Blue Shield | $7,171 - $7,737 | 126% |
| Humana | $7,737 | 136% |
| UnitedHealthcare | $7,737 - $15,573 | 136% |
| Wellcare | $7,737 | 136% |
| Kansas Superior Select | $7,970 | 140% |
| Montgomery County | $8,370 | 147% |
| Ambetter / Centene | $8,898 | 157% |
Consumer Guidance & Cost Commentary
For the procedure code 392, "Digestive disorders treatment (inpatient stay)," Labette Health in Parsons, KS, has a negotiated rate of $7,737.00, which is significantly higher than the state average of $5,675.87. While commercial payers like UnitedHealthcare and Blue Cross Blue Shield have negotiated rates ranging from $7,171 to $15,573, these amounts are often inflated by administrative costs and contract structures that can exceed fair pricing benchmarks. It is important to note that cash-pay options are not listed for this service, but patients should always verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as paying upfront can sometimes result in lower costs than the insurance negotiated rate.
This facility operates under a government-local ownership model and is rated 3 stars. When comparing pricing to Medicare, the commercial negotiated rate is 1.4 times the Medicare benchmark of $5,675.87, indicating a markup that exceeds the typical fair pricing range of 120% to 150%. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it is crucial to request an itemized bill to ensure no errors or unbundled charges exist. If you have a high-deductible plan, you may still face substantial out-of-pocket costs if your deductible has not been met, so checking your specific plan status and asking the hospital to classify the visit as self-pay can help you avoid unexpected financial burdens.