Digestive disorders treatment (inpatient stay)
Facility: Centura St. Catherine-Dodge City
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $6,314
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.11x 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 |
|---|---|---|
| Cigna | $6,314 | 111% |
| Kaiser | $6,314 | 111% |
| Humana | $6,314 | 111% |
| Blue Cross Blue Shield | $6,314 - $8,431 | 111% |
| Kansas Health | $6,314 | 111% |
| Medicare (plans) | $6,314 | 111% |
| Aetna | $6,314 | 111% |
Consumer Guidance & Cost Commentary
For the procedure code 392, "Digestive disorders treatment (inpatient stay)," at Centura St. Catherine-Dodge City, the negotiated rates across major payers like Cigna, Humana, and Blue Cross Blue Shield range from $6,314 to $8,431. It is important to note that while these rates are significantly higher than the Medicare benchmark of $5,675.87, they represent the contracted amounts for in-network members. Commercial negotiated rates often include administrative overhead and vary by payer, meaning a patient's specific plan could result in a different out-of-pocket cost depending on their deductible status and the specific contract terms.
Patients should be aware that cash-pay rates are not listed for this service, so there is no direct comparison to a self-pay discount available in this dataset. However, if a patient has a high-deductible plan where their insurance allowed amount exceeds the potential cash price, paying out-of-pocket could theoretically be more cost-effective, though this facility does not currently publish a cash median. To secure the best possible price, consumers are advised to explicitly ask the hospital registration desk about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the standard insurance billing cycle and administrative costs.