Digestive disorders treatment (inpatient stay)
Facility: Overland Park Reg Med Ctr
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $6,787
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.20x 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 |
|---|---|---|
| Aetna | $1,264 - $32,200 | 22% |
| Universal Healthcare | $1,275 - $7,571 | 22% |
| College Park Family Care Center | $2,022 | 36% |
| Blue Cross Blue Shield | $2,790 - $14,884 | 49% |
| United | $4,259 - $10,711 | 75% |
| Amerigroup | $4,259 | 75% |
| Healthyblue | $4,344 | 77% |
| Unicare | $4,430 | 78% |
| Medicaid / KanCare | $4,447 | 78% |
| Humana | $4,466 - $6,821 | 79% |
| Multiplan | $4,495 - $5,478 | 79% |
| Corvel Corporation | $5,338 | 94% |
| Oha Network | $5,563 | 98% |
| Coventry | $6,719 | 118% |
| Wellcare | $6,957 | 123% |
| Celtic | $6,957 | 123% |
| Devoted Health | $6,957 | 123% |
| Nhc Advantage | $7,025 | 124% |
| Cigna | $7,094 - $17,360 | 125% |
| Pyramid Life | $7,503 | 132% |
| Oscar | $8,482 | 149% |
| Ambetter / Centene | $8,809 | 155% |
| Wppa Providrs Care Network | $12,006 | 212% |
Consumer Guidance & Cost Commentary
For the procedure "Digestive disorders treatment (inpatient stay)" at Overland Park Reg Med Ctr, the facility's negotiated rates vary significantly across payers, ranging from a low of $1,264 with Aetna to a high of $12,006 with Wppa Providers Care Network. While the median negotiated payment is $6,787, the facility's cash median is not available in the current data. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40% compared to direct cash payments. For patients with high-deductible plans, paying cash upfront may result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price, making it essential to verify self-pay or prompt-pay discounts before scheduling services.
Pricing at this facility is benchmarked against federal standards, with a Medicare amount of $5,675.87. The facility's median negotiated rate of $6,787 represents a 1.2x markup relative to the Medicare amount, which aligns with the typical range where fair pricing is defined as 120% to 150% of the Medicare baseline. Since the data does not provide specific state or county average comparisons for this specific DRG, patients should focus on the Medicare benchmark to evaluate the true cost of care. To ensure transparency and avoid unexpected charges, consumers are advised to request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered.