Digestive disorders treatment (inpatient stay)
Facility: Menorah Medical Center
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $5,991
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.06x 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 |
|---|---|---|
| Universal Healthcare | $1,275 - $6,864 | 22% |
| Aetna | $1,308 - $32,200 | 23% |
| College Park Family Care Center | $2,022 | 36% |
| Blue Cross Blue Shield | $2,790 - $14,884 | 49% |
| Amerigroup | $4,259 | 75% |
| United | $4,259 - $10,711 | 75% |
| Healthyblue | $4,344 | 77% |
| Unicare | $4,430 | 78% |
| Medicaid / KanCare | $4,447 | 78% |
| Humana | $4,466 - $6,021 | 79% |
| Multiplan | $4,495 - $5,478 | 79% |
| Corvel Corporation | $5,338 | 94% |
| Oha Network | $5,563 | 98% |
| Coventry | $5,931 | 104% |
| Celtic | $6,141 | 108% |
| Wellcare | $6,141 | 108% |
| Devoted Health | $6,141 | 108% |
| Nhc Advantage | $6,201 | 109% |
| Cigna | $6,262 - $17,360 | 110% |
| Pyramid Life | $6,623 | 117% |
| 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 Menorah Medical Center in Overland Park, KS, the negotiated rates vary significantly depending on your insurance carrier, ranging from a low of $1,275 with Universal Healthcare to a high of $12,006 with Wppa Providers Care Network. While the facility's median negotiated rate is $5,991, which is slightly higher than the Medicare benchmark of $5,675.87, patients with high-deductible plans might find that paying the cash price directly could result in lower out-of-pocket costs if their insurance negotiated rate exceeds the cash price. It is important to note that commercial rates often include administrative overhead and contract dynamics that can inflate the baseline price, so comparing these specific payer rates to the Medicare benchmark provides a clearer picture of the facility's pricing structure than looking at the hospital's full chargemaster list.
To minimize unexpected costs, patients should proactively request a "self-pay" or "prompt-pay" discount before scheduling services, as hospitals often offer fee reductions for upfront payment that bypass the costly insurance billing cycle. Additionally, if you receive a bill from an out-of-network provider or for services rendered by out-of-network specialists within the facility, you may be subject to balance billing for the difference between the provider's full charge and your insurance allowed amount; however, federal protections like the No Surprises Act generally ban this practice for emergency care and non-emergency services at in-network facilities. If you do receive a surprise bill, do not pay immediately; instead, dispute the charge with your insurer and request a formal audit to ensure compliance with federal laws.