Digestive disorders treatment (inpatient stay)
Facility: Logan County Hospital
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $5,386
- Cash Discount Price: $5,645
- vs. Medicare Baseline: 0.95x 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 |
|---|---|---|
| Medicaid / KanCare | $3,495 | 62% |
| Humana | $3,600 | 63% |
| Blue Cross Blue Shield | $7,171 | 126% |
| Health Partners - All Plans | $21,453 | 378% |
Consumer Guidance & Cost Commentary
For this inpatient stay at Logan County Hospital in Oakley, Kansas, the negotiated rates for Medicaid/KanCare, Humana, and Blue Cross Blue Shield range from $3,495 to $7,171, while the facility's cash median is $5,645. It is important to note that commercial insurance negotiated rates are often higher than cash prices due to the administrative costs and contract structures involved in processing claims. If you have a high-deductible plan, paying the cash price directly might result in lower out-of-pocket costs compared to your insurance's allowed amount, provided you have met your deductible. Before scheduling, you should explicitly ask the hospital to classify your account as "self-pay" to access potential prompt-pay discounts, which can reduce the final bill by 20% to 50% when paid in full upfront.
The facility's cash rate of $5,645 is significantly lower than the median paid amount of $21,453 by Health Partners, illustrating how insurance contracts can inflate costs. Since this is a Critical Access Hospital, the government-owned facility operates under specific pricing frameworks that may differ from larger regional networks. To ensure you are receiving the most accurate pricing, always request an itemized bill before agreeing to any payment plan or signing consent waivers that might waive your rights to dispute charges. If you receive a bill that seems unexpectedly high, you have the right to request a formal audit to verify that all services rendered match the charges, as over 80% of hospital bills contain errors that can be corrected.