Digestive disorders treatment (inpatient stay)
Facility: Lindsborg Community Hospital
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $28,996
- Cash Discount Price: $22,182
- vs. Medicare Baseline: 5.11x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 511% of the Medicare baseline (a markup of 411%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $6,627 | 117% |
| Tricare | $25,470 | 449% |
| Coventry Mcr Adv | $25,725 | 453% |
| Cigna | $26,936 | 475% |
| Coventry Comm-All Other Plans | $28,520 | 502% |
| UnitedHealthcare | $28,520 | 502% |
| Multiplan-All Plans | $29,471 | 519% |
| Phcs Preferred-All Plans | $29,471 | 519% |
| Health Partners -All Plans | $30,105 | 530% |
| Coventry Wc | $30,105 | 530% |
| Century Health-All Plans | $30,105 | 530% |
| Wppa-All Plans | $30,738 | 542% |
Consumer Guidance & Cost Commentary
For the procedure "Digestive disorders treatment (inpatient stay)" at Lindsborg Community Hospital, the cash median price is $22,182, which is lower than the negotiated rates paid by insurance carriers ranging from $6,627 to $30,738 depending on the plan. While the facility's cash price is competitive, it is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures; however, patients with high-deductible plans may find the cash option more cost-effective if their insurance allowed amount is higher than the cash rate. The hospital, a voluntary non-profit Critical Access Hospital in Lindsborg, KS, offers a cash median of $22,182, which is significantly lower than the Medicare amount of $5,675.87, indicating that cash payments do not align with federal cost benchmarks.
To ensure you are receiving the best possible price, we recommend requesting an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you choose to pay out-of-pocket, ask specifically about "self-pay" or "prompt-pay" discounts, which can reduce the total by 20% to 50% if settled upfront, bypassing the costly claims processing cycle. Additionally, while the facility is in-network for several payers including Blue Cross Blue Shield and Tricare, always verify your specific plan's allowed amount against the cash price, as assuming in-network status guarantees the lowest rate can lead to unexpected costs if your deductible has not yet been met.