Digestive disorders treatment (inpatient stay)
Facility: Amberwell Atchison Association
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $11,256
- Cash Discount Price: $16,071
- vs. Medicare Baseline: 1.98x 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 |
|---|---|---|
| UnitedHealthcare | $4,321 - $11,775 | 76% |
| Humana | $5,310 - $11,256 | 94% |
| Blue Cross Blue Shield | $6,813 - $7,171 | 120% |
| Multiplan - All Plans | $8,130 | 143% |
| Cigna | $8,839 | 156% |
| Aetna | $9,642 | 170% |
| Triwest - All Plans | $11,256 | 198% |
| Superior Select Mcr Adv - All Plans | $11,256 | 198% |
| Va Ccn - All Plans | $11,256 | 198% |
| Oscar - All Plans | $12,053 | 212% |
| Centrus Health Direct - All Plans | $12,857 | 227% |
| Wppa Providrs Care - All Plans | $14,464 | 255% |
| Ambetter / Centene | $17,447 | 307% |
Consumer Guidance & Cost Commentary
For the procedure "Digestive disorders treatment (inpatient stay)" at Amberwell Atchison Association in Atchison, KS, the cash price is $16,071, which matches the median paid amount for this service. This cash rate is significantly higher than the Medicare benchmark of $5,675.87, indicating a markup of 200% above the federal baseline. While the facility offers a negotiated rate of $11,256 for in-network patients, this amount remains well above the Medicare rate. Patients with high-deductible plans should consider that paying the cash price of $16,071 upfront might be more cost-effective than using insurance, as the negotiated rate exceeds the cash price. It is important to ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as paying in full within a short window can sometimes reduce the total cost.
The facility is a Critical Access Hospital with a voluntary non-profit ownership structure, and the data reflects a vintage of June 2026. While specific county or state average comparisons are not provided in the available data, the wide range of negotiated rates among payers—from $4,321 for UnitedHealthcare to $17,447 for Ambetter/Centene—highlights significant variation in pricing based on insurance contracts. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though unexpected charges can still occur from out-of-network ancillary services like emergency physicians or labs. To avoid errors, consumers should request a full itemized bill before paying and verify that all services rendered are