Digestive disorders treatment (inpatient stay)
Facility: Select Specialty Hospital - Wichita
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $1,700
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.30x 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 |
|---|---|---|
| Blue Cross Blue Shield | $1,191 | 21% |
| Aetna | $1,615 - $1,880 | 28% |
| Cigna | $1,682 | 30% |
| Phcs-Multiplan | $1,700 | 30% |
| UnitedHealthcare | $1,836 | 32% |
| Healthcare Highways | $1,957 | 34% |
| Sidecare Health Insurance Solutions | $2,000 | 35% |
| Wppa | $2,308 | 41% |
Consumer Guidance & Cost Commentary
For the procedure code 392, "Digestive disorders treatment (inpatient stay)," the Select Specialty Hospital in Wichita, KS, has a negotiated average payment of $1,700.00 across eight different payers. This rate is significantly lower than the Medicare benchmark of $5,675.87, which serves as the federal baseline for the true cost of care. While commercial insurance contracts cap charges to protect members, these negotiated rates often remain higher than cash prices due to administrative overhead and contract dynamics. Patients with high-deductible plans or those without insurance may find that paying cash directly is more cost-effective, as the facility's cash price is not listed in the current data but is typically lower than the insurance negotiated amounts.
To ensure you are not overpaying, it is critical to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Do not accept a summary bill as the final invoice; instead, demand a detailed, line-by-line statement showing specific CPT codes and unit costs to identify any double-billing or unbundled charges. Additionally, ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% if you pay in full upfront, bypassing the costly claims processing cycle that inflates insurance rates. Always verify your deductible status and ensure you have a written waiver of insurance submission to avoid automatic claims that void any potential cash savings.