CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Frankfort Regional Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,094
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Frankfort Regional Medical Center is $6,094. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.07x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,094

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $6,094 (107%)
Ins. Median: $6,094 (107% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Essence Healthcare $1,475 26%
Humana $3,627 - $6,322 64%
Blue Cross Blue Shield $5,057 - $12,774 89%
Cigna $5,265 93%
United $5,914 - $7,557 104%
Coventry Cares $6,006 106%
Molina $6,006 106%
Wellcare $6,006 - $6,322 106%
Aetna $6,259 110%
United Behavioral Health $6,322 111%
United Va $6,322 111%
Devoted Health $6,448 114%
Horizon Pace $6,512 115%
Signature Advantage $6,512 115%
Baptist Health Network $6,802 120%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 299 Kings Daughters Drive, Frankfort, KY 40601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals