CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Avoyelles Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $5,270
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Avoyelles Hospital is $5,270. 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 0.93x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,270

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: $5,270 (93%)
Ins. Median: $5,270 (93% 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.

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $935 - $5,324 16%
Champva $935 - $5,324 16%
Mmc Allwell $935 - $5,324 16%
Mmc Blue Advantage $935 - $5,324 16%
Mmc Dignity Care Corp $935 - $5,324 16%
Mmc Healthy Blue Dual Adv $935 - $5,324 16%
Mmc Vantage Hlth $935 - $5,324 16%
Mmc Wellcare $935 - $5,324 16%
Mutual Of Omaha $935 - $5,324 16%
Neba Inc $935 - $5,324 16%
Philadelphia American Lif $935 - $5,324 16%
UnitedHealthcare $935 - $5,324 16%
Veterans Evaluation Serv $935 - $5,324 16%
Wps Vacca $935 - $5,324 16%
Amer Contl Ins $4,911 87%
Coventry $4,911 87%
First Choice Health $4,911 87%
Meritan Health $4,911 87%
Humana $5,057 - $5,324 89%
All Savers $5,230 92%
Geha $5,230 92%
United Hlth One $5,230 92%
Medicare (plans) $5,270 93%
Sentinel Security Life $5,270 93%
Trustmark Health Benefits $5,270 93%
Bankers Life $5,324 94%
Cigna $5,324 94%
Gulf South Zelis $5,324 94%
Mcr Lagniappe $5,324 94%
Medeico Ins Co $5,324 94%
Mmc Mcr Hmo Miscellaneous $5,324 94%
Mmc Priority Hlth Pffs $5,324 94%
Tunica Biloxi $5,324 94%
United Amer Ins $5,324 94%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4231 Highway 1192, Marksville, LA 71351
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals