CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Oakdale Community Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $5,061
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Oakdale Community Hospital is $5,061. 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 0.89x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,061

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: $5,061 (89%)

Ins. Median: $5,061 (89% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$935 - $5,061	16%
Allegiance Hospice	$935 - $5,061	16%
Allen Oaks Hospice	$935 - $5,061	16%
Blue Cross Blue Shield	$935 - $9,107	16%
Champva	$935 - $5,061	16%
Compassionate Care Hospic	$935 - $5,061	16%
Correct Care	$935 - $5,061	16%
Golden Rule	$935 - $5,061	16%
Gulf South Risk Svcs Ip	$935 - $5,061	16%
Harbor Hospice	$935 - $5,061	16%
Healthy Blue Dual Adv	$935 - $5,061	16%
Heart Of Hospice	$935 - $5,061	16%
Hos Misc Hospice	$935 - $5,061	16%
Humana	$935 - $5,061	16%
Ice Health Service Corp	$935 - $5,061	16%
Mcr American Hlth Adv	$935 - $5,061	16%
Mcr Lagniappe	$935 - $5,061	16%
Medicare (plans)	$935 - $5,061	16%
Mutual Of Omaha	$935 - $5,061	16%
Snf Nursing Home	$935 - $5,061	16%
St Francis Nursing Home	$935 - $5,061	16%
Triwest	$935 - $5,061	16%
UnitedHealthcare	$935 - $5,234	16%
Us Family Health Plan	$935 - $5,061	16%
Wellcare	$935 - $5,061	16%
Wellcare Of Louisiana	$935 - $5,061	16%
Hawaii Mainland Administr	$1,402 - $7,592	25%
Meritain	$4,911	87%
Aarp	$5,234	92%
All Savers Insurance	$5,234	92%
Geha	$5,234	92%
United Hc Shared Services	$5,234	92%
Web-Tpa	$6,826	120%
Ambetter / Centene	$6,833	120%
Integrated Med Solutions	$7,086	125%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Oakdale Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.