CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $10,175
Cash Discount Price: $5,322
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Ochsner Medical Center - Baton Rouge is $10,175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,322. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.79x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$5,322

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,175

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%)

Cash / Self-Pay: $5,322 (94%)

Insurance Median: $10,175 (179%)

Cash: $5,322 (94% of Medicare)

Ins. Median: $10,175 (179% 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
Louisiana Workers' Compensation Corporation (Lwcc)	$2,150 - $24,679	38%
Healthcomp & Personify Health (Formerly Gilsbar)	$2,346 - $26,923	41%
Mississippi Physicians Care Network	$2,932 - $33,653	52%
Medicaid / KanCare	$2,986 - $6,952	53%
Prime Health Services Ppo	$3,323 - $38,140	59%
Usa Managed Care Network	$3,323 - $38,140	59%
Tricare	$5,158	91%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$6,136	108%
Blue Cross Blue Shield	$6,136 - $11,136	108%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$6,136	108%
Humana	$6,136	108%
Medicare (plans)	$6,136	108%
Ochsner Health Plan	$6,136	108%
UnitedHealthcare	$6,136 - $14,620	108%
Aetna	$8,704	153%
Cigna	$9,571	169%

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 $5,322.
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 Ochsner Medical Center - Baton Rouge 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.