CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Wyandotte Hospital and Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,022
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Wyandotte Hospital and Medical Center is $6,022. 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 1.06x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,022

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: $6,022 (106%)
Ins. Median: $6,022 (106% 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
Humana $5,272 - $6,143 93%
Pace Of Se Mi $5,721 101%
Amerihealth Michigan $5,902 104%
Aetna $6,022 - $9,850 106%
Bcn $6,022 106%
Blue Cross Blue Shield $6,022 - $13,639 106%
Cca Health Michigan $6,022 106%
Erickson $6,022 106%
Hap $6,022 - $11,517 106%
Hap Caresource $6,022 106%
Mclaren Health $6,022 106%
Molina Mi Health Link $6,022 106%
Mount Carmel Health Plan $6,022 106%
Priority Health $6,022 - $10,088 106%
UnitedHealthcare $6,022 - $9,190 106%
Wellcare $6,022 106%
Meridian Health Plan Of Mi $8,130 143%
Molina $8,130 143%
Cofinity Group Health $11,076 195%
Vitalcore Physicians Group Of Mi $11,141 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals