CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: University of Michigan Health - West

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $9,411
Cash Discount Price: $27,917
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at University of Michigan Health - West is $9,411. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27,917. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.66x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.

Cash / Self-Pay

$27,917

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,411

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: $27,917 (492%)

Insurance Median: $9,411 (166%)

Cash: $27,917 (492% of Medicare)

Ins. Median: $9,411 (166% 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
Care Resources	$4,555	80%
Aetna	$5,061 - $10,265	89%
Humana	$5,061 - $5,352	89%
Medicare (plans)	$5,061	89%
Molina Marketplace Commercial	$5,061	89%
Insight Metro Care	$7,288	128%
Golden Rule Ins	$9,032	159%
Medica	$9,032	159%
Student Ins/Mega Life	$9,032	159%
UnitedHealthcare	$9,032	159%
Apwu	$9,411	166%
Cigna	$9,411	166%
Health Partners	$9,411	166%
Priority Health	$9,411	166%
Web Tpa	$9,411	166%
Bcn	$12,102	213%
Blue Cross Blue Shield	$12,102	213%
Alliance Health & Life Ppo	$46,761	824%
Asr Physicians	$46,761	824%
Hap	$46,761	824%
Asr Cofinity	$58,277	1027%
Cofinity Commercial	$58,277	1027%
Cofinity Weyco	$58,277	1027%
Core Source	$58,277	1027%
Epoch Group	$58,277	1027%
Hlthcomp Admin	$58,277	1027%
Mid America	$58,277	1027%

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 $27,917.
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 University of Michigan Health - West 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.