CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Moberly Regional Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,235
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Moberly Regional Medical Center is $7,235. 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 1.27x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,235

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: $7,235 (127%)
Ins. Median: $7,235 (127% 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
Healthlink $1,130 - $1,254 20%
Blue Preferred $3,244 57%
Blue Access $6,245 110%
Medicare (plans) $6,966 - $6,986 123%
UnitedHealthcare $7,098 125%
Blue Cross Blue Shield $7,105 125%
Node Va $7,235 127%
Centurion Correctional $7,327 129%
Node Devoted Health Mcr Adv $7,333 129%
Corizon $8,866 156%
Us Department Of Labor $11,133 196%
Pathway/Pathway X $11,148 196%
Healthscope Benefits $11,206 197%
Naphcare $13,481 238%
Home State Health Plan $16,621 293%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals