CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Missouri Baptist Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $9,443
Cash Discount Price: $14,951
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Missouri Baptist Medical Center is $9,443. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,951. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.66x the Medicare baseline. Located in 3015 N Ballas Rd, Saint Louis, MO.

Cash / Self-Pay

$14,951

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,443

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: $14,951 (263%)

Insurance Median: $9,443 (166%)

Cash: $14,951 (263% of Medicare)

Ins. Median: $9,443 (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
Aetna	$5,588 - $15,724	98%
Blue Cross Blue Shield	$5,588 - $12,564	98%
Essence Healthcare [221]	$5,588	98%
Healthscope Benefits [258]	$5,588 - $12,644	98%
Humana	$5,588 - $9,443	98%
UnitedHealthcare	$5,588 - $12,644	98%
Cox Health [757]	$5,867	103%
Devoted Health Plan [847]	$5,867	103%
Medica [662]	$5,867	103%
Cigna	$8,051 - $12,274	142%
Health Alliance [224]	$8,591	151%
Consociate [478]	$9,169 - $10,545	162%
Sarah Bush Lincoln [636]	$10,545	186%
Apwu Health Plan [216]	$12,274	216%
Nalc Health Benefit Plan [242]	$12,274	216%
Priority Health [648]	$12,274	216%
Allied Benefits [498]	$15,724	277%
Coresource [497]	$15,724	277%
Fmh Benefit Service Inc [222]	$15,724	277%
Mail Handlers [495]	$15,724	277%

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 $14,951.
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 Missouri Baptist Medical Center 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.