CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Saint Luke's East Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $10,340
Cash Discount Price: $28,113
vs. Medicare Baseline: 1.82x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Saint Luke's East Hospital is $10,340. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28,113. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.82x the Medicare baseline. Located in 100 N E Saint Luke's Boulevard, Lees Summit, MO.

Cash / Self-Pay

$28,113

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,340

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: $28,113 (495%)

Insurance Median: $10,340 (182%)

Cash: $28,113 (495% of Medicare)

Ins. Median: $10,340 (182% 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
Cigna	$1,877 - $18,143	33%
Humana	$2,900 - $10,340	51%
Medicaid / KanCare	$3,835 - $3,988	68%
Transplants-Case Rates [5750]	$4,300 - $83,173	76%
Blue Cross Blue Shield	$4,870 - $27,231	86%
Medicare (plans)	$5,557 - $5,835	98%
Commercial-Contracted [8000]	$5,562 - $8,891	98%
UnitedHealthcare	$9,347 - $12,644	165%
Aetna	$12,194 - $24,185	215%

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 $28,113.
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 Saint Luke's East Hospital 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.