Digestive disorders treatment (inpatient stay)
Facility: Mercy St Francis Hospital
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $6,760
- Cash Discount Price: $10,302
- vs. Medicare Baseline: 1.19x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $732 - $5,237 | 13% |
| Healthlink Contracted [320179] | $855 - $900 | 15% |
| Multiplan Contracted [320270] | $1,000 | 18% |
| Private Health Care Systems Contracted [320320] | $1,000 | 18% |
| United Medical Resources Contracted [320454] | $1,060 | 19% |
| UnitedHealthcare | $1,060 | 19% |
| Point C [20238] | $4,587 | 81% |
| Insurance System Inc Contracted [320465] | $4,587 | 81% |
| Health Systems Inc Contracted [320174] | $4,587 | 81% |
| Point C Contracted [320238] | $4,587 | 81% |
| Home State Health Plan Contracted [320187] | $5,237 | 92% |
| Ambetter / Centene | $5,237 | 92% |
| Novasys Contracted [320285] | $5,237 | 92% |
| Blue Cross Blue Shield | $5,653 - $18,183 | 100% |
| Mercy Mgd Behavioral Health Contracted [320259] | $6,760 | 119% |
| Cigna | $6,760 | 119% |
| Halo Hcr Inc Hospice Contracted [320432] | $6,760 | 119% |
| Aetna | $6,760 | 119% |
| Medical Associates Health Contracted [320444] | $6,760 | 119% |
| Acentra Health Contracted [320527] | $6,760 | 119% |
| Medicare (plans) | $6,760 - $6,963 | 119% |
| Elara Caring Aspire Hospice [20433] | $6,760 | 119% |
| Halo Hcr Inc Hospice [20432] | $6,760 | 119% |
| Provider Partners Health Plans Contracted [320450] | $6,760 | 119% |
| Pace of the Ozarks Contracted [320518] | $6,760 | 119% |
| Kindful Hospice [20434] | $6,760 | 119% |
| Kindful Hospice Contracted [320434] | $6,760 | 119% |
| Globalhealth Contracted [320145] | $6,760 | 119% |
| Dept of Veteran Affairs Contracted [320106] | $6,760 | 119% |
| Qual Choice Contracted [320325] | $6,760 | 119% |
| Mercy Hospice Okc [20252] | $6,760 | 119% |
| Cherokee Nation Health Serv Contracted [320066] | $6,760 | 119% |
| Cross Timbers Hospice [20098] | $6,760 | 119% |
| Indian Health Service Contracted [320198] | $6,760 | 119% |
| Humana | $6,760 | 119% |
| Healthscope Contracted [320182] | $8,450 | 149% |