CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Magee General Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,130
  • Cash Discount Price: $4,249
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Magee General Hospital is $6,130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,249. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.08x the Medicare baseline. Located in 300 3Rd Ave Se, Magee, MS.
Cash / Self-Pay
$4,249

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,130

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: $4,249 (75%)
Insurance Median: $6,130 (108%)
Cash: $4,249 (75% of Medicare)
Ins. Median: $6,130 (108% 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
UnitedHealthcare $875 - $6,130 15%
Aetna $1,125 - $6,130 20%
Mississippi State Employees And Teachers $1,270 22%
Blue Cross Blue Shield $1,583 28%
Magnolia Health Plan Mcd Rep $5,400 95%
Medicaid / KanCare $5,400 95%
Mississippi Childrens Health Insurance Program $5,400 95%
Molina Healthcare Of Ms Mcd Adv $5,400 95%
Ambetter / Centene $6,130 108%
Harmony Health Plan Of Illinois $6,130 108%
Humana $6,130 108%
Medicare (plans) $6,130 108%
Shared Health Mississippi Mcr Adv $6,130 108%
Vantage Health Plan Inc Mcr Adv Primewell Health $6,130 108%
Wellcare Health Plan Inc Mcr Adv $6,130 108%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 3Rd Ave Se, Magee, MS 39111
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals