CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Merit Health Women's Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,471
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Merit Health Women's Hospital is $8,471. 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 1.49x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,471

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: $8,471 (149%)
Ins. Median: $8,471 (149% 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
Aetna $1,150 - $9,169 20%
Medicaid / KanCare $1,174 21%
Health Choice Of Mississippi $1,200 21%
Coventry First Health $1,711 30%
First Choice Standard $1,761 31%
First Choice Mpcn $2,556 45%
First Choice Ppo Plus $2,731 48%
Mississippi Department Of Rehabilitation Services $3,200 56%
Blue Cross Blue Shield $4,292 76%
UnitedHealthcare $5,453 - $9,049 96%
Advanced Health Systems $6,090 107%
Cigna $6,268 110%
First Choice Preferred $7,548 133%
Node First Choice Seven Corners $7,874 139%
First Choice Lgp $8,296 146%
Molina Exchange $8,471 149%
Humana $8,903 157%
Medicare (plans) $8,903 157%
Node Shared Health Of Ms Mcr Adv $8,903 157%
Node Vantage Health Mcr Adv $8,903 157%
Node Windsor Mcr Adv $8,903 157%
Node Devoted Health Mcr Adv $9,080 160%
Node First Choice American Health Of Ms Mcr Adv $9,080 160%
Node Molina Mcr Adv $9,080 160%
Node First Choice Wellcare Mcr Adv $9,230 163%
Node Va $9,230 163%
Node Healthy Mississippi Mcr Adv $9,954 175%
Ms Work Comp $10,529 186%
Occunet $13,573 239%
Node Us Dept Of Labor $13,741 242%
Magnolia Exchange $15,835 279%
Vantage Health $18,098 319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals