CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Simpson General Hospital Cah

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $4,767
Cash Discount Price: $11,272
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Simpson General Hospital Cah is $4,767. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,272. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 0.84x the Medicare baseline. Located in 1842 Simpson Highway 149, Mendenhall, MS.

Cash / Self-Pay

$11,272

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,767

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: $11,272 (199%)

Insurance Median: $4,767 (84%)

Cash: $11,272 (199% of Medicare)

Ins. Median: $4,767 (84% 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	$1,125	20%
Ms Phys Care Network - All Plans	$2,340	41%
Health Partners - All Plans	$2,925	52%
Adv Hlth Systems - All Plans	$3,978	70%
Blue Cross Blue Shield	$4,767	84%
Magnolia Hp Mcaid - All Plans	$4,832	85%
UnitedHealthcare	$4,832 - $4,908	85%
Ambetter / Centene	$4,908	86%

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 $11,272.
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 Simpson General Hospital Cah 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.