CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: North Sunflower Medical Center Cah

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $6,588
Cash Discount Price: $4,838
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at North Sunflower Medical Center Cah is $6,588. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,838. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.16x the Medicare baseline. Located in 840 North Oak Avenue, Ruleville, MS.

Cash / Self-Pay

$4,838

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,588

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: $4,838 (85%)

Insurance Median: $6,588 (116%)

Cash: $4,838 (85% of Medicare)

Ins. Median: $6,588 (116% 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
Mpcn-All Plans	$1,650	29%
Blue Cross Blue Shield	$3,988	70%
UnitedHealthcare	$4,791	84%
Aetna	$6,579 - $6,588	116%
Humana	$6,588	116%
Medicare (plans)	$6,588	116%
Ambetter / Centene	$6,654	117%
Medicaid / KanCare	$7,458	131%

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 $4,838.
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 North Sunflower Medical Center 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.