CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Jefferson Stratford Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $8,148
Cash Discount Price: $8,480
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Jefferson Stratford Hospital is $8,148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,480. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.44x the Medicare baseline. Located in 18 East Laurel Road, Stratford, NJ.

Cash / Self-Pay

$8,480

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,148

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: $8,480 (149%)

Insurance Median: $8,148 (144%)

Cash: $8,480 (149% of Medicare)

Ins. Median: $8,148 (144% 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
Tricare	$7,407	130%
St Agnes	$7,407	130%
Inspira Life	$7,407	130%
Medicare (plans)	$7,407 - $7,634	130%
Point of Comfort Refugee Resettlement	$7,407	130%
UnitedHealthcare	$7,407 - $8,000	130%
Aetna	$7,555 - $17,975	133%
Innovage	$7,555	133%
Humana	$7,555	133%
Blue Cross Blue Shield	$7,578 - $9,702	134%
Cigna	$7,703 - $16,217	136%
Devoted Health Participation	$7,778	137%
Provider Partners Health Plan	$7,926	140%
Allwell PA Health_Wellness Ma	$8,148	144%
Highmark Wholecare Gateway	$8,148	144%
Geisinger Health Plan	$8,302 - $23,180	146%
Ibc Employee Benefit	$9,259	163%
Ibc Main Line Health	$9,259	163%
Ambetter / Centene	$9,458	167%
Jeff Nj Amerihealth_Ibc	$11,509 - $13,718	203%
Highmark	$11,801 - $14,621	208%
Naphcare	$11,852	209%

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 $8,480.
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 Jefferson Stratford Hospital 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.