CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Christus St Vincent Regional Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $5,475
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Christus St Vincent Regional Medical Center is $5,475. 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 0.96x the Medicare baseline. Located in 455 St Michael's Drive, Santa Fe, NM.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,475

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: $5,475 (96%)
Ins. Median: $5,475 (96% 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
Blue Cross Blue Shield $3,714 - $13,232 65%
Presbyterian Health Plan (Nm) $3,714 - $14,660 65%
UnitedHealthcare $3,714 - $5,475 65%
Molina $4,085 - $7,970 72%
Aetna $5,475 96%
Allwell $5,475 96%
Christus Health $5,475 96%
Humana $5,475 96%
Triwest $5,475 96%
Washington National $5,475 96%
Western Sky $5,475 96%
Cigna $5,640 99%
Amerigroup $5,749 101%
Devoted Health Plan $5,749 101%
Ambetter / Centene $10,951 193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 455 St Michael's Drive, Santa Fe, NM 87505
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals