CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Olean General Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,738
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Olean General Hospital is $7,738. 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 1.36x the Medicare baseline. Located in 515 Main Street, Olean, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,738

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: $7,738 (136%)
Ins. Median: $7,738 (136% 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Emblem Health $3,023 53%
Highmark - Bradford $5,011 88%
Independent Health Association $5,464 - $5,650 96%
Cigna $5,520 97%
UnitedHealthcare $7,030 - $9,529 124%
Blue Cross Blue Shield $7,506 - $11,050 132%
Univera $7,583 134%
Upmc $7,639 - $7,892 135%
Aetna $7,738 - $8,202 136%
Healthpartners $7,738 136%
Humana $7,738 136%
Mvp $7,738 136%
Nalc $7,738 136%
Pa Health And Wellness $7,738 136%
Seneca Nation-Lion John Hc $7,738 136%
Total Senior Care $7,738 136%
Fidelis $8,125 143%
Geisinger $8,125 143%
Wellcare $8,125 143%
Fidelis Care $10,059 177%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 Main Street, Olean, NY 14760
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals