CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Bon Secours Community Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $10,687
  • Cash Discount Price: $10,787
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Bon Secours Community Hospital is $10,687. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,787. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.88x the Medicare baseline. Located in 160 East Main Street, Port Jervis, NY.
Cash / Self-Pay
$10,787

Average discount available for prompt cash payment at this facility.

Insurance Median
$10,687

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: $10,787 (190%)
Insurance Median: $10,687 (188%)
Cash: $10,787 (190% of Medicare)
Ins. Median: $10,687 (188% 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
First Health $1,664 29%
Multiplan $5,836 103%
Tricare $7,114 125%
Aetna $7,191 - $22,557 127%
Blue Cross Blue Shield $7,191 127%
Cdphp $7,191 127%
Emblem $7,191 - $26,543 127%
Fidelis $7,191 127%
Geisinger $7,191 - $16,324 127%
Hamaspik $7,191 127%
Magnacare $7,191 - $29,687 127%
Mvp $7,191 - $25,360 127%
Non Contracted $7,191 127%
Oxford $7,191 - $21,013 127%
Partners Health Plan $7,191 127%
UnitedHealthcare $7,191 - $21,013 127%
Wellcare $7,191 127%
Health First $7,695 136%
World Trade Center $10,687 188%
Cigna $24,179 426%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 160 East Main Street, Port Jervis, NY 12771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals