CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Union Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $5,904
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Union Hospital is $5,904. 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 1.04x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,904

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: $5,904 (104%)
Ins. Median: $5,904 (104% 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
Aultcare $5,018 88%
Aetna $5,904 104%
Blue Cross Blue Shield $5,904 - $8,588 104%
Devoted Health $5,904 104%
Humana $5,904 104%
Mmo $5,904 - $10,461 104%
Summacare $5,904 104%
The Health Plan $5,904 104%
United $5,904 104%
UnitedHealthcare $5,904 104%
Upmc $5,904 104%
Valor $5,904 104%
Cigna $6,081 107%
Communicare $6,199 109%
Perennial Health $6,376 112%
Pphp $6,494 114%
Zing Health $6,494 114%
Medical Benefit Corp $14,200 250%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals