CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: East Liverpool City Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,672
  • Cash Discount Price: $6,671
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at East Liverpool City Hospital is $6,672. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,671. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.18x the Medicare baseline. Located in 425 West 5Th Street, East Liverpool, OH.
Cash / Self-Pay
$6,671

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,672

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: $6,671 (118%)
Insurance Median: $6,672 (118%)
Cash: $6,671 (118% of Medicare)
Ins. Median: $6,672 (118% 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
Medicaid / KanCare $4,244 75%
UnitedHealthcare $5,920 - $9,434 104%
Blue Cross Blue Shield $6,041 106%
Buckeye Community Health Plan $6,041 - $10,675 106%
Medical Mutual Of Oh $6,041 106%
Molina $6,041 - $9,674 106%
Ubh $6,041 106%
Care Source $6,222 - $9,674 110%
Health America $6,222 110%
Tricare $6,305 111%
Communicare $6,464 114%
Perennial $6,645 117%
Medicare (plans) $6,672 118%
Devoted Health $7,005 123%
Valor Health Plan $7,139 126%
Three Rivers $7,837 138%
Provider Select $7,999 141%
Naphcare $8,006 141%
Multiplan (Fka Private Healthcare Systems) $8,080 142%
Worker Compensation $8,080 142%
Employer Direct Healthcare $8,673 153%
National Healthcare Solutions (Nhsi) $10,675 188%
Keenan $11,250 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 425 West 5Th Street, East Liverpool, OH 43920
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals