CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Coshocton Regional Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,589
  • Cash Discount Price: $6,266
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Coshocton Regional Medical Center is $7,589. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,266. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.34x the Medicare baseline. Located in 1460 Orange Street, Coshocton, OH.
Cash / Self-Pay
$6,266

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,589

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: $6,266 (110%)
Insurance Median: $7,589 (134%)
Cash: $6,266 (110% of Medicare)
Ins. Median: $7,589 (134% 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
Tricare $5,503 97%
Blue Cross Blue Shield $6,266 110%
Care Source $6,266 - $9,086 110%
Medicare (plans) $6,266 110%
Molina $6,266 - $9,086 110%
The Health Plan $6,266 110%
UnitedHealthcare $6,266 110%
Med Mutual Of Oh $6,392 113%
Buckeye Community Health Plan $6,580 - $7,833 116%
Devoted Health $6,580 116%
Valor Health Plan $6,705 118%
Perennial Advantage $6,893 121%
Americas Choice Provider Network $7,589 134%
Corvel $7,589 134%
Healthsmart $7,589 134%
Multiplan $7,589 134%
Provider Network Of America $7,589 134%
Provider Select $7,589 134%
Three Rivers $7,589 134%
Workers Compensation $7,589 134%
Employer Direct Healthcare $8,146 144%
National Healthcare Solutions, Inc. $10,026 177%
Quality Care Partner $11,593 - $12,846 204%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1460 Orange Street, Coshocton, OH 43812
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals