CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Uh Cleveland Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $11,010
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Uh Cleveland Medical Center is $11,010. 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 1.94x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,010

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: $11,010 (194%)
Ins. Median: $11,010 (194% 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
University Health Employee Plan (Contigo) $9,170 162%
Aetna $9,745 - $17,345 172%
Blue Cross Blue Shield $9,745 - $13,189 172%
Cigna $9,745 - $11,838 172%
Devoted Health $9,745 172%
Humana $9,745 172%
Medical Mutual Of Ohio $9,745 - $15,920 172%
Molina $9,745 172%
Primetime Health Plan $9,745 172%
Summacare $9,745 - $13,782 172%
The Health Plan $9,745 - $13,261 172%
UnitedHealthcare $9,745 - $17,188 172%
Wellcare By Allwell $9,745 172%
Paramount $10,037 177%
Perennial Advantage Of Ohio $10,232 180%
Valor Health Plans $10,232 180%
Jp Farley $11,010 194%
Aultcare $12,550 221%
Ambetter / Centene $17,540 309%
Caresource $17,540 309%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals