CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: University Hospitals - Elyria Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,397
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at University Hospitals - Elyria Medical Center is $7,397. 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 1.30x the Medicare baseline. Located in 630 East River Street, Elyria, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,397

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: $7,397 (130%)
Ins. Median: $7,397 (130% 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
Aetna $5,865 - $10,440 103%
Blue Cross Blue Shield $5,865 - $9,704 103%
Cigna $5,865 - $7,804 103%
Devoted Health $5,865 103%
Humana $5,865 103%
Medical Mutual Of Ohio $5,865 - $11,061 103%
Molina $5,865 103%
Primetime Health Plan $5,865 103%
Summacare $5,865 - $10,144 103%
The Health Plan $5,865 - $10,046 103%
UnitedHealthcare $5,865 103%
Wellcare By Allwell $5,865 103%
Paramount $6,041 106%
Perennial Advantage Of Ohio $6,158 108%
Valor Health Plans $6,158 108%
University Health Employee Plan (Contigo) $7,397 130%
Jp Farley $8,566 151%
Aultcare $9,402 166%
Ambetter / Centene $10,557 186%
Caresource $10,557 186%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 630 East River Street, Elyria, OH 44035
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals