CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Christ Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $13,675
Cash Discount Price: $13,675
vs. Medicare Baseline: 2.41x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Christ Hospital is $13,675. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,675. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 2.41x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$13,675

Average discount available for prompt cash payment at this facility.

Insurance Median

$13,675

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: $13,675 (241%)

Insurance Median: $13,675 (241%)

Cash: $13,675 (241% of Medicare)

Ins. Median: $13,675 (241% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 241% of the Medicare baseline (a markup of 141%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$6,162 - $13,675	109%
Geha [2168]	$7,208	127%
Golden Rule [2161]	$7,208	127%
United Medical Resources [2104]	$7,208	127%
UnitedHealthcare	$7,208 - $13,675	127%
Aetna	$13,675	241%
Buckeye Mycare Dual [2171]	$13,675	241%
Cigna	$13,675	241%
Custom Design Benefits - True Cost [3004]	$13,675	241%
Humana	$13,675	241%
Life Synch [2080]	$13,675	241%
Medicare (plans)	$13,675	241%
Medigold Ppo [2204]	$13,675	241%
Meridian [2185]	$13,675	241%
Other Exchange Plan [9992]	$13,675	241%
Perennial [4200]	$13,675	241%
Poppins Health [2299]	$13,675	241%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $13,675.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Christ Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.