CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: West Chester Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,576
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at West Chester Hospital is $8,576. 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 1.51x the Medicare baseline. Located in 7700 University Drive, West Chester, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,576

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: $8,576 (151%)
Ins. Median: $8,576 (151% 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 $6,158 - $10,903 108%
Blue Cross Blue Shield $6,158 - $14,095 108%
Devoted Health $6,158 108%
Humana $6,158 108%
Medical Mutual $6,158 108%
Molina Healthcare $6,158 - $8,621 108%
Paramount $6,158 108%
UnitedHealthcare $6,158 - $11,168 108%
Usa Mco $6,158 108%
Caresource $6,220 - $8,005 110%
Perennial Advantage $6,281 111%
Buckeye Health Plan $6,466 - $8,621 114%
Communicare Advantage $6,774 119%
Oscar $8,576 151%
Cincinnati Public Library $11,639 205%
Cronin Automotive $11,639 205%
Great Parks Of Hamilton County $11,639 205%
Green Township $11,639 205%
Health Ohio Network $11,639 205%
Madtree Brewing $11,639 205%
Magellan Health $11,639 205%
Ohio Valley Goodwill $11,639 205%
Skilled Care Pharmacy $11,639 205%
Springfield Township $11,639 205%
Stock Material Handling Systems $11,639 205%
Watson Gravel $11,639 205%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7700 University Drive, West Chester, OH 45069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals