CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: University Hospitals Ahuja Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,792
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at University Hospitals Ahuja Medical Center is $8,792. 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 1.55x the Medicare baseline. Located in 3999 Richmond Road, Beachwood, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,792

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: $8,792 (155%)
Ins. Median: $8,792 (155% 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 $5,906 - $10,513 104%
Blue Cross Blue Shield $5,906 - $10,386 104%
Cigna $5,906 - $8,792 104%
Devoted Health $5,906 104%
Humana $5,906 104%
Medical Mutual Of Ohio $5,906 - $12,386 104%
Molina $5,906 104%
Primetime Health Plan $5,906 104%
Summacare $5,906 - $10,144 104%
The Health Plan $5,906 - $10,046 104%
UnitedHealthcare $5,906 - $11,664 104%
Wellcare By Allwell $5,906 104%
Paramount $6,083 107%
Perennial Advantage Of Ohio $6,201 109%
Valor Health Plans $6,201 109%
University Health Employee Plan (Contigo) $7,397 130%
Jp Farley $9,319 164%
Aultcare $9,402 166%
Ambetter / Centene $10,631 187%
Caresource $10,631 187%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3999 Richmond Road, Beachwood, OH 44122
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals