CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Regency Hospital of North Central Ohio (Cleveland)

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $1,901
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Regency Hospital of North Central Ohio (Cleveland) is $1,901. 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 0.33x the Medicare baseline. Located in 4200 Interchange Corporate Center Rd, Warrensville Heights, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,901

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: $1,901 (33%)

Ins. Median: $1,901 (33% 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.

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
Caresource	$1,350 - $1,900	24%
UnitedHealthcare	$1,365 - $2,040	24%
Blue Cross Blue Shield	$1,461 - $1,804	26%
Oscar Health Plan	$1,484 - $1,696	26%
Meridian	$1,500 - $1,994	26%
Summacare	$1,500 - $1,800	26%
Ohio Health Choice	$1,507 - $1,722	27%
Phcs Multiplan	$1,700 - $2,300	30%
The Health Plan	$1,745 - $1,869	31%
Ohio State University Managed Healthcare Services	$1,764 - $2,099	31%
Cigna	$1,781 - $2,176	31%
Front Path Health Coalition	$1,839 - $2,076	32%
Ohiohealthy Medical Plan	$1,854 - $2,202	33%
Medical Mutual Of Ohio-Mmoh	$1,892 - $2,568	33%
Aetna	$1,901 - $2,123	33%
Health Alliance Of The Midwest	$2,125 - $2,609	37%
Health Smart	$2,240 - $2,500	39%

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 $X.
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 Regency Hospital of North Central Ohio (Cleveland) 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.