CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St John Owasso

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,026
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at St John Owasso is $6,026. 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 1.06x the Medicare baseline. Located in 12451 East 100Th Street North, Owasso, OK.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,026

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: $6,026 (106%)
Ins. Median: $6,026 (106% 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
Communitycare (Select) $2,735 - $6,953 48%
Communitycare (Standard) $2,735 - $5,099 48%
Champva $4,635 82%
Community Care - St John Network Senior - Govt $4,635 82%
Communitycare Senior $4,635 82%
Life Pace $4,635 82%
Longevity Health Plan Of Oklahoma $4,635 82%
Medicare (plans) $4,635 82%
UnitedHealthcare $4,635 - $16,493 82%
Va Community Care Network $4,635 82%
Veterans Administration $4,635 82%
Humana $4,682 82%
Blue Cross Blue Shield $4,867 - $6,483 86%
Community Care (Select) 7/1/13 $5,562 98%
Pcc $5,848 103%
Ccl&H $6,026 106%
Smarthealth $6,489 114%
Aetna $6,781 - $11,033 119%
Community Care Smarthealth $6,953 123%
Medica $8,300 146%
Cigna $8,761 154%
Connect Health Benefit $9,270 163%
Evolutions $9,270 163%
Kempton Group Administrators $10,429 184%
First Health $11,000 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12451 East 100Th Street North, Owasso, OK 74055
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals