CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $6,739
Cash Discount Price: $10,872
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Oklahoma Heart Hospital South, LLC is $6,739. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,872. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.19x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$10,872

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,739

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: $10,872 (192%)

Insurance Median: $6,739 (119%)

Cash: $10,872 (192% of Medicare)

Ins. Median: $6,739 (119% 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
Aetna	$2,812 - $7,772	50%
Humana	$2,812 - $7,121	50%
Geha	$5,391	95%
UnitedHealthcare	$5,391 - $5,403	95%
Blue Cross Blue Shield	$5,403	95%
Cigna	$5,403 - $6,058	95%
Medicare (plans)	$5,403 - $5,565	95%
Va Ccn	$5,403	95%
Preferred Community Choice	$6,716	118%
Community Care	$6,762 - $8,105	119%
Global Health	$6,775	119%
Sana Benefits	$6,829	120%
Ufcw	$6,829	120%
Ambetter / Centene	$7,564	133%
Phcs	$7,999	141%
Healthcare Highways	$8,859	156%
Healthscope	$9,185	162%
Oscar Insurance Company	$9,185	162%
The Kempton Group	$9,725	171%

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 $10,872.
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 Oklahoma Heart Hospital South, LLC 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.