CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Legacy Meridian Park Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,095
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Legacy Meridian Park Medical Center is $8,095. 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 1.43x the Medicare baseline. Located in 19300 Sw 65Th Avenue, Tualatin, OR.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,095

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: $8,095 (143%)
Ins. Median: $8,095 (143% 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
Kaiser $7,359 - $14,719 130%
Atrio $7,580 134%
UnitedHealthcare $7,580 - $17,478 134%
Aetna $7,727 - $21,439 136%
Blue Cross Blue Shield $7,727 - $16,433 136%
Devoted Health $7,727 136%
Humana $7,727 136%
Healthnet $7,801 137%
Careoregon $7,948 140%
Pacificsource $7,948 - $14,883 140%
Ageright $8,095 143%
Cigna $8,095 143%
Providence $8,095 143%
Samaritan Health Services $8,095 143%
Moda $8,243 - $19,332 145%
Health 2 Business $14,045 247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 19300 Sw 65Th Avenue, Tualatin, OR 97062
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals