CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Geisinger-Bloomsburg Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $5,460
Cash Discount Price: $13,456
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Geisinger-Bloomsburg Hospital is $5,460. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,456. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 0.96x the Medicare baseline. Located in 549 East Fair Street, Bloomsburg, PA.

Cash / Self-Pay

$13,456

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,460

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: $13,456 (237%)

Insurance Median: $5,460 (96%)

Cash: $13,456 (237% of Medicare)

Ins. Median: $5,460 (96% 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
Blue Cross Blue Shield	$3,535 - $9,499	62%
UnitedHealthcare	$4,583 - $4,712	81%
Cigna	$4,651	82%
Advantra	$4,712	83%
Geisinger Health Plan	$4,712 - $5,521	83%
Humana	$4,712 - $18,448	83%
Medical Development International	$4,712	83%
Medicare (plans)	$4,712	83%
American Progressive	$4,806	85%
Care Improvement Plus	$4,806	85%
Naphcare	$6,125	108%
Intergroup Services	$8,682 - $15,193	153%
Ambetter / Centene	$9,895	174%
Christian Healthcare Ministries	$10,852	191%
Aetna	$13,912 - $14,057	245%
Multiplan	$18,448	325%

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 $13,456.
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 Geisinger-Bloomsburg Hospital 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.