CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Temple University Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $10,817
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Temple University Hospital is $10,817. 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 1.91x the Medicare baseline. Located in 3401 North Broad Street, Philadelphia, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,817

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: $10,817 (191%)

Ins. Median: $10,817 (191% 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	$7,957 - $35,153	140%
Humana	$9,303	164%
UnitedHealthcare	$9,303 - $18,251	164%
Innovage	$9,489	167%
Aetna	$9,582 - $15,691	169%
Cigna	$9,675 - $17,537	170%
Keystone First	$9,768	172%
Clover Health	$9,861	174%
Upmc Health Plan	$9,954	175%
Gateway Health Plan	$10,047	177%
Geisinger	$10,233 - $25,000	180%
Pennsylvania Health And Wellness	$10,233	180%
Health Partners Plans	$10,470	184%
Elder Health	$11,163	197%
Wtc Health Program	$12,403	219%
Prime Health Services	$12,834	226%
Oscar Health	$13,861	244%
Naphcare	$13,954	246%

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 Temple University 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.