CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Methodist Hospitals of Memphis

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $7,706
Cash Discount Price: $5,603
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Methodist Hospitals of Memphis is $7,706. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,603. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.36x the Medicare baseline. Located in 1265 Union Ave Suite 700, Memphis, TN.

Cash / Self-Pay

$5,603

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,706

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: $5,603 (99%)

Insurance Median: $7,706 (136%)

Cash: $5,603 (99% of Medicare)

Ins. Median: $7,706 (136% 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
UnitedHealthcare	$599 - $12,786	11%
Medicaid / KanCare	$900 - $4,818	16%
Blue Cross Blue Shield	$991 - $8,704	17%
Cigna	$1,426 - $13,999	25%
Tricare	$5,608	99%
American Health Advantage Mcr Adv [450117]	$7,706	136%
Carecentrix [450200]	$7,706	136%
Generic Hospice Vbid [10940000101]	$7,706	136%
Humana	$7,706	136%
Medicare (plans)	$7,706 - $8,162	136%
Va Hospital [600005]	$7,706	136%
Devoted Health [450111]	$7,937	140%
Health Plans Inc [100282]	$8,162	144%
United Food & Commercial Workers [100309]	$13,999	247%

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 $5,603.
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 Methodist Hospitals of Memphis 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.