CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Ascension Saint Thomas Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $8,325
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Ascension Saint Thomas Hospital is $8,325. 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 1.47x the Medicare baseline. Located in 4220 Harding Rd, Po Box 380, Nashville, TN.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,325

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: $8,325 (147%)

Ins. Median: $8,325 (147% 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
Amerigroup Mcaid Replacement	$2,813 - $3,574	50%
Blue Cross Blue Shield	$3,086 - $18,832	54%
Amerigroup	$3,574	63%
Community Plan	$3,684	65%
Point Comfort Underwriters	$4,264	75%
Americhoice Mcr Replacement	$4,454	78%
Medicare (plans)	$4,454 - $4,975	78%
Tricare	$4,549	80%
Ascension Complete	$4,738	83%
Centurion Of Tn	$4,738	83%
Covid Uninsured Test Fund	$4,738	83%
Healthspring Mcr Replacement	$4,738	83%
Humana	$4,738 - $11,267	83%
Nhc Advantage	$4,738	83%
Triwest Va Pccc	$4,738	83%
UnitedHealthcare	$4,738 - $15,974	83%
Aetna	$4,833 - $20,300	85%
Amerigroup Mcr Replacement	$4,880	86%
Ambetter / Centene	$6,159	109%
Smart Health	$6,633 - $10,900	117%
Oscar Health Plan	$8,150	144%
Oscar Health	$8,394	148%
Cigna	$8,625 - $16,559	152%
Health 2 Business	$9,742 - $11,201	172%
Phcs	$13,288	234%

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 Ascension Saint Thomas 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.