CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Parkridge Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,305
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Parkridge Medical Center is $7,305. 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 1.29x the Medicare baseline. Located in 2333 McCallie Ave, Chattanooga, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,305

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: $7,305 (129%)
Ins. Median: $7,305 (129% 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
Nhc Advantage, Inc. $650 - $7,380 11%
Managed Healthcare Admin $790 14%
Apex Health $995 - $7,309 18%
Atrio Golden Times $1,275 - $7,380 22%
Health One Alliance $1,477 - $6,081 26%
Prime Health $1,855 33%
Novanet $1,893 33%
Blue Cross Blue Shield $2,746 - $10,690 48%
Corvel Corporation $2,840 50%
United $3,430 - $14,490 60%
Ambetter / Centene $5,017 - $5,598 88%
Wellpoint $5,085 - $5,087 90%
Bright Health $6,071 - $8,185 107%
Amerigroup $7,162 - $7,165 126%
Hearth Hospice $7,162 - $7,165 126%
Humana $7,162 - $14,183 126%
Sarah Cannon Research $7,162 - $7,165 126%
United Behavioral Health $7,165 126%
Aetna $7,233 - $33,486 127%
Clover Insurance $7,305 - $7,309 129%
Devoted Health Plan $7,305 - $7,309 129%
Evergreen Hmo $7,305 - $7,309 129%
Healthspring $7,305 - $7,309 129%
Signature Advantage $7,305 - $7,309 129%
Pruitt Health (Allyalign) $7,376 - $7,380 130%
Wellcare $7,376 - $7,380 130%
Zing $7,376 - $7,882 130%
American Health Advantage $7,448 - $7,452 131%
Multiplan $9,910 175%
Cigna $15,650 - $17,784 276%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 McCallie Ave, Chattanooga, TN 37404
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals