CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Parkwest Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $5,472
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Parkwest Medical Center is $5,472. 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 0.96x the Medicare baseline. Located in 9352 Park West Blvd, Knoxville, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,472

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: $5,472 (96%)
Ins. Median: $5,472 (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.

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 $2,138 - $6,035 38%
Cigna $2,294 - $5,472 40%
Ambetter / Centene $2,628 46%
UnitedHealthcare $2,831 - $12,023 50%
Aetna $3,426 - $5,472 60%
Wellpoint $4,638 - $5,472 82%
Tricare $4,659 - $5,211 82%
Farm Bureau $4,846 85%
Humana $5,367 95%
American Health Plan $5,472 96%
Devoted Health $5,472 96%
Nhc Advantage $5,472 96%
Wellcare $5,472 96%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9352 Park West Blvd, Knoxville, TN 37923
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals