CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Medical City Weatherford

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,857
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Medical City Weatherford is $7,857. 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 1.38x the Medicare baseline. Located in 713 E Anderson St, Weatherford, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,857

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: $7,857 (138%)
Ins. Median: $7,857 (138% 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
Procare Advantge $995 - $7,896 18%
Healthsmart Preferred Care $1,023 18%
Blue Cross Blue Shield $1,153 - $13,650 20%
American Health Plan Of Texas, Inc. $1,275 - $7,896 22%
Oscar $1,575 - $8,295 28%
Aetna $2,313 - $7,819 41%
United $2,810 - $8,315 50%
Humana $7,369 - $22,983 130%
Wellmed $7,497 132%
Amerigroup $7,520 132%
Integranet $7,520 132%
Triwest Veterans $7,520 132%
Wellcare $7,520 132%
Care N Care $7,595 134%
Cigna $7,670 - $23,436 135%
Devoted Health $7,670 135%
Mutual Of Omaha $7,670 135%
Provider Partners Health Plan $7,670 135%
Texas Independent Health Plan $7,670 135%
Superior Health Plan $7,896 139%
Imperial Insurance Company $7,971 140%
Verda Health Plan $8,272 146%
Multiplan Phcs $8,513 150%
Evry Health $11,012 194%
Molina $11,956 211%
Superior $13,460 - $16,844 237%
Molina Healthcare $13,584 239%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 713 E Anderson St, Weatherford, TX 76086
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals