Digestive disorders treatment (inpatient stay)
Facility: St David's Medical Center
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $7,136
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.26x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Occunet | $800 | 14% |
| American Health Plan Of Texas | $1,275 - $7,696 | 22% |
| Phcs | $1,327 | 23% |
| Oscar | $1,633 - $10,000 | 29% |
| First Health | $2,308 | 41% |
| United | $3,085 - $9,660 | 54% |
| Aetna | $3,463 - $7,486 | 61% |
| Evry Health | $4,052 - $15,935 | 71% |
| Cigna | $4,649 - $7,206 | 82% |
| Moda | $5,813 | 102% |
| Altus Hospice (Hospice Of The Hills) | $6,297 | 111% |
| Cella Bella Hospice | $6,297 | 111% |
| Compassionate Care Mcr | $6,297 | 111% |
| Heart To Heart Hospice | $6,297 | 111% |
| Hospice Austin | $6,297 | 111% |
| Hospice Compassus | $6,297 | 111% |
| Silverado Hospice | $6,297 | 111% |
| St David’S Hospice | $6,297 | 111% |
| Wellmed | $6,905 | 122% |
| Angel Heart Hospice | $6,996 | 123% |
| Aseracare Hospice | $6,996 | 123% |
| Blue Cross Blue Shield | $6,996 - $13,158 | 123% |
| Girling Hospice | $6,996 | 123% |
| Lighthouse Hospice, Llc. | $6,996 | 123% |
| Odyssey Hospice | $6,996 | 123% |
| Southern Care Hospice | $6,996 | 123% |
| Texas Home Health Hospice | $6,996 | 123% |
| Triwest Healthcare Alliance | $6,996 | 123% |
| Triwest Veterans | $6,996 | 123% |
| Vistacare Family Hospice | $6,996 | 123% |
| Wesleyan Homes, Inc. | $6,996 | 123% |
| Devoted Health | $7,136 | 126% |
| Humana | $7,136 - $7,486 | 126% |
| Provider Partners Health Plan | $7,136 | 126% |
| Texas Independent Health Plan | $7,136 - $8,046 | 126% |
| Wellcare | $7,136 - $8,046 | 126% |
| Superior Health Plan | $7,346 - $11,194 | 129% |
| Universal Health | $7,346 | 129% |
| Imperial Insurance | $7,416 | 131% |
| Shared Health | $7,486 | 132% |
| Molina Healthcare | $7,626 | 134% |
| Pyramid Life | $7,696 | 136% |
| Austin Fc | $8,745 | 154% |
| Nomi Health | $9,202 - $9,687 | 162% |
| Sendero | $9,445 - $11,964 | 166% |
| Healthcare Highways | $9,789 - $9,987 | 172% |
| Corvel Corporation | $9,905 | 175% |
| Harbor Health Team | $10,271 | 181% |
| Moda Health | $10,552 - $10,763 | 186% |
| Curative Administrators | $10,640 | 187% |
| Naphcare | $10,844 | 191% |
| Seven Corners | $10,844 | 191% |
| Covenant Management Systems | $12,890 | 227% |