CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Medical City Las Colinas

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $10,983
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Medical City Las Colinas is $10,983. 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 1.94x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$10,983

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: $10,983 (194%)
Ins. Median: $10,983 (194% 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 - $11,306 18%
Healthsmart Preferred Care $1,023 18%
Blue Cross Blue Shield $1,195 - $13,523 21%
American Health Plan Of Texas, Inc. $1,275 - $11,306 22%
Oscar $1,575 - $8,295 28%
Aetna $2,433 - $10,627 43%
United $2,668 - $10,530 47%
Multiplan Phcs $8,513 150%
Healthcare Highways $9,959 175%
Cigna $10,341 - $23,436 182%
Humana $10,552 - $22,983 186%
Curative Administrators $10,640 187%
Wellmed $10,735 189%
Amerigroup $10,767 190%
Integranet $10,767 190%
Triwest Veterans $10,767 190%
Wellcare $10,767 190%
Care N Care $10,875 192%
Devoted Health $10,983 194%
Mutual Of Omaha $10,983 194%
Provider Partners Health Plan $10,983 194%
Texas Independent Health Plan $10,983 194%
Evry Health $11,012 194%
Superior Health Plan $11,306 199%
Imperial Insurance Company $11,413 201%
Universal Healthcare Group $11,629 205%
Molina $11,736 207%
Verda Health Plan $11,844 209%
Bravo Health $11,952 211%
Molina Healthcare $13,758 242%
Usa Managed Care $14,627 258%
Corvel Corporation $15,243 269%
Superior $19,274 - $24,119 340%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 N Macarthur Blvd, Irving, TX 75039
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals