CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: Methodist Mansfield Medical Center
Billing Code: 392 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 392
- Insurance Median: $8,247
- Cash Discount Price: $19,320
- vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Methodist Mansfield Medical Center is $8,247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,320. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.45x the Medicare baseline. Located in 2700 E Broad Street, Mansfield, TX.
Cash / Self-Pay
$19,320
Average discount available for prompt cash payment at this facility.
Insurance Median
$8,247
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%)
Cash / Self-Pay: $19,320 (340%)
Insurance Median: $8,247 (145%)
Cash: $19,320 (340% of Medicare)
Ins. Median: $8,247 (145% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Community Hospice Of Texas [2005] | $1,137 | 20% |
| Faith Hospice [2008] | $1,137 | 20% |
| Generic Hospice [2011] | $1,137 | 20% |
| Heart To Heart Hospice [2012] | $1,137 | 20% |
| Homebound Cardinal Hospice [4019] | $1,137 | 20% |
| Hospice Plus [2013] | $1,137 | 20% |
| Kindful Health Hospice [4016] | $1,137 | 20% |
| Lions Hospice [2015] | $1,137 | 20% |
| New Century Hospice [2003] | $1,137 | 20% |
| Odyssey Hospice [2018] | $1,137 | 20% |
| Silverado Hospice [4017] | $1,137 | 20% |
| Vista Care Hospice [2023] | $1,137 | 20% |
| Vitas Hospice [2024] | $1,137 | 20% |
| Vna Hospice [2025] | $1,137 | 20% |
| Blue Cross Blue Shield | $5,949 - $14,516 | 105% |
| Aetna | $7,780 - $12,603 | 137% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] | $7,780 | 137% |
| Medicare (plans) | $7,780 - $8,324 | 137% |
| UnitedHealthcare | $7,780 - $8,247 | 137% |
| Ust Health Proof [1005] | $7,780 | 137% |
| Wellcare [7016] | $7,780 | 137% |
| Bright Healthcare [2222] | $8,071 | 142% |
| American Health Advantage Of Texas [7099] | $8,169 | 144% |
| Cigna | $8,169 - $8,973 | 144% |
| Globalhealth [1003] | $8,169 | 144% |
| Procare Advantage [7018] | $8,169 | 144% |
| Humana | $8,247 | 145% |
| Southwestern Health Resources Swhr [7015] | $8,247 | 145% |
| Provider Partners Health Plan [7025] | $8,558 | 151% |
| Mcs Advantage, Inc Classicare [7021] | $8,791 | 155% |
| Medical Card System [2063] | $8,791 | 155% |
| Web Tpa [3049] | $8,973 | 158% |
| Kempton Group Administrators, Tower Extrusions [3061] | $9,355 | 165% |
| Alternative Service Concepts [8005] | $9,725 | 171% |
| Oscar Insurance Company [2057] | $10,892 | 192% |
| Department Of Labor [8004] | $11,125 | 196% |
| Generic Workers Comp Tx Non Par [9010] | $11,125 | 196% |
| Generic Workers Comp Tx Par [8002] | $11,125 | 196% |
| Generic Workers Comp Tx Par [9011] | $11,125 | 196% |
| Tristar Risk Management [8006] | $11,125 | 196% |
| Molina [3017] | $11,281 | 199% |
| Sana Benefits [3069] | $11,670 | 206% |
| Wellpoint Marketplace Exchange [3071] | $12,059 | 212% |
| 90 Degree Benefit [3057] | $12,837 | 226% |
| Allied National [2031] | $12,837 | 226% |
| Entrust/90 Degree [2058] | $12,837 | 226% |
| Friday Health Plan [2061] | $13,226 | 233% |
| Ambetter / Centene | $13,304 | 234% |
| Imperial Insurance Companies [3073] | $14,004 | 247% |
| Evry Health [1013] | $19,450 | 343% |
| Medical Cost Containment Professionals [3059] | $19,450 | 343% |
| Velocity [3070] | $19,450 | 343% |
| Dart Member Care [3039] | $21,006 | 370% |
| Healthscope Benefits [2052] | $21,006 | 370% |
| Healthscope Benefits [3063] | $21,006 | 370% |