CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St Luke's Hospital at the Vintage

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,490
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at St Luke's Hospital at the Vintage is $8,490. 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 1.50x the Medicare baseline. Located in 20171 Chasewood Park Drive, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,490

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: $8,490 (150%)
Ins. Median: $8,490 (150% 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
United $5,514 - $9,044 97%
Renaissance $5,634 99%
Healthsmart $6,320 111%
Kelsey $7,571 133%
Blue Cross Blue Shield $7,825 138%
Cigna $7,825 - $18,377 138%
Humana $7,825 - $8,271 138%
Selectcare $7,825 138%
Aetna $7,982 - $12,051 141%
UnitedHealthcare $7,982 141%
Amerivantage $8,060 142%
Devoted $8,373 148%
Scanhealth $8,373 148%
Kindred $8,608 152%
Bright Health $8,935 157%
Independent Med System $9,800 173%
Kelseycare $10,564 186%
Employer Direct $10,955 193%
Community Health Choice $11,738 207%
Superior Health Plan $11,738 207%
Wellpoint $11,738 207%
PHCS $14,418 254%
PHCS Savility $14,418 254%
Nx Health $25,432 448%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20171 Chasewood Park Drive, Houston, TX 77070
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals