CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Brigham City Community Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,011
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Brigham City Community Hospital is $8,011. 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 1.41x the Medicare baseline. Located in 950 South Medical Drive, Brigham City, UT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,011

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: $8,011 (141%)
Ins. Median: $8,011 (141% 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
Sterling Life Insurance $1,075 - $7,224 19%
Aetna $3,564 - $12,477 63%
Bright Health $5,021 88%
Molina $6,062 107%
Humana $6,481 - $11,939 114%
Coventry Altius $6,616 117%
Cigna $6,751 - $21,883 119%
Molina Healthcare $6,751 - $7,390 119%
State Of Utah $6,751 119%
Triwest Healthcare Alliance $6,751 119%
University Of Ut $6,751 119%
Veteran'S Administration $6,751 119%
Blue Cross Blue Shield $6,818 120%
Elap $7,169 126%
Health Choice $7,353 130%
Hosp Uncompensated Care $7,353 130%
Universal Healthcare $7,359 130%
Regence $7,589 - $12,595 134%
Angle Insurance $8,440 149%
University Of Utah $9,366 - $12,332 165%
Pehp $9,787 - $12,245 172%
Motivhealth $13,893 245%
Imagine Health Wise $17,760 313%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 950 South Medical Drive, Brigham City, UT 84302
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals