CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Timpanogos Regional Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,744
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Timpanogos Regional Hospital is $8,744. 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 1.54x the Medicare baseline. Located in 750 West 800 North, Orem, UT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,744

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: $8,744 (154%)
Ins. Median: $8,744 (154% 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 - $7,310 19%
Aetna $3,564 - $12,128 63%
Bright Health $5,021 88%
Molina $6,062 107%
Humana $6,558 - $11,939 116%
Coventry Altius $6,695 118%
Molina Healthcare $6,832 - $7,390 120%
State Of Utah $6,832 120%
Veteran'S Administration $6,832 120%
Blue Cross Blue Shield $6,900 122%
University Of Ut $6,900 122%
Cigna $7,037 - $21,883 124%
Health Choice $7,353 130%
Hosp Uncompensated Care $7,353 130%
Universal Healthcare $7,447 131%
Regence $7,869 - $13,060 139%
Elap $8,238 145%
Angle Insurance $8,440 149%
University Of Utah $9,708 - $12,976 171%
Pehp $12,184 - $15,422 215%
Motivhealth $14,958 264%
Dmba (Deseret Mutual Benefit Admin) $15,529 274%
Multiplan $16,109 284%
Imagine Health Wise $17,522 309%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 750 West 800 North, Orem, UT 84057
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals