CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Cache Valley Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $9,810
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Cache Valley Hospital is $9,810. 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 1.73x the Medicare baseline. Located in 2380 North 400 East, North Logan, UT.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,810

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: $9,810 (173%)

Ins. Median: $9,810 (173% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Bright Health	$5,021	88%
Elap	$6,047	107%
Molina	$6,062	107%
Health Choice	$7,353	130%
Hosp Uncompensated Care	$7,353	130%
Molina Healthcare	$7,390 - $7,854	130%
Aetna	$7,485 - $12,439	132%
Humana	$7,540 - $11,939	133%
Regence	$7,666 - $12,721	135%
Coventry Altius	$7,697	136%
Cigna	$7,854 - $21,883	138%
State Of Utah	$7,854	138%
University Of Ut	$7,854	138%
Veteran'S Administration	$7,854	138%
Angle Insurance	$8,440	149%
University Of Utah	$9,366 - $12,332	165%
Pehp	$11,719 - $14,485	206%
Motivhealth	$13,893	245%
Dmba (Deseret Mutual Benefit Admin)	$15,053	265%
Imagine Health Wise	$15,121	266%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cache Valley Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.