Digestive disorders treatment (inpatient stay)
Facility: Select Specialty Hospital - Kansas City
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $1,700
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.30x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Amerigroup | $1,250 | 22% |
| Aetna | $1,615 - $1,880 | 28% |
| Cigna | $1,682 | 30% |
| Phcs-Multiplan | $1,700 | 30% |
| Wppa | $1,801 | 32% |
| UnitedHealthcare | $1,836 | 32% |
| Healthcare Highways | $1,957 | 34% |
| Sidecare Health Insurance Solutions | $2,000 | 35% |
Consumer Guidance & Cost Commentary
For the procedure "Digestive disorders treatment (inpatient stay)" at Select Specialty Hospital - Kansas City, the negotiated rates range from $1,250 to $2,000 depending on your specific insurance plan, with a median negotiated amount of $1,700. These commercial rates are significantly higher than the Medicare benchmark of $5,675.87, which serves as the federal baseline for true cost. While commercial contracts often cap payments to protect members, they frequently result in higher out-of-pocket costs for patients compared to paying cash directly, as cash prices can sometimes be lower than the insurance negotiated rate. It is important to note that cash-pay options may offer savings for those with high-deductible plans, provided the facility offers a self-pay or prompt-pay discount, which should be requested before scheduling to avoid automatic insurance billing.
Patients should be aware that the data reflects specific payer contracts and does not represent a state or county average, as no such comparative metrics were available for this facility. The reported prices are based on actual negotiated amounts from eight different payers, including Amerigroup, Aetna, and UnitedHealthcare, with the lowest rate being $1,250 and the highest at $2,000. If you receive a bill that exceeds these negotiated amounts, it may be due to balance billing from out-of-network ancillary services, though the No Surprises Act generally protects you from such charges for emergency and non-emergency care at in-network facilities. To ensure accuracy, always request a full itemized bill to verify that no unbundled codes or services not rendered have inflated your total, and dispute any discrepancies in writing rather than accepting summary invoices.