Digestive disorders treatment (inpatient stay)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $3,789
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.67x 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 |
|---|---|---|
| Aetna | $3,789 | 67% |
| Medicaid / KanCare | $3,789 | 67% |
| United | $3,789 | 67% |
| Healthy Blue Kansas | $3,789 | 67% |
Consumer Guidance & Cost Commentary
For the procedure "Digestive disorders treatment (inpatient stay)" at the Rehabilitation Hospital Of Overland Park, the negotiated rate is $3,789.00, which is significantly lower than the facility's Medicare benchmark of $5,675.87. While this represents a substantial discount compared to the federal baseline, it is important to note that cash-pay options are not listed in the available data. Patients with high-deductible plans should be aware that paying out-of-pocket might sometimes be cheaper if the insurance negotiated rate exceeds the cash price, though in this specific case, the negotiated rate is already well below the Medicare amount. We strongly recommend contacting the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, as these upfront payment incentives can further reduce the final bill by bypassing administrative costs associated with insurance claims.
This service is covered under four payers, including Aetna, Medicaid/KanCare, United, and Healthy Blue Kansas, all of which have a consistent negotiated rate of $3,789.00. Because the facility is an in-network provider for these plans, patients are protected from balance billing for the primary service, meaning they will not be billed for the difference between the hospital's full chargemaster and the insurance allowed amount. However, patients should remain vigilant regarding itemized billing audits, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. If you receive a summary bill, do not accept it as final; instead, request a detailed, line-by-line statement to identify any charges for services not rendered or items that should have been bundled, ensuring you are only paying for the care you actually