CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: Lake Martin Community Hospital
Billing Code: 392 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$7,023
about 1.2× the $5,676 Medicare rate · typically $5,149–$11,693
modeled estimate · not a bill or quote
Medicare pays $5,676 Fair price $7,023 Cash price $496 Hospital's list price $661
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| Blue Cross Blue Shieldmajor | $2,437 | 43% |
| Aetnamajor | $1,400 | 25% |
| Humanamajor | $6,500 | 115% |
| + 1 smaller / regional plan | $2,100 |
Government programs also on file: Medicare, Medicaid.
Self-Pay How to get the cash price
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Other Procedures at Lake Martin Community Hospital
Compare: Digestive disorders treatment (inpatient stay) at other AL hospitals
- Springhill Medical Center · Mobile $4,632
- North Alabama Medical Center · Florence $5,388
- Northeast Alabama Regional Medical Center · Anniston $5,423
- Grandview Medical Center · Birmingham $5,473
- Crestwood Medical Center · Huntsville $5,546
- Riverview Regional Medical Center · Gadsden $5,696
- D W McMillan Memorial Hospital · Brewton $5,936
- Atmore Community Hospital · Atmore $5,936
Insurance negotiated median for the same procedure, sorted lowest first.