CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Highlands Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$6,382

about 1.1× the $5,676 Medicare rate · typically $5,601–$7,908

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,394

About the fair price

about $12 over the fair price · 1.1× Medicare

Medicare pays $5,676 Fair price $6,382 This hospital $6,394

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $4,632 Priciest $6,394

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $6,382 (about 1.1× the $5,676 Medicare rate). Highlands Medical Center charges insurers about $6,394 — about the fair price. Located in Scottsboro, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor	$5,769 - $6,394	102%
Blue Cross Blue Shieldmajor	$2,258 - $4,093	40%
Aetnamajor	$1,040 - $6,522	18%
Cignamajor	$1,939 - $6,394	34%
Humanamajor	$6,394	113%
Devoted Health	$6,586	116%
+ 2 smaller / regional plans	$6,394

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Highlands Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Highlands Medical Center

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.