CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Grandview Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$6,646

about 1.2× the $5,676 Medicare rate · typically $5,731–$8,687

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,473

Below the fair price — a good deal

about $1,173 under the fair price · 1.0× Medicare

Medicare pays $5,676 Fair price $6,646 This hospital $5,473

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

A typical price — 5 charge more and 3 charge less, among the 9 AL hospitals compared.

Cheapest $4,632 Priciest $5,964

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 $6,646 (about 1.2× the $5,676 Medicare rate). Grandview Medical Center charges insurers about $5,473 — below the fair price — a good deal. Located in Birmingham, 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	$3,135 - $5,906	55%
Blue Cross Blue Shieldmajor	$3,352	59%
Aetnamajor	$5,636	99%
Cignamajor	$5,581 - $8,098	98%
Humanamajor	$5,462	96%
Ambetter (Centene)	$7,506	132%
Cigna HealthSpring	$4,015	71%
Clover Health	$5,828	103%
Devoted Health	$5,803	102%
SelectHealth	$5,527	97%
WellCare	$5,649	100%
+ 14 smaller / regional plans	$775 - $9,370

Government programs also on file: Medicare, Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 Grandview 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 Grandview 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
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
Medical Center Enterprise · Enterprise $5,964

Insurance negotiated median for the same procedure, sorted lowest first.