CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Lakeland Regional Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,757

about 1.4× the $5,676 Medicare rate · typically $6,581–$10,696

modeled estimate · not a bill or quote

Medicare pays $5,676 Fair price $7,757 Hospital's list price $40,733

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$17,772	313%
Blue Cross Blue Shieldmajor	$15,349 - $22,975	270%
Aetnamajor	$16,151	285%
Cignamajor	$16,131	284%
AvMed	$20,040	353%
+ 1 smaller / regional plan	$1,058

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 Lakeland Regional 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.

Other Procedures at Lakeland Regional Medical Center

Compare: Digestive disorders treatment (inpatient stay) at other FL hospitals

Jay Hospital · Jay $6,023
Gulf Breeze Hospital · Gulf Breeze $6,102
Villages Regional Hospital, The · The Villages $6,121
Larkin Community Hospital · South Miami $6,174
HCA Florida Pasadena Hospital A Part of HCA Florid · Saint Petersburg $6,197
HCA Florida South Shore Hospital · Sun City Center $6,320
UF Health Leesburg Hospital · Leesburg $6,386
HCA Florida Fawcett Hospital · Port Charlotte $6,527

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