CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Tift Regional Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,886
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Tift Regional Medical Center is $8,886. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.57x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,886

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $8,886 (157%)
Ins. Median: $8,886 (157% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Hospice $1,111 20%
Va Contract $6,641 117%
Ga Workers Comp $7,686 135%
Medicare (plans) $8,711 153%
Blue Cross Blue Shield $8,855 156%
UnitedHealthcare $8,855 156%
Aetna $8,886 157%
Clover Health $8,886 157%
Wellcare $8,886 157%
Humana $9,298 164%
Pruitt Health Premier $9,583 169%
Health One Alliance $12,840 226%
Caresource Marketplace Exchange $13,283 234%
Zelis Network Solutions $17,710 312%
Peach State Health Plan $29,380 518%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 E 18Th Street, Tifton, GA 31794
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals