CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Colquitt Regional Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $19,096
Cash Discount Price: $19,096
vs. Medicare Baseline: 3.36x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Colquitt Regional Medical Center is $19,096. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,096. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 3.36x the Medicare baseline. Located in 3131 South Main Street, Moultrie, GA.

Cash / Self-Pay

$19,096

Average discount available for prompt cash payment at this facility.

Insurance Median

$19,096

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%)

Cash / Self-Pay: $19,096 (336%)

Insurance Median: $19,096 (336%)

Cash: $19,096 (336% of Medicare)

Ins. Median: $19,096 (336% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 336% of the Medicare baseline (a markup of 236%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$16,804 - $19,096	296%
Aetna	$19,096	336%
Alliant	$19,096	336%
Ambetter / Centene	$19,096	336%
Amerigroup	$19,096	336%
Beech Street	$19,096	336%
Blue Cross Blue Shield	$19,096	336%
Caresource	$19,096	336%
Cigna	$19,096	336%
First Health/Prev. Southcare	$19,096	336%
Humana	$19,096	336%
Integrated Health Plan-W/C	$19,096	336%
Medicaid / KanCare	$19,096	336%
Medicare (plans)	$19,096	336%
Nova Net	$19,096	336%
Nova Net-Worker'S Comp	$19,096	336%
Peachstate	$19,096	336%
Selfpay	$19,096	336%
Three Rivers-Worker'S Comp	$19,096	336%
Tricare	$19,096	336%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $19,096.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Colquitt Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.