CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Southeast Georgia Health System -- Camden Campus

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $11,327
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.00x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Southeast Georgia Health System -- Camden Campus is $11,327. 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 2.00x the Medicare baseline. Located in 2000 Dan Proctor Drive, Saint Marys, GA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,327

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: $11,327 (200%)

Ins. Median: $11,327 (200% 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.

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
Blue Cross Blue Shield	$8,119 - $11,327	143%
Caresource	$8,797 - $13,195	155%
Humana	$8,797 - $14,199	155%
UnitedHealthcare	$8,797	155%
United_Healthcare_Veterans_Administration	$8,797	155%
Aetna	$8,973 - $13,560	158%
Clover_Health	$8,973	158%
Devoted_Health	$9,149	161%
Pruitthealth	$9,237	163%
Sea_Island	$11,327	200%
Sghs_Meritain	$11,327	200%
Coventryone_Hix	$12,125	214%
United_Healthcare	$12,316	217%
Medishare	$13,560	239%
Ambetter / Centene	$14,075	248%
Choicecare	$14,199	250%
Cigna	$14,199	250%
Industry_Buying_Group_Ibg	$14,199	250%
First_Health_Southcare	$14,358	253%
One_Health_Great_West	$14,358	253%
Pponext	$15,156	267%

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 $X.
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 Southeast Georgia Health System -- Camden Campus 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.