CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Doctors Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,215

about 1.4× the $5,676 Medicare rate · typically $6,325–$10,720

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,387

Below the fair price — a good deal

about $828 under the fair price · 1.3× Medicare

Medicare pays $5,676 Fair price $8,215 This hospital $7,387

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

On the higher side — 6 of 8 other GA hospitals charge less.

Cheapest $4,585 Priciest $7,420

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,215 (about 1.4× the $5,676 Medicare rate). Doctors Hospital charges insurers about $7,387 — below the fair price — a good deal. Located in Augusta, GA.

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✓ Humana✓ Kaiser Permanente Cigna

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	$2,392 - $7,172	42%
Blue Cross Blue Shieldmajor	$6,623 - $9,174	117%
Aetnamajor	$7,243 - $17,190	128%
Humanamajor	$7,172	126%
Kaiser Permanentemajor	$3,440	61%
Ambetter (Centene)	$1,432 - $11,937	25%
Cigna HealthSpring	$7,243	128%
Clover Health	$7,387	130%
Devoted Health	$7,315	129%
Friday Health	$9,324	164%
Health Net	$6,956	123%
WellCare	$7,315	129%
+ 16 smaller / regional plans	$613 - $8,964

Excludes 3 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 Doctors Hospital 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 Doctors Hospital

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

Coffee Regional Medical Center, Inc · Douglas $4,585
Bacon County Hospital · Alma $5,150
Northside Hospital Forsyth · Cumming $5,767
Phoebe Putney Memorial Hospital · Albany $5,990
Wellstar Paulding Medical Center · Hiram $6,074
Wellstar North Fulton Medical Center · Roswell $6,119
Navicent Health Baldwin · Milledgeville $7,406
Southeast Georgia Health System- Brunswick Campus · Brunswick $7,420

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