CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Northside Hospital Duluth

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$12,011

about 2.1× the $5,676 Medicare rate · typically $6,547–$12,078

modeled estimate · not a bill or quote

What this hospital charges insurers

$10,114

Below the fair price — a good deal

about $1,897 under the fair price · 1.8× Medicare

Medicare pays $5,676 Fair price $12,011 This hospital $10,114

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $4,585 Priciest $10,114

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 $12,011 (about 2.1× the $5,676 Medicare rate). Northside Hospital Duluth charges insurers about $10,114 — below the fair price — a good deal. Located in Duluth, GA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$4,634 - $11,601	82%
Blue Cross Blue Shieldmajor	$3,245 - $11,601	57%
Aetnamajor	$3,841 - $11,833	68%
Cignamajor	$6,294 - $11,950	111%
Humanamajor	$9,729 - $11,717	171%
Kaiser Permanentemajor	$3,538 - $11,950	62%
Ambetter (Centene)	$10,114 - $15,254	178%
Amerigroup	$12,066 - $14,199	213%
CareSource	$10,552	186%
Clover Health	$10,552	186%
Health Net	$4,623	81%
WellCare	$9,921 - $11,950	175%
+ 12 smaller / regional plans	$1,340 - $29,380

Government programs also on file: Medicare, Military & VA.

Excludes 6 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 Northside Hospital Duluth 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 Northside Hospital Duluth

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
Doctors Hospital · Augusta $7,387
Navicent Health Baldwin · Milledgeville $7,406

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