CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St Marys Good Samaritan Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$9,680

about 1.7× the $5,676 Medicare rate · typically $4,675–$18,459

modeled estimate · not a bill or quote

Medicare pays $5,676 Fair price $9,680

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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	$8,351	147%

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 St Marys Good Samaritan 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.

Other Procedures at St Marys Good Samaritan 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
Doctors Hospital · Augusta $7,387
Navicent Health Baldwin · Milledgeville $7,406

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