CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Clark Regional Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,258

about 1.3× the $5,676 Medicare rate · typically $5,594–$9,217

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,582

Below the fair price — a good deal

about $1,676 under the fair price · 1.0× Medicare

Medicare pays $5,676 Fair price $7,258 This hospital $5,582 Cash price $14,619 Hospital's list price $36,547

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 3 charge more and 5 charge less, among the 9 KY hospitals compared.

Cheapest $5,231 Priciest $5,796

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,258 (about 1.3× the $5,676 Medicare rate). Clark Regional Medical Center charges insurers about $5,582, or about $14,619 in cash — below the fair price — a good deal. Located in Winchester, KY.

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✓ 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	$3,196	56%
Blue Cross Blue Shieldmajor	$5,749 - $8,619	101%
Aetnamajor	$5,749	101%
Cignamajor	$5,582	98%
Humanamajor	$1,972 - $5,582	35%
Cigna HealthSpring	$5,582	98%
Medical Mutual	$5,582	98%
MVP Health Care	$5,582	98%
UniCare	$5,582	98%
WellCare	$5,582	98%
+ 8 smaller / regional plans	$975 - $5,693

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

Excludes 1 rental-network / third-party entry (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 (about 14,619), 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 Clark Regional Medical Center 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 Clark Regional Medical Center

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

Murray-Calloway County Hospital · Murray $5,231
Taylor Regional Hospital · Campbellsville $5,392
Georgetown Community Hospital · Georgetown $5,432
Tj Health Columbia · Columbia $5,444
Bourbon Community Hospital · Paris $5,499
Fleming County Hospital · Flemingsburg $5,733
Jackson Purchase Medical Center · Mayfield $5,763
Tristar Greenview Regional Hospital · Bowling Green $5,796

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