CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: North Sunflower Medical Center Cah

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$6,856

about 1.2× the $5,676 Medicare rate · typically $4,188–$10,867

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,685

Below the fair price — a good deal

about $1,171 under the fair price · 1.0× Medicare

Medicare pays $5,676 Fair price $6,856 This hospital $5,685 Cash price $4,838 Hospital's list price $9,676

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

One of the lower prices — 6 of 8 other MS hospitals charge more for the same procedure.

Cheapest $4,832 Priciest $6,090

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $6,856 (about 1.2× the $5,676 Medicare rate). North Sunflower Medical Center Cah charges insurers about $5,685, or about $4,838 in cash — below the fair price — a good deal. Located in Ruleville, MS.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$4,791	84%
Blue Cross Blue Shieldmajor	$3,988	70%
Aetnamajor	$6,579 - $6,588	116%
Humanamajor	$6,588	116%
Ambetter (Centene)	$6,654	117%
+ 1 smaller / regional plan	$1,650

Government programs also on file: Medicare, Medicaid.

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 4,838), 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 North Sunflower Medical Center Cah 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 North Sunflower Medical Center Cah

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

Simpson General Hospital Cah · Mendenhall $4,832
Wayne General Hospital · Waynesboro $4,959
King's Daughters Medical Center-Brookhaven · Brookhaven $5,736
Baptist Medical Center-Yazoo · Yazoo City $6,086
Bmh-Calhoun · Calhoun City $6,086
Baptist Medical Center Attala · Kosciusko $6,086
Ochsner Watkins Hospital · Quitman $6,090
Ochsner Laird Hospital · Union $6,090

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