CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Carolinas Medical Center-Northeast

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,162

about 1.4× the $5,676 Medicare rate · typically $5,170–$9,357

modeled estimate · not a bill or quote

What this hospital charges insurers

$8,258

About the fair price

about $96 over the fair price · 1.5× Medicare

Medicare pays $5,676 Fair price $8,162 This hospital $8,258

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $5,175 Priciest $8,258

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,162 (about 1.4× the $5,676 Medicare rate). Carolinas Medical Center-Northeast charges insurers about $8,258 — about the fair price. Located in Concord, NC.

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	$7,493 - $7,784	132%
Blue Cross Blue Shieldmajor	$11,616 - $15,284	205%
Aetnamajor	$7,365	130%
Cignamajor	$7,471 - $13,966	132%
Humanamajor	$7,258	128%
Ambetter (Centene)	$8,385 - $10,557	148%
AmeriHealth	$8,106	143%
WellCare	$8,258	145%
+ 6 smaller / regional plans	$8,258 - $8,506

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 Carolinas Medical Center-Northeast 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 Carolinas Medical Center-Northeast

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

Maria Parham Medical Center · Henderson $5,175
Haywood Regional Medical Center · Clyde $5,287
Sentara Albemarle Medical Center · Elizabeth City $5,497
Wilson Medical Center · Wilson $5,696
Rutherford Regional Medical Center · Rutherfordton $5,902
Harris Regional Hospital · Sylva $5,947
Columbus Regional Healthcare System · Whiteville $6,250
Sampson Regional Medical Center · Clinton $6,488

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