CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Rutherford Regional Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,257

about 1.3× the $5,676 Medicare rate · typically $5,739–$8,970

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,902

Below the fair price — a good deal

about $1,355 under the fair price · 1.0× Medicare

Medicare pays $5,676 Fair price $7,257 This hospital $5,902 Cash price $10,068 Hospital's list price $25,169

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NC hospitals compared.

Cheapest $5,175 Priciest $6,751

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 $7,257 (about 1.3× the $5,676 Medicare rate). Rutherford Regional Medical Center charges insurers about $5,902, or about $10,068 in cash — below the fair price — a good deal. Located in Rutherfordton, NC.

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	$5,765 - $7,425	102%
Blue Cross Blue Shieldmajor	$5,902 - $6,543	104%
Aetnamajor	$5,902	104%
Humanamajor	$5,961 - $7,342	105%
AmeriHealth	$6,621	117%
CareSource	$13,019	229%
Devoted Health	$5,960	105%
Health Net	$5,902	104%
+ 3 smaller / regional plans	$5,902

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 10,068), 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 Rutherford 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 Rutherford Regional Medical Center

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
Harris Regional Hospital · Sylva $5,947
Columbus Regional Healthcare System · Whiteville $6,250
Sampson Regional Medical Center · Clinton $6,488
UNC Hospitals · Chapel Hill $6,751

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