CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Harris Regional Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,219

about 1.3× the $5,676 Medicare rate · typically $5,786–$9,013

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,947

Below the fair price — a good deal

about $1,272 under the fair price · 1.0× Medicare

Medicare pays $5,676 Fair price $7,219 This hospital $5,947 Cash price $9,732 Hospital's list price $24,330

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 3 charge more and 5 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 $7,219 (about 1.3× the $5,676 Medicare rate). Harris Regional Hospital charges insurers about $5,947, or about $9,732 in cash — below the fair price — a good deal. Located in Sylva, 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	$5,947 - $11,093	105%
Blue Cross Blue Shieldmajor	$5,565 - $7,052	98%
Aetnamajor	$5,947	105%
Cignamajor	$7,570	133%
Humanamajor	$6,066	107%
AmeriHealth	$6,979	123%
CareSource	$13,381	236%
Health Net	$5,947	105%
Medical Mutual	$5,947	105%
UniCare	$5,947	105%
WellCare	$5,947	105%
+ 13 smaller / regional plans	$5,947

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 9,732), 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 Harris Regional 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.

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 Harris Regional Hospital

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
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.