CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Novant Health Presbyterian Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$9,236
about 1.6× the $5,676 Medicare rate · typically $5,622–$9,799
modeled estimate · not a bill or quote
What this hospital charges insurers
$7,692
Below the fair price — a good deal
about $1,544 under the fair price · 1.4× Medicare
Medicare pays $5,676 Fair price $9,236 This hospital $7,692

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 $7,692

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 $9,236 (about 1.6× the $5,676 Medicare rate). Novant Health Presbyterian Medical Center charges insurers about $7,692 — below the fair price — a good deal. Located in Charlotte, 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 $7,462 - $15,749 131%
Blue Cross Blue Shieldmajor $7,462 - $15,403 131%
Aetnamajor $7,649 135%
Cignamajor $7,686 - $15,240 135%
Humanamajor $7,462 131%
AmeriHealth $7,692 136%
CareSource $8,576 151%
WellCare $7,692 136%
+ 4 smaller / regional plans $7,462 - $14,924

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Facility Profile & Credentials

  • Address: 200 Hawthorne Lane Box 33549, Charlotte, NC 28233
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals