CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Wilson Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,333

about 1.3× the $5,676 Medicare rate · typically $5,611–$9,782

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,696

Below the fair price — a good deal

about $1,637 under the fair price · 1.0× Medicare

Medicare pays $5,676 Fair price $7,333 This hospital $5,696 Cash price $14,505 Hospital's list price $36,262

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 5 charge more and 3 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 $7,333 (about 1.3× the $5,676 Medicare rate). Wilson Medical Center charges insurers about $5,696, or about $14,505 in cash — below the fair price — a good deal. Located in Wilson, 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	$5,753	101%
Blue Cross Blue Shieldmajor	$5,696 - $6,984	100%
Aetnamajor	$5,696	100%
Cignamajor	$15,609	275%
Humanamajor	$5,696	100%
AmeriHealth	$7,083	125%
Devoted Health	$5,753	101%
UniCare	$5,696	100%
WellCare	$5,696	100%
+ 1 smaller / regional plan	$5,696

Government programs also on file: Medicare, Military & VA.

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 14,505), 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 Wilson 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 Wilson 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
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
UNC Hospitals · Chapel Hill $6,751

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