CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Novant Health New Hanover Regional Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,118
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Novant Health New Hanover Regional Medical Center is $7,118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.25x the Medicare baseline. Located in 2131 S 17Th St, Wilmington, NC.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,118

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $7,118 (125%)
Ins. Median: $7,118 (125% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
New Hanover Health $4,451 78%
Blue Cross Blue Shield $6,819 - $12,475 120%
Humana $6,819 120%
Pace Of The Southern Piedmont $6,819 120%
Carolina Complete $6,938 122%
Nc Department Of Public Safety $6,938 - $13,638 122%
UnitedHealthcare $6,956 - $18,285 123%
Aetna $6,990 - $11,791 123%
Cigna $7,024 - $13,574 124%
Amerihealth $7,076 125%
Wellcare $7,076 125%
Liberty Health $7,160 126%
Caresource North Carolina $8,576 151%
Ambetter / Centene $13,297 234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2131 S 17Th St, Wilmington, NC 28402
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals