CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Haywood Regional Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,492

about 1.3× the $5,676 Medicare rate · typically $5,579–$9,163

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,287

Below the fair price — a good deal

about $2,205 under the fair price · 0.9× Medicare

Medicare pays $5,676 Fair price $7,492 This hospital $5,287 Cash price $9,304 Hospital's list price $23,259

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

One of the lower prices — 7 of 8 other NC hospitals charge more for the same procedure.

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 $7,492 (about 1.3× the $5,676 Medicare rate). Haywood Regional Medical Center charges insurers about $5,287, or about $9,304 in cash — below the fair price — a good deal. Located in Clyde, 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✓ Cigna✓ Humana AetnaKaiser 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	$5,158 - $11,172	91%
Blue Cross Blue Shieldmajor	$5,158 - $6,145	91%
Cignamajor	$5,158 - $7,570	91%
Humanamajor	$5,261	93%
AmeriHealth	$6,338	112%
CareSource	$11,606	204%
Devoted Health	$5,313	94%
Fidelis Care	$5,158	91%
UniCare	$5,158	91%
+ 1 smaller / regional plan	$5,158

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 9,304), 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 Haywood 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 Haywood Regional Medical Center

Compare: Digestive disorders treatment (inpatient stay) at other NC hospitals

Maria Parham Medical Center · Henderson $5,175
Sentara Albemarle Medical Center · Elizabeth City $5,497
Wilson Medical Center · Wilson $5,696
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.