CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Dlp Swain County Hospital LLC

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$8,870

about 1.6× the $5,676 Medicare rate · typically $3,157–$13,908

modeled estimate · not a bill or quote

Medicare pays $5,676 Fair price $8,870 Cash price $8,353 Hospital's list price $20,883

How we calculate the fair BaseRate →

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✓ Aetna✓ Cigna HumanaKaiser 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	$2,235 - $12,103	39%
Blue Cross Blue Shieldmajor	$2,235 - $8,514	39%
Aetnamajor	$2,235	39%
Cignamajor	$7,570	133%
Ambetter (Centene)	$5,374	95%
Health Net	$2,235	39%
Medical Mutual	$2,235	39%
UniCare	$2,235	39%
WellCare	$2,235	39%
+ 13 smaller / regional plans	$2,235

Government programs also on file: Medicare.

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 8,353), 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 Dlp Swain County Hospital LLC 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 Dlp Swain County Hospital LLC

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
Harris Regional Hospital · Sylva $5,947
Columbus Regional Healthcare System · Whiteville $6,250
Sampson Regional Medical Center · Clinton $6,488

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