CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: Transylvania Regional Hospital, Inc
Billing Code: 392 (MS-DRG)
The BaseRate · fair price medium confidence
A fair price for this
$6,297
about 1.1× the $5,676 Medicare rate · typically $2,106–$9,191
modeled estimate · not a bill or quote
Medicare pays $5,676 Fair price $6,297
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 | $2,408 | 42% |
| Blue Cross Blue Shieldmajor | $2,021 - $7,862 | 36% |
| Aetnamajor | $1,909 | 34% |
| Cignamajor | $1,966 | 35% |
| Humanamajor | $1,966 - $1,985 | 35% |
| AmeriHealth | $2,176 - $8,176 | 38% |
| Devoted Health | $1,947 | 34% |
| WellCare | $1,966 - $8,098 | 35% |
| + 11 smaller / regional plans | $1,527 - $8,255 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Transylvania Regional Hospital, Inc
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.