CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Angel Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $2,319
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Angel Medical Center is $2,319. 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 0.41x the Medicare baseline. Located in 124 Center Court Po Box 1209, Franklin, NC.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,319

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: $2,319 (41%)
Ins. Median: $2,319 (41% 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $2,208 39%
Apex Health $2,208 39%
Alignment Health $2,252 40%
Devoted Health $2,252 40%
Cigna $2,274 40%
Humana $2,274 - $2,297 40%
Wellcare $2,274 - $7,471 40%
Nhc Advantage $2,297 40%
Healthteam Advantage $2,319 41%
Provider Partners Health Plan $2,319 41%
Troy Healthcare $2,319 41%
Longevity Health Plan $2,363 42%
United $2,393 42%
Blue Cross Blue Shield $2,439 - $7,253 43%
Amerihealth Caritas $2,517 44%
Amerigroup $2,936 52%
Vaya Health $7,471 132%
Amerihealth $7,543 133%
Partners Health Management $7,616 134%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 124 Center Court Po Box 1209, Franklin, NC 28734
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals