CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Blue Ridge Regional Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$6,636
about 1.2× the $5,676 Medicare rate · typically $2,142–$9,477
modeled estimate · not a bill or quote
Medicare pays $5,676 Fair price $6,636

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.

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 $1,860 33%
Blue Cross Blue Shieldmajor $1,723 - $7,310 30%
Aetnamajor $1,860 33%
Cignamajor $1,916 34%
Humanamajor $1,916 - $1,934 34%
AmeriHealth $2,120 - $7,602 37%
Devoted Health $1,897 33%
WellCare $1,916 - $7,529 34%
+ 9 smaller / regional plans $1,860 - $7,676

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 125 Hospital Drive, Spruce Pine, NC 28777
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals