CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: PAM Specialty Hospital of Rocky Mount LLC
Billing Code: 392 (MS-DRG)
The BaseRate · fair price medium confidence
A fair price for this
$9,411
about 1.7× the $5,676 Medicare rate · typically $4,255–$28,369
modeled estimate · not a bill or quote
Medicare pays $5,676 Fair price $9,411
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
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $27,713 - $42,956 | 488% |
| Aetnamajor | $27,713 - $42,956 | 488% |
| Cignamajor | $27,713 | 488% |
| Humanamajor | $27,713 | 488% |
| WellCare | $27,713 | 488% |
| + 2 smaller / regional plans | $26,882 - $27,713 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at PAM Specialty Hospital of Rocky Mount 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.