CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Carnegie Tri-County Municipal Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$8,215

about 1.4× the $5,676 Medicare rate · typically $4,375–$14,172

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,861

Below the fair price — a good deal

about $2,354 under the fair price · 1.0× Medicare

Medicare pays $5,676 Fair price $8,215 This hospital $5,861 Hospital's list price $22,778

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $3,373 Priciest $5,861

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,215 (about 1.4× the $5,676 Medicare rate). Carnegie Tri-County Municipal Hospital charges insurers about $5,861 — below the fair price — a good deal. Located in Carnegie, OK.

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✓ Humana CignaKaiser 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	$2,962 - $17,508	52%
Blue Cross Blue Shieldmajor	$5,663 - $17,508	100%
Aetnamajor	$3,373 - $17,508	59%
Humanamajor	$3,373 - $17,508	59%
Ambetter (Centene)	$22,760	401%
WellCare	$17,508	308%
+ 5 smaller / regional plans	$3,373 - $29,141

Excludes 3 rental-network / third-party entries (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, 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 Carnegie Tri-County Municipal Hospital 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 Carnegie Tri-County Municipal Hospital

Compare: Digestive disorders treatment (inpatient stay) at other OK hospitals

Mercy Hospital Tishomingo Inc · Tishomingo $3,373
Alliancehealth Madill · Madill $3,430
Mercy Hospital Watonga, Inc · Watonga $4,137
Mercy Hospital Kingfisher, Inc · Kingfisher $4,137
Mercy Hospital Logan County · Guthrie $4,328
Oklahoma Spine Hospital · Oklahoma City $5,165
Weatherford Regional Hospital, Inc of Weatherford · Weatherford $5,245
Oklahoma Surgical Hospital, LLC · Tulsa $5,362

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