CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Colleton Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,383
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Colleton Medical Center is $7,383. 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 1.30x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,383

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: $7,383 (130%)
Ins. Median: $7,383 (130% 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
Amedisys Hospice $670 12%
Apex Health $995 - $5,376 18%
Eon Health $995 - $8,016 18%
Nhc Advantage $995 - $8,016 18%
Pruitt Health $995 - $8,016 18%
Absolute Total Care $2,020 - $13,729 36%
Sc State Employees $3,346 - $8,909 59%
United $5,061 - $10,323 89%
Arcadian $5,170 - $7,708 91%
Blue Cross Blue Shield $5,170 - $20,011 91%
Hospice Care $5,170 - $7,708 91%
Humana $5,170 - $7,708 91%
Odyssey Hospice $5,170 - $7,708 91%
Regency Hospice $5,170 - $7,708 91%
United Behavioral Health $5,170 - $7,708 91%
United Hospice $5,170 - $7,708 91%
Aetna $5,221 - $7,785 92%
Clover $5,273 - $7,862 93%
Devoted Health $5,273 - $7,862 93%
Molina $5,273 - $7,862 93%
Wellcare $5,273 - $7,862 93%
Boldage Pace $5,325 - $7,939 94%
Cigna $5,428 - $8,093 96%
Universal Healthcare Group $5,583 - $8,324 98%
Corvel Corporation $7,093 - $10,575 125%
Employer'S Health Network $7,093 - $10,575 125%
Prime Health $7,093 - $10,575 125%
Heritage Summit $7,599 - $11,330 134%
Medical Development $7,754 137%
Seven Corners $9,047 - $13,489 159%
Naphcare $10,081 - $15,030 178%
Blue Choice Health Plan $10,462 - $10,933 184%
Multiplan $13,953 - $13,966 246%
Select Health $21,962 - $22,840 387%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals