CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Trident Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $7,570
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Trident Medical Center is $7,570. 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 1.33x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,570

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: $7,570 (133%)

Ins. Median: $7,570 (133% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Hospice Of Charleston	$669	12%
Eon Health	$995 - $8,238	18%
Nhc Advantage	$995 - $8,238	18%
Pruitt Health	$995 - $8,238	18%
Sc State Employees	$3,270 - $9,059	58%
United	$6,373 - $8,504	112%
Molina	$6,694 - $7,496	118%
Occunet	$6,929	122%
Advantage Hospice	$7,422	131%
Arcadian	$7,422	131%
Blue Cross Blue Shield	$7,422 - $15,513	131%
Companion	$7,422	131%
Humana	$7,422	131%
Odyssey Hospice	$7,422	131%
United Behavioral Health	$7,422	131%
Aetna	$7,496 - $41,077	132%
Absolute Total Care	$7,570 - $11,355	133%
Cigna	$7,570	133%
Devoted Health	$7,570	133%
Wellcare	$7,570	133%
Boldage Pace	$7,645	135%
Clover	$7,719	136%
Universal Healthcare Group	$8,016	141%
Blue Choice Health Plan	$9,545	168%
Corvel Corporation	$10,183	179%
Employer'S Health Network	$10,183	179%
Prime Health	$10,183	179%
Heritage Summit	$10,910	192%
Seven Corners	$12,988	229%
Multiplan	$13,953	246%
Naphcare	$14,473	255%
Select Health	$22,840	402%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Trident Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.