CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Grand Strand Regional Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $7,560
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Grand Strand Regional Medical Center is $7,560. 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 809 82Nd Parkway, Myrtle Beach, SC.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,560

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: $7,560 (133%)

Ins. Median: $7,560 (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
Mercy Hospice	$616	11%
Eon Health	$995 - $7,854	18%
Nhc Advantage	$995 - $7,854	18%
Pruitt Health	$995 - $7,854	18%
Sc State Employees	$3,764 - $10,428	66%
Molina	$6,694 - $7,413	118%
Occunet	$6,929	122%
United	$7,134 - $11,706	126%
Blue Cross Blue Shield	$7,340 - $18,365	129%
Humana	$7,340	129%
United Behavioral Health	$7,340	129%
Aetna	$7,413 - $39,975	131%
Absolute Total Care	$7,487 - $11,355	132%
Cigna	$7,487 - $11,868	132%
Devoted Health	$7,487	132%
Wellcare	$7,487	132%
Boldage Pace	$7,560	133%
Clover	$7,560	133%
Health Team Advantage	$7,707	136%
Universal Healthcare Group	$7,927	140%
Blue Choice Health Plan	$10,036	177%
Corvel Corporation	$10,070	177%
Employer'S Health Network	$10,070	177%
Prime Health	$10,070	177%
Heritage Summit	$10,789	190%
Multiplan	$13,953	246%
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 Grand Strand Regional 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.