CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: McLeod Loris Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,965

about 1.4× the $5,676 Medicare rate · typically $5,272–$11,650

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,377

Below the fair price — a good deal

about $2,588 under the fair price · 0.9× Medicare

Medicare pays $5,676 Fair price $7,965 This hospital $5,377

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

One of the lower prices — 6 of 8 other SC hospitals charge more for the same procedure.

Cheapest $4,632 Priciest $6,361

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,965 (about 1.4× the $5,676 Medicare rate). McLeod Loris Hospital charges insurers about $5,377 — below the fair price — a good deal. Located in Loris, SC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$5,100	90%
Blue Cross Blue Shieldmajor	$4,572 - $19,445	81%
Aetnamajor	$5,151	91%
Cignamajor	$22,187	391%
Humanamajor	$5,226	92%
Ambetter (Centene)	$9,045	159%
Clover Health	$5,226	92%
Molina	$5,352 - $9,799	94%
WellCare	$5,377	95%
+ 3 smaller / regional plans	$5,377 - $18,604

Government programs also on file: Medicare, Military & VA.

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 McLeod Loris 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 McLeod Loris Hospital

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

Anmed Health · Anderson $4,632
Cannon Memorial Hospital · Pickens $4,726
MUSC Health Black River Medical Center · Cades $5,430
Cherokee Medical Center · Gaffney $5,581
Aiken Regional Medical Center · Aiken $5,646
East Cooper Medical Center · Mount Pleasant $6,207
Coastal Carolina Hospital · Hardeeville $6,320
MUSC Health Florence Medical Center · Florence $6,361

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