CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Highpoint Health-Sumner With Ascension Saint Thoma

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$7,343
about 1.3× the $5,676 Medicare rate · typically $5,687–$9,291
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,427
Below the fair price — a good deal
about $1,916 under the fair price · 1.0× Medicare
Medicare pays $5,676 Fair price $7,343 This hospital $5,427 Cash price $7,944 Hospital's list price $34,094

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 3 charge more and 5 charge less, among the 9 TN hospitals compared.

Cheapest $3,001 Priciest $5,778

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,343 (about 1.3× the $5,676 Medicare rate). Highpoint Health-Sumner With Ascension Saint Thoma charges insurers about $5,427, or about $7,944 in cash — below the fair price — a good deal. Located in Gallatin, TN.

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✓ Cigna✓ Humana AetnaKaiser 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 $5,071 - $12,873 89%
Blue Cross Blue Shieldmajor $4,855 - $5,627 86%
Cignamajor $8,065 - $8,889 142%
Humanamajor $5,269 93%
Ambetter (Centene) $10,689 188%
Amerigroup $5,269 93%
Cigna HealthSpring $5,533 97%
Devoted Health $5,427 96%
Health Net $5,808 102%
+ 3 smaller / regional plans $5,269 - $5,585
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 555 Hartsville Pike, Gallatin, TN 37066
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals