CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Lafollette Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$6,425
about 1.1× the $5,676 Medicare rate · typically $5,741–$7,825
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,655
About the fair price
about $230 over the fair price · 1.2× Medicare
Medicare pays $5,676 Fair price $6,425 This hospital $6,655

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $3,001 Priciest $6,655

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 $6,425 (about 1.1× the $5,676 Medicare rate). Lafollette Medical Center charges insurers about $6,655 — about the fair price. Located in La Follette, 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✓ Aetna✓ Humana CignaKaiser 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 $1,306 - $7,611 23%
Blue Cross Blue Shieldmajor $1,315 - $7,250 23%
Aetnamajor $3,167 - $18,274 56%
Humanamajor $3,321 - $7,250 59%
Ambetter (Centene) $13,621 240%
Amerigroup $2,751 - $7,611 48%
Cigna HealthSpring $7,467 132%
Devoted Health $7,395 130%
WellCare $3,167 - $7,363 56%
+ 9 smaller / regional plans $1,047 - $16,198
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals