CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Starr Regional Medical Center Athens

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$6,999

about 1.2× the $5,676 Medicare rate · typically $5,848–$9,033

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,835

Below the fair price — a good deal

about $1,164 under the fair price · 1.0× Medicare

Medicare pays $5,676 Fair price $6,999 This hospital $5,835 Cash price $8,204 Hospital's list price $41,855

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 $5,835

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 $6,999 (about 1.2× the $5,676 Medicare rate). Starr Regional Medical Center Athens charges insurers about $5,835, or about $8,204 in cash — below the fair price — a good deal. Located in Athens, TN.

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	$3,234 - $5,835	57%
Blue Cross Blue Shieldmajor	$5,345 - $5,835	94%
Aetnamajor	$1,811 - $5,835	32%
Cignamajor	$1,400 - $5,835	25%
Humanamajor	$3,765 - $5,951	66%
Cigna HealthSpring	$6,126	108%
Devoted Health	$6,010	106%
+ 5 smaller / regional plans	$5,835 - $6,185

Government programs also on file: Medicare, Medicaid, 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 (about 8,204), 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 Starr Regional Medical Center Athens 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 (%)

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Other Procedures at Starr Regional Medical Center Athens

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

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