CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Physicians Regional Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$6,347
about 1.1× the $5,676 Medicare rate · typically $5,696–$8,161
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,164
About the fair price
about $183 under the fair price · 1.1× Medicare
Medicare pays $5,676 Fair price $6,347 This hospital $6,164

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 $6,164

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 $6,347 (about 1.1× the $5,676 Medicare rate). Physicians Regional Medical Center charges insurers about $6,164 — about the fair price. Located in Powell, 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 $1,459 - $6,431 26%
Blue Cross Blue Shieldmajor $1,344 - $6,309 24%
Aetnamajor $6,309 - $7,455 111%
Humanamajor $6,114 - $6,127 108%
Ambetter (Centene) $12,049 212%
Amerigroup $2,743 - $6,431 48%
Cigna HealthSpring $6,309 111%
Devoted Health $6,545 115%
WellCare $6,451 114%
+ 7 smaller / regional plans $1,047 - $12,049
Government programs also on file: Medicare, Medicaid.
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: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals