CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: West Tennessee Healthcare Henry County Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,603
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at West Tennessee Healthcare Henry County Hospital is $6,603. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.16x the Medicare baseline. Located in 301 Tyson Avenue, Paris, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,603

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $6,603 (116%)
Ins. Median: $6,603 (116% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $1,044 - $6,603 18%
UnitedHealthcare $1,147 20%
Amerigroup $4,680 - $6,411 82%
Harmony Health Plan $6,411 113%
Humana $6,539 115%
Aetna $6,603 116%
American Health Plan $6,603 116%
Cigna $6,603 - $11,441 116%
River Valley Plan $6,603 116%
Tennessee Rural Health Improvement Association $6,603 116%
Windsor Health Plan $6,603 116%
Oscar $8,997 159%
Ambetter / Centene $12,180 215%
Celtic Insurance Company $12,180 215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Tyson Avenue, Paris, TN 38242
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals