CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,517
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Tennova Healthcare - Newport Medical Center is $7,517. 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 1.32x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,517

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: $7,517 (132%)
Ins. Median: $7,517 (132% 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
Node Hospice Non Par Agree $1,047 18%
Bluecare $1,141 - $2,301 20%
Medicaid / KanCare $1,865 33%
UnitedHealthcare $1,865 - $7,891 33%
Novanet Work Comp Tn $1,913 34%
Tn Work Comp $1,932 34%
Amerigroup $2,975 - $7,891 52%
Node Bluecare Plus Tn Mcr Adv $5,186 91%
Blue Cross Blue Shield $5,277 - $7,742 93%
Node Wellcare Mcr Adv $5,462 96%
Self Pay $6,904 122%
Humana $7,517 132%
Medicare (plans) $7,517 132%
Node Devoted Health Mcr Adv $7,667 135%
Node Farm Bureau Mcr Adv $7,667 135%
Aetna $7,742 - $18,274 136%
Node Healthspring Mcr Adv $7,742 136%
Node Va $7,788 137%
Windsor Health Plan $7,893 139%
Node Nhc Mcr Adv $8,265 146%
Us Department Of Labor $11,856 209%
Ambetter / Centene $14,125 249%
Point Comfort Underwriters $16,496 291%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals