CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Southern Tennessee Regional Health System Lawrence

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,417

about 1.3× the $5,676 Medicare rate · typically $5,545–$9,696

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,381

Below the fair price — a good deal

about $1,036 under the fair price · 1.1× Medicare

Medicare pays $5,676 Fair price $7,417 This hospital $6,381 Cash price $8,077 Hospital's list price $32,439

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 $6,381

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 $7,417 (about 1.3× the $5,676 Medicare rate). Southern Tennessee Regional Health System Lawrence charges insurers about $6,381, or about $8,077 in cash — below the fair price — a good deal. Located in Lawrenceburg, 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 - $6,381	57%
Blue Cross Blue Shieldmajor	$4,379 - $6,255	77%
Aetnamajor	$1,811	32%
Cignamajor	$1,400	25%
Humanamajor	$3,765 - $6,381	66%
Devoted Health	$6,443	114%
+ 4 smaller / regional plans	$6,255 - $6,631

Government programs also on file: Medicare, 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 8,077), 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 Southern Tennessee Regional Health System Lawrence 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 (%)

Enter your details and press estimate to compare.

Other Procedures at Southern Tennessee Regional Health System Lawrence

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

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