CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Highpoint Health-Riverview With Ascension Saint Th

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$8,137
about 1.4× the $5,676 Medicare rate · typically $4,363–$12,613
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,409
Below the fair price — a good deal
about $3,728 under the fair price · 0.8× Medicare
Medicare pays $5,676 Fair price $8,137 This hospital $4,409 Cash price $9,488 Hospital's list price $29,103

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

One of the lower prices — 6 of 8 other TN hospitals charge more for the same procedure.

Cheapest $3,001 Priciest $5,778

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 $8,137 (about 1.4× the $5,676 Medicare rate). Highpoint Health-Riverview With Ascension Saint Th charges insurers about $4,409, or about $9,488 in cash — below the fair price — a good deal. Located in Carthage, 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 $2,060 - $2,990 36%
Blue Cross Blue Shieldmajor $2,060 - $4,595 36%
Aetnamajor $2,060 36%
Cignamajor $1,400 25%
Humanamajor $2,060 36%
Amerigroup $2,060 36%
Cigna HealthSpring $2,060 36%
WellCare $2,060 36%
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 158 Hospital Drive, Carthage, TN 37030
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals