CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Laredo Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $9,397
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Laredo Medical Center is $9,397. 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 1.66x the Medicare baseline. Located in 1700 East Saunders, Laredo, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,397

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: $9,397 (166%)
Ins. Median: $9,397 (166% 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
Lonestar Athletic $1,000 18%
Node Hospice Non Par Agree $1,056 19%
Blue Cross Blue Shield $4,355 - $9,129 77%
Multiplan Primary $6,935 122%
Humana $8,951 158%
Medicare (plans) $8,951 - $9,423 158%
UnitedHealthcare $8,951 - $18,197 158%
Aetna $9,219 162%
Node Molina Health Exchange $9,261 163%
American Health $9,308 164%
Provider Partners Health Plan $9,371 165%
Node Amerigroup Mcr Adv $9,397 166%
Node Tihp Mcr Adv $9,397 166%
Superior $9,397 166%
Node Wellpoint Mcr Adv $9,553 168%
Node Ice Health Service Corps $9,580 169%
Triwest $9,657 170%
Node Va $9,771 172%
Industrial Rehab $11,017 194%
Node Brookshire Brothers Work Comp Tx $12,741 224%
Health Smart $13,014 229%
Coventry Hcn Tx Work Comp $13,028 230%
Tx Work Comp $13,699 241%
Node Us Dept Of Labor $14,449 255%
Imo Work Comp $15,754 278%
Node Brookshire Brothers $16,765 295%
Node Naphcare $19,160 338%
Node Superior Commercial Exchange $19,160 338%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 East Saunders, Laredo, TX 78044
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals