CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Christus Spohn Hospital Beeville

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $5,207
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Christus Spohn Hospital Beeville is $5,207. 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 0.92x the Medicare baseline. Located in 1500 E Houston Hwy, Beeville, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,207

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: $5,207 (92%)
Ins. Median: $5,207 (92% 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
Aetna $2,910 - $5,207 51%
Healthcare Highways $3,503 62%
UnitedHealthcare $3,885 - $5,207 68%
Multiplan $3,965 70%
Phcs $3,965 70%
Five Point Credit Union $4,190 74%
Christus Health $4,946 - $7,290 87%
Allwell $5,207 92%
Blue Cross Blue Shield $5,207 - $10,452 92%
Coventry $5,207 92%
Humana $5,207 - $11,654 92%
Molina $5,207 92%
Superior $5,207 92%
Texas Healthspring $5,207 92%
Triwest $5,207 92%
Wellcare $5,207 92%
Provider Partners Health Plan $5,363 94%
Texas Independence Health Plan $5,363 94%
Shared Health Insurance Company $5,467 96%
Us Imaging Network $5,571 98%
Amerigroup $5,623 99%
Devoted Health Plan $5,623 99%
Imperial Health Plan $5,728 101%
Medicare (plans) $5,728 101%
Procare Advantage $5,728 101%
Cigna $6,829 - $8,351 120%
Naphcare Inc. $11,976 211%
Healthsmart $14,656 258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Houston Hwy, Beeville, TX 78102
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals