CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Texas Health Presbyterian Hospital Kaufman

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$8,594
about 1.5× the $5,676 Medicare rate · typically $6,517–$11,979
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,686
Above the fair price
about $6,092 over the fair price · 2.6× Medicare
Medicare pays $5,676 Fair price $8,594 This hospital $14,686

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $2,812 Priciest $14,686

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,594 (about 1.5× the $5,676 Medicare rate). Texas Health Presbyterian Hospital Kaufman charges insurers about $14,686 — above the fair price. Located in Kaufman, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $8,594. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $14,686 - $27,185 259%
Blue Cross Blue Shieldmajor $11,892 - $56,522 210%
Aetnamajor $13,267 - $17,689 234%
Cignamajor $18,066 - $33,030 318%
Humanamajor $13,759 242%
Amerigroup $13,892 245%
Cigna HealthSpring $13,495 238%
Molina $13,892 245%
WellCare $13,892 - $14,553 245%
+ 2 smaller / regional plans $13,230 - $15,349

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 850 Ed Hall, Kaufman, TX 75142
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals