CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Navarro Regional Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,959
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Navarro Regional Hospital is $7,959. 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 1.40x the Medicare baseline. Located in 3201 West Highway 22, Corsicana, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,959

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: $7,959 (140%)
Ins. Median: $7,959 (140% 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
Node Hospice Non Par Agree $1,078 19%
Humana $7,580 134%
Medicare (plans) $7,580 134%
UnitedHealthcare $7,580 - $14,628 134%
Triwest $7,699 136%
Aetna $7,731 - $11,009 136%
Node Va $7,853 138%
Provider Partners Health Plan $7,930 140%
Molina $7,957 140%
Node Amerigroup Mcr Adv $7,957 140%
Superior $7,959 - $13,165 140%
Node Brookshire Brothers Work Comp Tx $10,239 180%
Usa Managed Care Org $10,239 180%
Blue Cross Blue Shield $10,254 181%
Healthsmart $10,470 184%
Cigna $11,009 194%
Work Comp $11,009 194%
Node Us Dept Of Labor $11,941 210%
Brookshire Brothers $13,473 237%
Citizens National $13,473 237%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3201 West Highway 22, Corsicana, TX 75110
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals