CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Woodland Heights Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,558
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Woodland Heights Medical Center is $6,558. 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 1.16x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,558

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: $6,558 (116%)
Ins. Median: $6,558 (116% 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Unicare $975 17%
Blue Cross Blue Shield $3,851 - $6,447 68%
Humana $6,321 111%
Medicare (plans) $6,321 111%
UnitedHealthcare $6,321 111%
Node Triwest $6,415 113%
Node Va $6,543 115%
American Health Mcr Adv $6,573 116%
Provider Partners Health Plan $6,608 116%
Node Amerigroup Mcr Adv $6,636 117%
Node Procare Advantage $6,636 117%
Superior $6,636 - $8,724 117%
Cigna $7,410 131%
Node Brookshire Brothers Work Comp Tx $8,532 150%
Usa Managed Care $8,532 150%
Partners Direct Health $8,982 158%
Work Comp $9,174 162%
Angelina County $9,623 170%
Corporate Remedies $9,623 170%
Node Us Dept Of Labor $10,229 180%
Node Brookshire Brothers $11,226 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals