CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Rio Grande Regional Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,674

about 1.5× the $5,676 Medicare rate · typically $6,485–$10,747

modeled estimate · not a bill or quote

What this hospital charges insurers

$11,063

Above the fair price

about $2,389 over the fair price · 1.9× Medicare

Medicare pays $5,676 Fair price $8,674 This hospital $11,063

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 $11,063

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 $8,674 (about 1.5× the $5,676 Medicare rate). Rio Grande Regional Hospital charges insurers about $11,063 — above the fair price. Located in McAllen, 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 $8,674. 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	$3,060 - $10,726	54%
Blue Cross Blue Shieldmajor	$10,127 - $16,396	178%
Aetnamajor	$2,958 - $10,705	52%
Cignamajor	$10,737 - $15,723	189%
Humanamajor	$10,358 - $11,823	182%
Independent Health	$11,388	201%
Molina	$11,822 - $12,354	208%
Oscar Health	$2,014 - $12,084	35%
WellMed	$10,889	192%
+ 14 smaller / regional plans	$750 - $16,811

Government programs also on file: Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Rio Grande Regional Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Rio Grande Regional Hospital

Compare: Digestive disorders treatment (inpatient stay) at other TX hospitals

Childrens Medical Ctr of Dallas · Dallas $2,812
Childrens Medical Center Plano · Plano $2,812
Memorial Medical Center · Port Lavaca $3,056
Hendrick Medical Center Brownwood · Brownwood $4,163
Coon Memorial Hospital · Dalhart $4,433
Comanche County Medical Center · Comanche $4,497
Guadalupe Regional Medical Center · Seguin $4,745
Ascension Seton Southwest · Austin $4,884

Insurance negotiated median for the same procedure, sorted lowest first.