CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Christus Mother Frances Hospital- Winnsboro

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $2,843
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.50x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Christus Mother Frances Hospital- Winnsboro is $2,843. 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 0.50x the Medicare baseline. Located in 719 West Coke Road, Winnsboro, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,843

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: $2,843 (50%)

Ins. Median: $2,843 (50% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthsmart	$1,248	22%
Coventry	$1,355	24%
Christus Health	$2,500 - $3,685	44%
Allwell	$2,632	46%
Blue Cross Blue Shield	$2,632 - $7,875	46%
Cigna	$2,632 - $12,914	46%
Humana	$2,632 - $2,727	46%
Triwest	$2,632	46%
UnitedHealthcare	$2,632 - $4,705	46%
Washington National	$2,632	46%
Wellcare	$2,632	46%
Peoples Health	$2,711	48%
Provider Partners Health Plan	$2,711	48%
Shared Health Insurance Company	$2,764	49%
Amerigroup	$2,843	50%
Aetna	$2,860	50%
Imperial Health Plan	$2,895	51%
Medicare (plans)	$2,895	51%
Procare Advantage	$2,895	51%
Phcs	$3,966	70%
Naphcare Inc.	$6,054	107%
Healthcare Highways	$6,526	115%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Christus Mother Frances Hospital- Winnsboro is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.