CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Ascension Seton Hays

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,046

about 1.2× the $5,676 Medicare rate · typically $4,942–$9,783

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,917

Below the fair price — a good deal

about $2,129 under the fair price · 0.9× Medicare

Medicare pays $5,676 Fair price $7,046 This hospital $4,917

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 $4,917

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 $7,046 (about 1.2× the $5,676 Medicare rate). Ascension Seton Hays charges insurers about $4,917 — below the fair price — a good deal. Located in Kyle, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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	$5,016	88%
Aetnamajor	$4,917	87%
Humanamajor	$4,917	87%
Ambetter (Centene)	$8,851	156%
Devoted Health	$4,917	87%
Oscar Health	$9,379	165%
WellCare	$4,917	87%
WellMed	$4,819	85%
+ 14 smaller / regional plans	$4,868 - $9,063

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

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 Ascension Seton Hays 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 Ascension Seton Hays

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.