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Hospital Profile Acute Care Hospital Voluntary non-profit - Private 50 Beds · rural Updated: 2026-01-13

Christus Spohn Hospital Kleberg

1311 East General Cavazos Blvd, Kingsville, TX 78363 · 39 Priced Procedures · 60% Patient Recommendation

CMS Overall Rating 2 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.32×vs. Fair Market Price
Position vs. 1.00× Fair Price+32% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +32% above the fair benchmark (1.32×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).69/100 · Caution
69/100Self-Pay Cash Beats Insurance 0% of the Time
File Completeness61Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic94Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment64Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing67Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount50Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star Rating3/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score62/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait186 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

3-Star CMS clinical quality rating paired with 1.32× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +104% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Christus Spohn Hospital Kleberg prices routine shoppable procedures at 1.9× Medicare (median 0.98× Fair BaseRate) while upper-quartile commercial rates jump +104% to 2.00× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#206 of 307 in TX · 66th State Percentile#2,300 of 3,385 in U.S. · 67th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
  • 2-Star CMS clinical rating with 60% patient recommendation (62/100 safety score)
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (36.3% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 2.4× markup over Medicare rates
  • Commercial insurance median sits at 0.98× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 2.00×) jump +104% above the median procedure ratio (Q50 0.98×)
  • Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
1.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.53× Divergence
1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+104% Upper Tail
Q25 0.91× · Q50 0.98× · Q75 2.00×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
1.9× MedicareGood
Outpatient Surgery & ORBack-Door Captive
2.4× MedicareFair
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
2.1× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
2.8× MedicareFair
Inpatient Lab & PathologyBack-Door Captive
2.5× MedicareFair
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
2.2× MedicareFair
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
0% Cash Edge · 50/100Elevated
CMS Clinical Safety & Star ValueIntegrity & Outcomes
2 CMS · 62/100Elevated

Procedure Prices at Christus Spohn Hospital Kleberg

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 39 published procedures.

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Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
 $22,240 0.7×
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $14,009 0.7×
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $13,462 0.7×
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 $13,280 0.7×
Total hip replacement
CPT Code: 27130
 $13,022 1.0×
Total knee replacement
CPT Code: 27447
 $13,022 1.0×
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $5,905 1.0×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $5,571 0.7×
Inguinal hernia repair
CPT Code: 49505
 $3,512 1.0×
Breast lump removal
CPT Code: 19120
 $3,348 0.9×
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $3,284 1.0×
Bunion correction surgery
CPT Code: 28296
 $3,121 0.9×
C-section delivery (full package)
CPT Code: 59510
 $2,761 0.9×
Vaginal delivery (full package)
CPT Code: 59400
 $2,548 1.0×
Cataract surgery with lens implant
CPT Code: 66984
 $2,308 0.9×
Sleep study (overnight, in lab)
CPT Code: 95810
 $1,071 1.0×
Psychological testing by technician
CPT Code: 96138
 $404 1.0×
Neurobehavioral status check
CPT Code: 96116
 $315 1.4×
Rabies immune globulin
HCPCS Code: 90375
 $290 0.9×
Care planning with family
CPT Code: 90887
 $172 1.6×
Psychotherapy session (45 minutes)
CPT Code: 90834
 $163 1.0×
Physical therapy (gait training)
CPT Code: 97116
 $126 3.8×
Review of medical records for care
CPT Code: 90889
 $128 1.1×
Hepatitis B immune globulin
HCPCS Code: 90371
 $148 1.0×
Family therapy session
CPT Code: 90847
 $163 0.9×
Showing top 25 high-impact procedures of 39 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Christus Spohn Hospital Kleberg (Zero PHI Required)

CMS CCN: 450163
CPT 451
Fair BaseRate™ $30,775
Medicare Rate $23,504
Self-Pay Cash Request Quote
Insurer Median $22,240
Pre-filled with Christus Spohn Hospital Kleberg’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $19,354 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $19,354

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $19,354).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Christus Spohn Hospital Kleberg's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$22,601 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($53,376) is $22,601 above the denoised Fair BaseRate ($30,775) and 2.3× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold
Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier
Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported
26 U.S.C. § 501(r)(5) AGB Benchmark Method: national_nonprofit_median

Illustrative National Nonprofit Peer Median (36.3% of gross — request this hospital's exact FAP Look-Back AGB percentage)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)
Safety Composite62/100
Would Recommend60%
Rated 9 or 10 (HCAHPS)68%
Median ER Wait186 min
Left ER Before Seen3%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)
C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Christus Spohn Hospital Kleberg. Prior administrative notices do not necessarily reflect current compliance status.

  • 2025-07-28·administrative_or_closure

    Met Requirements

    Recorded

Source: CMS Hospital Care Compare (157 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Christus Spohn Hospital Kleberg.

Price Index: 1.00× regional baseline
Quality: 53/100 CMS composite
Median Household Income$57,612U.S. Census ACS
Local Uninsured Share17.0%Regional ACS estimate
200% FPL (1 Person)$31,920Common free-care ceiling
400% FPL (Family of 4)$128,600Common AGB cap ceiling
45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 69/100 · Caution CMS CCN 450163

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 450163) ↗ CMS HCRIS Cost Reports ↗
Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2026-01-13
Validated Rate Rows1,153 (CMS v3.0.0)
File Integrity DigestVerified · CCN 450163

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy