De Tar Hospital Navarro
506 E San Antonio St, Victoria, TX 77901 · 107 Priced Procedures · 65% Patient Recommendation
Typical commercial prices here are 3% below the fair benchmark (0.97×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.97× fair market pricing.
Aligned Regional Benchmark Peer
De Tar Hospital Navarro prices shoppable and inpatient services (1.1× to 1.1× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.97× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 3% below peer Fair BaseRate (0.97×)
- Self-pay cash beats commercial insurance on 43% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 65% patient recommendation (67/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.6× markup over Medicare rates
- Commercial insurance median sits at 0.97× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 2.4× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 5,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at De Tar Hospital Navarro
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $17,137 | 0.9× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $16,776 | 0.9× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $14,807 | 0.8× |
| Total hip replacement CPT Code: 27130 | $13,308 | 1.0× |
| Total knee replacement CPT Code: 27447 | $13,181 | 1.0× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $7,387 | 0.9× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,255 | 1.0× |
| Breast lump removal CPT Code: 19120 | $3,986 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $3,716 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,396 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $3,396 | unverified |
| Trauma team activation HCPCS Code: G0390 | $2,954 | 2.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,242 | 1.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $965 | 1.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $941 | 1.0× |
| Injection procedure for pain management HCPCS Code: G0260 | $862 | 1.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $709 | unverified |
| Blood transfusion CPT Code: 36430 | $554 | 1.1× |
| MRI, knee or other leg joint CPT Code: 73721 | $507 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $362 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $383 | 0.7× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $248 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $248 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $262 | 0.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $262 | 0.8× |
Audit a Bill or Quote at De Tar Hospital Navarro (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask De Tar Hospital Navarro's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($41,129) is $21,697 above the denoised Fair BaseRate ($19,432) and 2.9× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify De Tar Hospital Navarro as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (490 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for De Tar Hospital Navarro.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.