Critical Care (first 30 to 74 minutes) at CHRISTUS Spohn Hospital - Kleberg
1311 General East Cavazos Blvd, Kingsville, TX · Christushealth · · NPI 1093783391
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$42.21 with Christus Health vs $5,600.00 with Blue Cross Blue Shield of Texas — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Christus Health | HIX | $42.21 | — |
| Humana | BH MM | $852.78 | — |
| Aetna | MM | $852.78 | — |
| Humana | Gold Plus MM | $852.78 | — |
| Allwell | Superior Health MM | $852.78 | — |
| Wellcare | MM | $852.78 | — |
| United Healthcare | MM | $852.78 | — |
| Triwest | VA MM | $852.78 | — |
| Blue Cross Blue Shield of Texas | MM | $852.78 | — |
| Texas Healthspring | MM | $852.78 | — |
| Superior | Star Plus MM | $852.78 | — |
| Christus Health | Med Adv MM | $852.78 | — |
| Coventry | First Health MM | $852.78 | — |
| Molina | Medicare Adv MM | $852.78 | — |
| Humana | Gold Choice MM | $852.78 | — |
| Provider Partners Health Plan | MM | $878.36 | — |
| Shared Health Insurance Company | MM | $895.42 | — |
| US Imaging Network | PPO | $912.47 | — |
| Amerigroup | MM | $921.00 | — |
| Devoted Health Plan | MM | $921.00 | — |
| ProCare Advantage | MM | $938.06 | — |
| American Health Medicare | AdvantageMM | $938.06 | — |
| Imperial Health Plan | MM | $938.06 | — |
| Cigna | New Business | $1,209.00 | — |
| Cigna | PPO | $1,479.00 | — |
| Naphcare Inc. | RRMB | $1,705.56 | — |
| Aetna | New Business | $2,285.00 | — |
| Humana | Choicecare | $2,331.00 | — |
| Aetna | HMO | $2,538.00 | — |
| Aetna | POS | $2,538.00 | — |
| Aetna | PPO | $2,538.00 | — |
| United Healthcare | HIX | $2,564.00 | — |
| United Healthcare | All Payer | $3,152.00 | — |
| Five Point Credit Union | PPO | $3,549.00 | — |
| Blue Cross Blue Shield of Texas | Blue Advantage HMO | $4,120.00 | — |
| Blue Cross Blue Shield of Texas | HMO | $4,520.00 | — |
| Blue Cross Blue Shield of Texas | HEB | $4,840.00 | — |
| Blue Cross Blue Shield of Texas | Traditional | $5,360.00 | — |
| Blue Cross Blue Shield of Texas | PPO | $5,600.00 | — |
| Multiplan | PPO | not published by hospital | — |
| Driscoll Children's Health Plan | Star KM | not published by hospital | — |
| Phcs | PPO | not published by hospital | — |
| Driscoll Children's Health Plan | Star Kids KM | not published by hospital | — |
| Driscoll Children's Health Plan | Chip KM | not published by hospital | — |
| Provider Select | PPO | not published by hospital | — |
| Blue Cross Blue Shield Of Texas | Star Chip KM | not published by hospital | — |
| Superior | Chip KM | not published by hospital | — |
| Superior | Foster Care KM | not published by hospital | — |
| Superior | Star Kids KM | not published by hospital | — |
| Superior | Star KM | not published by hospital | — |
| Superior | Star Plus KM | not published by hospital | — |
| Texas Childrens Health Plan | Chip KM | not published by hospital | — |
| Texas Childrens Health Plan | Star Plus KM | not published by hospital | — |
| United Healthcare | Chip KM | not published by hospital | — |
| United Healthcare | Star Kids KM | not published by hospital | — |
| United Healthcare | Star KM | not published by hospital | — |
| United Healthcare | Star Plus KM | not published by hospital | — |
| HealthSmart | PPO | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| Healthsmart | Accel PPO | not published by hospital | — |
| Health Management Network | PPO | not published by hospital | — |
| Healthcare Highways | PPO | not published by hospital | — |
| Molina | Chip KM | not published by hospital | — |
| First Health | PPO | not published by hospital | — |
| Molina | Star KM | not published by hospital | — |
| Molina | Star Plus KM | not published by hospital | — |
Visitor-reported prices
Comments
Critical Care (first 30 to 74 minutes) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $7,379.79 | $2,566.64 – $2,566.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,540.23 | $719.73 – $3,175.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,062.22 | $630.31 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,595.72 | $719.14 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,540.23 | $677.39 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,062.22 | $788.30 – $4,593.33 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,062.22 | $1,582.15 – $4,593.33 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,595.72 | $788.30 – $5,393.58 |