Kenedy, TX
29
In-network payers
244
Disclosed rate categories
25
Beds
Otto Kaiser Memorial Hospital is a 25-bed government - hospital district or authority hospital in Kenedy, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 244 disclosed rate categories.
CCN (Medicare provider number)
451364
NPI
1699772541
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Otto Kaiser Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$222 - $3,614
from 4 insurers · median $1,736
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$9,292 - $12,793
from 3 insurers · median $10,975
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$790 - $2,860
from 3 insurers · median $2,077
Typical for a hospital with this service line
CT imaging
CPT 70450
$72 - $346
from 4 insurers · median $266
Typical for a hospital with this service line
MRI imaging
CPT 70553
$186 - $2,254
from 4 insurers · median $1,215
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$25 - $200
from 4 insurers · median $166
Typical for a hospital with this service line
Mammography
CPT 77067
$68 - $215
from 4 insurers · median $147
Typical for a hospital with this service line
CT imaging
CPT 74176
$153 - $2,484
from 4 insurers · median $495
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$423 - $1,910
from 4 insurers · median $968
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$190 - $3,514
from 3 insurers · median $2,552
Typical for a hospital with this service line
CT imaging
CPT 71250
$60 - $1,707
from 4 insurers · median $777
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$775 - $1,689
from 3 insurers · median $1,105
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$961 - $4,531
from 3 insurers · median $3,291
Typical for a hospital with this service line
MRI imaging
CPT 70551
$142 - $2,464
from 4 insurers · median $1,088
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,800 - $7,721
from 3 insurers · median $5,608
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$27 - $996
from 4 insurers · median $487
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$162 - $391
from 4 insurers · median $302
Typical for a hospital with this service line
Gynecology
CPT 58662
$1,800 - $10,918
from 3 insurers · median $7,930
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$1,800 - $5,196
from 3 insurers · median $4,200
Typical for a hospital with this service line
MRI imaging
CPT 72197
$330 - $3,151
from 4 insurers · median $1,556
Typical for a hospital with this service line
Ultrasound
CPT 76830
$67 - $848
from 4 insurers · median $375
Typical for a hospital with this service line
Gynecology
CPT 58571
$8,834
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$26,907
negotiated rate
Hospital reports inpatient surgical services to CMS
Cardiology and vascular testing
CPT 93971
$97 - $665
from 4 insurers · median $349
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 225% | 14 | 7 |
| Insurer B* | 23 | 203% | 7 | 6 |
| Insurer C* | 22 | 168% | 2 | 3 |
| Insurer D* | 14 | 60% | 0 | 14 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Otto Kaiser Memorial Hospital.
3349 South Highway 181, Kenedy, TX 78119
(830) 583-3401
The nearest hospitals of similar type and size. Their rates are compared with Otto Kaiser Memorial Hospital for the same insurers and services above.
Refugio Memorial Hospital
Rates about the same as Otto Kaiser Memorial Hospital (22 services)
Yoakum Community Hospital
â–² Rates typically 12% higher than Otto Kaiser Memorial Hospital (23 services)
Seton Edgar B. Davis Hospital
â–² Rates typically 13% higher than Otto Kaiser Memorial Hospital (24 services)
Lavaca Medical Center
Rates about the same as Otto Kaiser Memorial Hospital (23 services)
Frio Regional Hospital
â–² Rates typically 331% higher than Otto Kaiser Memorial Hospital (18 services)
Jackson County Hospital
â–¼ Rates typically 13% lower than Otto Kaiser Memorial Hospital (23 services)
Sabine County Hospital
Comanche County Medical Center
Muleshoe Area Hospital
Memorial Medical Center
About Otto Kaiser Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Otto Kaiser Memorial Hospital range from $186 to $2,254 across 4 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,303. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Otto Kaiser Memorial Hospital range from $222 to $3,614 across 4 insurers. Aetna's rate is $222. The median at nearby comparable hospitals is $1,944. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Otto Kaiser Memorial Hospital range from $790 to $2,860 across 3 insurers. Blue Cross Blue Shield's rate is $2,860. The median at nearby comparable hospitals is $1,611. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Otto Kaiser Memorial Hospital range from $68 to $215 across 4 insurers. Cigna's rate is $68. The median at nearby comparable hospitals is $247. What a patient pays depends on their plan's deductible, coinsurance and network status.
Otto Kaiser Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Otto Kaiser Memorial Hospital is located at 3349 South Highway 181, Kenedy, TX 78119. Its main phone number is (830) 583-3401.
Otto Kaiser Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 451364.
The National Provider Identifier (NPI) on file for Otto Kaiser Memorial Hospital is 1699772541.
Otto Kaiser Memorial Hospital lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
244 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers