Medicine & Surgery · Inpatient
Major cardiothoracic procedure with cardiac catheterization and MCC
MS-DRG 216
$77,286 - $185,316
from 4 insurers · median $111,808
Hospital reports cardiac thoracic surgery services to CMS
Universal Health Services · Mcallen, TX
60
Beds
17
In-network payers
South Texas Health System Heart is a 60-bed hospital in Mcallen, TX, affiliated with Universal Health Services. Below you'll find publicly disclosed negotiated rates and facility details, including 17 in-network payers and 79 disclosed rate categories.
The 24 services South Texas Health System Heart 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.
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Medicine & Surgery · Inpatient
MS-DRG 216
$77,286 - $185,316
from 4 insurers · median $111,808
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 47562
$9,353 - $38,319
from 3 insurers · median $22,824
Typical for a hospital with this service line
CT imaging
CPT 74177
$276 - $1,159
from 2 insurers · median $718
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$67 - $970
from 4 insurers · median $559
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$421 - $5,858
from 4 insurers · median $1,585
Typical for a hospital with this service line
Gynecology
CPT 58571
$19,855 - $70,499
from 3 insurers · median $22,824
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,069 - $6,608
from 3 insurers · median $2,617
Typical for a hospital with this service line
Mammography
CPT 77067
$90 - $860
from 4 insurers · median $373
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,370 - $7,268
from 3 insurers · median $2,736
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,370 - $6,632
from 3 insurers · median $2,736
Typical for a hospital with this service line
Digestive procedures
CPT 47563
$11,408 - $39,298
from 3 insurers · median $22,824
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$4,347 - $6,140
from 2 insurers · median $5,244
Typical for a hospital with this service line
CT imaging
CPT 70450
$86 - $443
from 2 insurers · median $264
Typical for a hospital with this service line
MRI imaging
CPT 70553
$286 - $5,393
from 3 insurers · median $1,285
Typical for a hospital with this service line
MRI imaging
CPT 72197
$286 - $6,957
from 4 insurers · median $3,693
Typical for a hospital with this service line
CT imaging
CPT 71260
$144 - $3,304
from 3 insurers · median $682
Typical for a hospital with this service line
Gynecology
CPT 58661
$9,424 - $13,890
from 2 insurers · median $11,657
Typical for a hospital with this service line
CT imaging
CPT 74176
$182 - $761
from 2 insurers · median $472
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$7,621 - $11,143
from 3 insurers · median $9,022
Typical for a hospital with this service line
Gynecology
CPT 58662
$10,299 - $35,278
from 3 insurers · median $13,890
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,011 - $4,231
from 4 insurers · median $1,776
Hospital reports nuclear medicine services to CMS
Gynecology
CPT 58558
$5,896 - $6,521
from 3 insurers · median $6,424
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$13,188 - $30,345
from 2 insurers · median $21,766
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$484 - $2,297
from 4 insurers · median $1,542
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* | 9 | 890% | 7 | 0 |
| Insurer B* | 16 | 636% | 15 | 1 |
| Insurer C* | 24 | 210% | 10 | 11 |
| Insurer D* | 24 | 185% | 16 | 6 |
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 South Texas Health System Heart, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.



Doctors and services
20 services
See doctors and servicesThe employer identification numbers (EINs) health plans and networks list for South Texas Health System Heart in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 23-3069260Mcallen Hospitals LP | 38Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Asuris Northwest Health and 33 more | 1770573586 Mcallen Hospitals L P1053301754 Mcallen Hospitals L P1962492660 Mcallen Hospitals L Pand 6 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
1900 S D St, Mcallen, TX 78503
9366324000
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
About South Texas Health System Heart's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at South Texas Health System Heart range from $286 to $5,393 across 3 insurers. Cigna's rate is $5,393. The median at nearby comparable hospitals is $1,385. 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 South Texas Health System Heart range from $276 to $1,159 across 2 insurers. UnitedHealthcare's rate is $276. The median at nearby comparable hospitals is $1,014. 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 South Texas Health System Heart range from $2,370 to $7,268 across 3 insurers. Aetna's rate is $7,268. The median at nearby comparable hospitals is $2,954. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at South Texas Health System Heart range from $90 to $860 across 4 insurers. UnitedHealthcare's rate is $90. The median at nearby comparable hospitals is $165. What a patient pays depends on their plan's deductible, coinsurance and network status.
Insurers' price transparency files list South Texas Health System Heart under employer identification number 23-3069260 (Mcallen Hospitals LP). 38 health plans and networks list 23-3069260 for it.
CMS lists 20 services at South Texas Health System Heart, including Acute Renal Dialysis, Anesthesia, Cardiac Thoracic Surgery, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology.
South Texas Health System Heart has 60 beds. Facility type: Short Term Acute Care Hospital.
South Texas Health System Heart is located at 1900 S D St, Mcallen, TX 78503. Its main phone number is 9366324000.
South Texas Health System Heart's CMS Certification Number (CCN), also called its Medicare provider number, is 450811.
The National Provider Identifier (NPI) on file for South Texas Health System Heart is 1508856337.
South Texas Health System Heart is affiliated with Universal Health Services.
South Texas Health System Heart lists 17 in-network payers, including Aetna, Aspirus Health Plan, Banner Health, Centene, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
79 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