Amputation follow-up surgery at CHRISTUS St. Michael Hospital - Atlanta
1007 S William St, Atlanta, TX · Christushealth · · NPI 1295736734
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.
$414.06 with United Healthcare vs $7,285.00 with Cigna — 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 |
|---|---|---|---|
| United Healthcare | Star Kid KM | $414.06 | — |
| United Healthcare | Chip KM | $414.06 | — |
| United Healthcare | Star Plus KM | $414.06 | — |
| United Healthcare | Star KM | $414.06 | — |
| Superior | Chip KM | $1,088.27 | — |
| Texas True Choice | Chip KM | $1,088.27 | — |
| Superior | Foster Care KM | $1,088.27 | — |
| Superior | Star Plus KM | $1,088.27 | — |
| Amerigroup | Star KM | $1,088.27 | — |
| Superior | Star KM | $1,088.27 | — |
| Superior | Star Kids KM | $1,088.27 | — |
| Summit Community Care | KM | $1,110.04 | — |
| Texas Children's Health Plan | Star Plus KM | $1,142.68 | — |
| Texas Children's Health Plan | Chip KM | $1,142.68 | — |
| Texas Children's Health Plan | Star Kids KM | $1,142.68 | — |
| Molina | Chip KM | $1,142.68 | — |
| Molina | Star Plus KM | $1,142.68 | — |
| Molina | Star KM | $1,142.68 | — |
| Molina | Healthspring Star Plus KM | $1,142.68 | — |
| Humana | Choicecare | $2,366.00 | — |
| Blue Cross Blue Shield of Texas | HMO | $2,983.82 | — |
| Windsor | MM | $3,185.23 | — |
| Humana | ChoiceCare Network MM | $3,185.23 | — |
| United Healthcare | MM | $3,185.23 | — |
| Aetna | MM | $3,185.23 | — |
| Coventry | First Health MM | $3,185.23 | — |
| Molina | Medicare Adv MM | $3,185.23 | — |
| Christus Health | Med Adv MM | $3,185.23 | — |
| Triwest | VA MM | $3,185.23 | — |
| Blue Cross Blue Shield of Texas | MM | $3,185.23 | — |
| Texas Healthspring | MM | $3,185.23 | — |
| Blue Cross Blue Shield of Texas | Traditional | $3,230.19 | — |
| Texas Independence Health Plan | MM | $3,280.79 | — |
| Provider Partners Health Plan | MM | $3,280.79 | — |
| Blue Cross Blue Shield of Texas | Blue Advantage HMO | $3,312.31 | — |
| Tribute Health Plan | MM | $3,344.49 | — |
| Shared Health Insurance Company | MM | $3,344.49 | — |
| US Imaging Network | PPO | $3,408.20 | — |
| Amerigroup | MM | $3,440.05 | — |
| American Health Medicare | Advantage MM | $3,503.75 | — |
| ProCare Advantage | MM | $3,503.75 | — |
| Imperial Health Plan | MM | $3,503.75 | — |
| Five Point Credit Union | PPO | $4,020.00 | — |
| Blue Cross Blue Shield of Texas | PPO | $4,325.17 | — |
| Christus Health | HIX | $4,459.32 | — |
| QualChoice | PPO | $4,480.00 | — |
| United Healthcare | HIX | $4,578.00 | — |
| Healthcare Highways | PPO | $4,702.00 | — |
| State of Oklahoma | All Plans | $5,242.85 | — |
| Naphcare Inc. | RRMB | $6,370.46 | — |
| Aetna | PPO | $6,450.00 | — |
| United Healthcare | All Payer | $7,110.00 | — |
| Blue Cross Blue Shield of Texas | HEB | $7,254.24 | — |
| Cigna | PPO | $7,285.00 | — |
| Zelis | PPO | not published by hospital | — |
| Municipal Health Benefit Fund | PPO | not published by hospital | — |
| First Health | PPO | not published by hospital | — |
| HealthSmart | Accel PPO | not published by hospital | — |
| Health Management Network | PPO | not published by hospital | — |
| Provider Select | PPO | not published by hospital | — |
| Beechstreet | PPO | not published by hospital | — |
| PHCS | PPO | not published by hospital | — |
| HealthSmart | PPO | not published by hospital | — |
| Multiplan | PPO | not published by hospital | — |
| PPOplus Llc | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Amputation follow-up surgery at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $3,421.81 – $7,079.01 |
| CHRISTUS Children's Hospital | San Antonio | not published | $1,088.27 – $2,736.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $1,066.50 – $4,379.92 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,167.76 – $5,611.77 |
| Covenant Children's Hospital | Lubbock | not published | $1,959.91 – $11,141.85 |
| HCA HOUSTON CONROE | CONROE | not published | $1,066.50 – $4,763.16 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $1,066.50 – $4,872.66 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $1,167.76 – $4,872.66 |