Brain image < 4 views 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.
$42.00 with Arkansas Total Care vs $1,509.00 with United Healthcare — 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 |
|---|---|---|---|
| Arkansas Total Care | KM | $42.00 | — |
| Empower Healthcare Solutions | KM | $42.84 | — |
| United Healthcare | Star Plus KM | $177.76 | — |
| United Healthcare | Chip KM | $177.76 | — |
| United Healthcare | Star KM | $177.76 | — |
| United Healthcare | Star Kid KM | $177.76 | — |
| Texas Healthspring | MM | $197.24 | — |
| Humana | Choicecare | $375.85 | — |
| Coventry | First Health MM | $394.48 | — |
| Blue Cross Blue Shield of Texas | MM | $394.48 | — |
| Triwest | VA MM | $394.48 | — |
| Molina | Medicare Adv MM | $394.48 | — |
| Christus Health | Med Adv MM | $394.48 | — |
| Windsor | MM | $394.48 | — |
| Humana | ChoiceCare Network MM | $394.48 | — |
| United Healthcare | MM | $394.48 | — |
| Aetna | MM | $394.48 | — |
| Provider Partners Health Plan | MM | $406.31 | — |
| Texas Independence Health Plan | MM | $406.31 | — |
| Shared Health Insurance Company | MM | $414.20 | — |
| Tribute Health Plan | MM | $414.20 | — |
| US Imaging Network | PPO | $422.09 | — |
| Amerigroup | MM | $426.04 | — |
| American Health Medicare | Advantage MM | $433.93 | — |
| Imperial Health Plan | MM | $433.93 | — |
| ProCare Advantage | MM | $433.93 | — |
| Superior | Foster Care KM | $489.74 | — |
| Amerigroup | Star KM | $489.74 | — |
| Superior | Chip KM | $489.74 | — |
| Superior | Star Plus KM | $489.74 | — |
| Superior | Star KM | $489.74 | — |
| Superior | Star Kids KM | $489.74 | — |
| Texas True Choice | Chip KM | $489.74 | — |
| Summit Community Care | KM | $499.53 | — |
| Molina | Star Plus KM | $514.23 | — |
| Molina | Healthspring Star Plus KM | $514.23 | — |
| Molina | Star KM | $514.23 | — |
| Molina | Chip KM | $514.23 | — |
| Texas Children's Health Plan | Star Kids KM | $514.23 | — |
| Texas Children's Health Plan | Star Plus KM | $514.23 | — |
| Texas Children's Health Plan | Chip KM | $514.23 | — |
| Christus Health | HIX | $552.27 | — |
| United Healthcare | HIX | $675.00 | — |
| Cigna | PPO | $680.87 | — |
| Blue Cross Blue Shield of Texas | Traditional | $714.95 | — |
| Blue Cross Blue Shield of Texas | Blue Advantage HMO | $735.24 | — |
| State of Oklahoma | All Plans | $785.94 | — |
| Naphcare Inc. | RRMB | $788.96 | — |
| Blue Cross Blue Shield of Texas | HEB | $807.92 | — |
| Blue Cross Blue Shield of Texas | HMO | $807.92 | — |
| Blue Cross Blue Shield of Texas | PPO | $897.50 | — |
| United Healthcare | All Payer | $1,509.00 | — |
| Multiplan | PPO | not published by hospital | — |
| HealthSmart | Accel PPO | not published by hospital | — |
| Five Point Credit Union | PPO | not published by hospital | — |
| First Health | PPO | not published by hospital | — |
| Beechstreet | PPO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Provider Select | PPO | not published by hospital | — |
| PPOplus Llc | PPO | not published by hospital | — |
| Zelis | PPO | not published by hospital | — |
| Municipal Health Benefit Fund | PPO | not published by hospital | — |
| Health Management Network | PPO | not published by hospital | — |
| Healthcare Highways | PPO | not published by hospital | — |
| PHCS | PPO | not published by hospital | — |
| QualChoice | PPO | not published by hospital | — |
| HealthSmart | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Brain image < 4 views at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $438.80 | $75.23 – $752.22 |
| Ascension Providence | Waco | $207.63 | $170.41 – $590.75 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $2,005.65 | $167.85 – $258.18 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK | $2,809.60 | $167.85 – $258.18 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | $3,723.81 | $170.41 – $258.18 |
| Adventhealth Rollins Brook | Lampasas | not published | $650.73 – $650.73 |
| CHRISTUS Children's Hospital | San Antonio | not published | $177.76 – $514.23 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $167.00 – $915.16 |