Anoscopy remove lesion 46610 at Houston Methodist Baytown Hospital
4401 Garth Road, Baytown, TX · Houstonmethodist · · NPI 1891789772
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,650.09 with Humana vs $5,860.00 with Unitedhealthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Humana | Hmo/Pos | $1,650.09 | — |
| Cigna | Network C-24 Hmo/Ppo | $2,052.00 | — |
| Cigna | Local Plus/Surefit Hmo/Ppo | $2,052.00 | — |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $2,173.00 | — |
| Aetna | New Business Discount Other Commercial Plan | $2,221.00 | — |
| Aetna | Hmo/Pos/Ppo | $2,290.00 | — |
| Bcbs | Medicare Managed Care - Hmo | $2,788.31 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $2,830.13 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo | $2,844.08 | — |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $2,871.96 | — |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $2,927.72 | — |
| Entrust | All Commercial Plans | $2,956.00 | — |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $2,983.49 | — |
| Procare Advantage | Medicare Managed Care - Hmo | $3,067.14 | — |
| Phcs | Ppo | $4,138.00 | — |
| Community Health Choice | Silver & Gold Exchange | $4,544.94 | — |
| Bcbs | All Commercial Plans | $4,782.13 | — |
| Optum Health | Transplant Medicare Managed Care Plan | $5,437.20 | — |
| Molina Healthcare | Exchange | $5,576.62 | — |
| Unitedhealthcare | All Commercial Plans | $5,860.00 | — |
Visitor-reported prices
Comments
Anoscopy remove lesion 46610 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $1,771.80 | $939.93 – $1,015.12 |
| Texas Health Presbyterian Hospital Plano | Plano | $1,771.80 | $939.93 – $1,015.12 |
| Texas Health Hospital Mansfield | Mansfield | $16,162.01 | $2,788.31 – $5,576.62 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $1,771.80 | $939.93 – $1,015.12 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman | $1,771.80 | $939.93 – $1,015.12 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $1,771.80 | $939.93 – $1,033.92 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $1,771.80 | $939.93 – $1,033.92 |
| Adventhealth Rollins Brook | Lampasas | not published | $2,930.23 – $6,108.74 |