Ca screen;flexi sigmoidscope at Houston Methodist Baytown Hospital
4401 Garth Road, Baytown, TX · Houstonmethodist · · NPI 1891789772
$261.50
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.
$523.00
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.
$212.34 with Bcbs vs $7,542.00 with Aetna — 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 |
|---|---|---|---|
| Bcbs | All Commercial Plans | $212.34 | ↓ -19% |
| Bcbs | Medicare Managed Care - Hmo | $934.20 | ↑ +257% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $948.21 | ↑ +263% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $952.88 | ↑ +264% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $962.22 | ↑ +268% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $980.91 | ↑ +275% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $999.59 | ↑ +282% |
| Procare Advantage | Medicare Managed Care - Hmo | $1,027.61 | ↑ +293% |
| Community Health Choice | Silver & Gold Exchange | $1,522.74 | ↑ +482% |
| Optum Health | Transplant Medicare Managed Care Plan | $1,821.68 | ↑ +597% |
| Molina Healthcare | Exchange | $1,868.39 | ↑ +614% |
| Unitedhealthcare | All Commercial Plans | $3,913.00 | ↑ +1396% |
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↑ +2698% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↑ +2784% |
Visitor-reported prices
Comments
Ca screen;flexi sigmoidscope at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,122.92 | $139.82 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,058.74 | $130.67 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,122.92 | $139.82 – $2,264.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,122.92 | $130.67 – $2,501.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,058.74 | $130.67 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,122.92 | $130.67 – $2,264.11 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,122.92 | $130.67 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,058.74 | $130.67 – $2,264.11 |