Allgrft implnt knee w/scope at CHRISTUS Health - West Beaumont
6025 Metropolitan Drive, Beaumont, TX · Christushealth · · NPI 1679557888
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.
$4,020.00 with Five Point Credit Union vs $25,775.32 with Naphcare Inc. — 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 |
|---|---|---|---|
| Five Point Credit Union | PPO | $4,020.00 | — |
| Healthcare Highways | PPO | $5,893.00 | — |
| Partners Direct Health | PPO | $5,987.00 | — |
| Aetna | New Business | $6,105.00 | — |
| Aetna | POS | $6,783.00 | — |
| Aetna | EPO | $6,783.00 | — |
| Aetna | HMO | $6,783.00 | — |
| Aetna | PPO | $6,783.00 | — |
| United Healthcare | HIX | $6,809.00 | — |
| Humana | Choicecare | $7,307.00 | — |
| Cigna | New Business | $7,965.00 | — |
| Cigna | PPO | $10,150.00 | — |
| MCT Credit Union | All Plans | $10,210.00 | — |
| Wellcare | MM | $12,887.66 | — |
| Humana | Gold Choice MM | $12,887.66 | — |
| United Healthcare | MM | $12,887.66 | — |
| Aetna | MM | $12,887.66 | — |
| Coventry | First Health MM | $12,887.66 | — |
| Molina | Medicare Adv MM | $12,887.66 | — |
| Community Health Choice | Dual MM | $12,887.66 | — |
| Allwell | Superior Health MM | $12,887.66 | — |
| Arcadian Health Plan | MM | $12,887.66 | — |
| Christus Health | Med Adv MM | $12,887.66 | — |
| Triwest | VA MM | $12,887.66 | — |
| Blue Cross Blue Shield of Texas | MM | $12,887.66 | — |
| Texas Healthspring | MM | $12,887.66 | — |
| Provider Partners Health Plan | MM | $13,274.29 | — |
| Texas Independence Health Plan | MM | $13,274.29 | — |
| Shared Health Insurance Company | MM | $13,532.04 | — |
| US Imaging Network | PPO | $13,789.80 | — |
| Amerigroup | MM | $13,918.67 | — |
| Devoted Health Plan | MM | $13,918.67 | — |
| American Health Medicare | Advantage MM | $14,176.43 | — |
| ProCare Advantage | MM | $14,176.43 | — |
| Imperial Health Plan | MM | $14,176.43 | — |
| United Healthcare | All Payer | $15,219.00 | — |
| Blue Cross Blue Shield Of Texas | HMO | $16,541.99 | — |
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $16,541.99 | — |
| Christus Health | HIX | $18,042.72 | — |
| Blue Cross Blue Shield Of Texas | HEB | $18,327.09 | — |
| Blue Cross Blue Shield Of Texas | PPO | $19,636.17 | — |
| Blue Cross Blue Shield Of Texas | Traditional | $20,350.21 | — |
| ADV Cardiovas Specialist | MM | $25,775.32 | — |
| Naphcare Inc. | RRMB | $25,775.32 | — |
| Health Management Network | PPO | not published by hospital | — |
| Superior | Star KM | not published by hospital | — |
| Superior | Foster Care KM | not published by hospital | — |
| Superior | Star Plus KM | not published by hospital | — |
| Superior | Chip KM | not published by hospital | — |
| Phcs | PPO | not published by hospital | — |
| United Healthcare | Chip KM | not published by hospital | — |
| LSU First Choice Verity | PPO | not published by hospital | — |
| Texas Childrens Health Plan | Chip KM | not published by hospital | — |
| Texas Childrens Health Plan | Star Plus KM | not published by hospital | — |
| Texas Childrens Health Plan | Star Kids KM | not published by hospital | — |
| United Healthcare | Star Plus KM | not published by hospital | — |
| Verity HealthNet | PPO | not published by hospital | — |
| Verity Healthnet National | PPO | not published by hospital | — |
| United Healthcare | Star KM | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| HealthSmart | PPO | not published by hospital | — |
| Amerigroup | Star Kids KM | not published by hospital | — |
| Amerigroup | Star KM | not published by hospital | — |
| Healthsmart | Accel PPO | not published by hospital | — |
| Amerigroup | Star Plus KM | not published by hospital | — |
| United Healthcare | Star Kid KM | not published by hospital | — |
| Amerigroup | Chip KM | not published by hospital | — |
| First Health | PPO | not published by hospital | — |
| Molina | Chip KM | not published by hospital | — |
| Molina | Star Plus KM | not published by hospital | — |
| Provider Select | PPO | not published by hospital | — |
| Molina | Star KM | not published by hospital | — |
| Community Health Choice | Chip KM | not published by hospital | — |
| Multiplan | PPO | not published by hospital | — |
| Community Health Choice | Star KM | not published by hospital | — |
Visitor-reported prices
Comments
Allgrft implnt knee w/scope at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,007.75 | $71.00 – $32,603.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,629.07 | $71.00 – $32,603.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,007.75 | $85.00 – $32,603.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,007.75 | $3,104.00 – $32,603.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $10,629.07 | $71.00 – $32,603.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $6,007.75 | $71.00 – $32,603.53 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $6,007.75 | $71.00 – $32,603.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $10,629.07 | $71.00 – $32,603.53 |