Ercp lesion ablate w/dilate 43278 at CHRISTUS Health - West Beaumont
6025 Metropolitan Drive, Beaumont, TX · Christushealth · · NPI 1679557888
$1,553.31
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.
$4,707.00
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.
$889.55 with United Healthcare vs $16,353.00 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 KM | $889.55 | ↓ -43% |
| United Healthcare | Star Kid KM | $889.55 | ↓ -43% |
| United Healthcare | Chip KM | $889.55 | ↓ -43% |
| United Healthcare | Star Plus KM | $889.55 | ↓ -43% |
| Superior | Star Plus KM | $1,119.26 | ↓ -28% |
| Superior | Foster Care KM | $1,119.26 | ↓ -28% |
| Superior | Star KM | $1,119.26 | ↓ -28% |
| Community Health Choice | Chip KM | $1,119.26 | ↓ -28% |
| Superior | Chip KM | $1,119.26 | ↓ -28% |
| Amerigroup | Chip KM | $1,175.22 | ↓ -24% |
| Amerigroup | Star Kids KM | $1,175.22 | ↓ -24% |
| Amerigroup | Star Plus KM | $1,175.22 | ↓ -24% |
| Amerigroup | Star KM | $1,175.22 | ↓ -24% |
| Texas Childrens Health Plan | Chip KM | $1,175.22 | ↓ -24% |
| Texas Childrens Health Plan | Star Kids KM | $1,175.22 | ↓ -24% |
| Molina | Chip KM | $1,175.22 | ↓ -24% |
| Molina | Star Plus KM | $1,175.22 | ↓ -24% |
| Molina | Star KM | $1,175.22 | ↓ -24% |
| Texas Childrens Health Plan | Star Plus KM | $1,175.22 | ↓ -24% |
| Community Health Choice | Star KM | $1,186.42 | ↓ -24% |
| Aetna | New Business | $2,242.00 | ↑ +44% |
| LSU First Choice Verity | PPO | $2,353.50 | ↑ +52% |
| Aetna | EPO | $2,492.00 | ↑ +60% |
| Aetna | POS | $2,492.00 | ↑ +60% |
| Aetna | PPO | $2,492.00 | ↑ +60% |
| Aetna | HMO | $2,492.00 | ↑ +60% |
| Verity HealthNet | PPO | $2,824.20 | ↑ +82% |
| United Healthcare | HIX | $2,831.00 | ↑ +82% |
| Phcs | PPO | $3,059.55 | ↑ +97% |
| Healthsmart | Accel PPO | $3,059.55 | ↑ +97% |
| First Health | PPO | $3,059.55 | ↑ +97% |
| Multiplan | PPO | $3,059.55 | ↑ +97% |
| HealthSmart | PPO | $3,765.60 | ↑ +142% |
| Beech Street | PPO | $3,765.60 | ↑ +142% |
| Provider Select | PPO | $3,765.60 | ↑ +142% |
| Health Management Network | PPO | $3,765.60 | ↑ +142% |
| Aetna | MM | $3,810.69 | ↑ +145% |
| Wellcare | MM | $3,810.69 | ↑ +145% |
| Molina | Medicare Adv MM | $3,810.69 | ↑ +145% |
| Coventry | First Health MM | $3,810.69 | ↑ +145% |
| Community Health Choice | Dual MM | $3,810.69 | ↑ +145% |
| United Healthcare | MM | $3,810.69 | ↑ +145% |
| Allwell | Superior Health MM | $3,810.69 | ↑ +145% |
| Arcadian Health Plan | MM | $3,810.69 | ↑ +145% |
| Christus Health | Med Adv MM | $3,810.69 | ↑ +145% |
| Humana | Gold Choice MM | $3,810.69 | ↑ +145% |
| Triwest | VA MM | $3,810.69 | ↑ +145% |
| Blue Cross Blue Shield of Texas | MM | $3,810.69 | ↑ +145% |
| Texas Healthspring | MM | $3,810.69 | ↑ +145% |
| MCT Credit Union | All Plans | $3,829.00 | ↑ +147% |
| Provider Partners Health Plan | MM | $3,925.01 | ↑ +153% |
| Texas Independence Health Plan | MM | $3,925.01 | ↑ +153% |
| Verity Healthnet National | PPO | $4,000.95 | ↑ +158% |
| Shared Health Insurance Company | MM | $4,001.22 | ↑ +158% |
| Five Point Credit Union | PPO | $4,020.00 | ↑ +159% |
| US Imaging Network | PPO | $4,077.44 | ↑ +163% |
| Devoted Health Plan | MM | $4,115.55 | ↑ +165% |
| Amerigroup | MM | $4,115.55 | ↑ +165% |
| Blue Cross Blue Shield Of Texas | HMO | $4,168.72 | ↑ +168% |
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $4,168.72 | ↑ +168% |
| American Health Medicare | Advantage MM | $4,191.76 | ↑ +170% |
| Imperial Health Plan | MM | $4,191.76 | ↑ +170% |
| ProCare Advantage | MM | $4,191.76 | ↑ +170% |
| Healthcare Highways | PPO | $4,543.00 | ↑ +192% |
| Humana | Choicecare | $4,555.00 | ↑ +193% |
| Blue Cross Blue Shield Of Texas | HEB | $4,618.58 | ↑ +197% |
| Blue Cross Blue Shield Of Texas | PPO | $4,948.48 | ↑ +219% |
| Partners Direct Health | PPO | $4,989.00 | ↑ +221% |
| Blue Cross Blue Shield Of Texas | Traditional | $5,128.43 | ↑ +230% |
| Christus Health | HIX | $5,334.97 | ↑ +243% |
| United Healthcare | All Payer | $6,327.00 | ↑ +307% |
| ADV Cardiovas Specialist | MM | $7,621.38 | ↑ +391% |
| Naphcare Inc. | RRMB | $7,621.38 | ↑ +391% |
| Cigna | New Business | $12,667.00 | ↑ +715% |
| Cigna | PPO | $16,353.00 | ↑ +953% |
Visitor-reported prices
Comments
Ercp lesion ablate w/dilate 43278 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $2,282.85 | $1,119.26 – $1,208.80 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $2,282.85 | $1,119.26 – $1,231.19 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $2,282.85 | $1,119.26 – $1,231.19 |
| Texas Health Arlington Memorial Hospital | Arlington | $2,282.85 | $1,119.26 – $1,231.19 |
| Texas Health Presbyterian Hospital Denton | Denton | $2,282.85 | $1,119.26 – $1,231.19 |
| Texas Health Presbyterian Hospital Plano | Plano | $2,282.85 | $1,119.26 – $1,208.80 |
| Texas Health Hospital Rockwall | Rockwall | $2,282.85 | $1,119.26 – $1,208.80 |
| Texas Health Harris Methodist Hospital Azle | Azle | $2,282.85 | $1,119.26 – $1,231.19 |