Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at CHRISTUS Health - West Beaumont
6025 Metropolitan Drive, Beaumont, TX · Christushealth · · NPI 1679557888
$467.28
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.
$1,416.00
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.
$119.00 with United Healthcare vs $10,721.00 with Five Point Credit Union — 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 | Chip KM | $119.00 | ↓ -75% |
| United Healthcare | Star Plus KM | $119.00 | ↓ -75% |
| United Healthcare | Star KM | $119.00 | ↓ -75% |
| United Healthcare | Star Kid KM | $119.00 | ↓ -75% |
| Superior | Star Plus KM | $130.90 | ↓ -72% |
| Superior | Star KM | $130.90 | ↓ -72% |
| Superior | Foster Care KM | $130.90 | ↓ -72% |
| Superior | Chip KM | $130.90 | ↓ -72% |
| Community Health Choice | Chip KM | $130.90 | ↓ -72% |
| Amerigroup | Star Plus KM | $142.80 | ↓ -69% |
| Texas Childrens Health Plan | Star Kids KM | $142.80 | ↓ -69% |
| Texas Childrens Health Plan | Star Plus KM | $142.80 | ↓ -69% |
| Texas Childrens Health Plan | Chip KM | $142.80 | ↓ -69% |
| Community Health Choice | Star KM | $142.80 | ↓ -69% |
| Amerigroup | Star Kids KM | $142.80 | ↓ -69% |
| Amerigroup | Chip KM | $142.80 | ↓ -69% |
| Amerigroup | Star KM | $142.80 | ↓ -69% |
| Christus Health | Med Adv MM | $178.50 | ↓ -62% |
| Christus Health | HIX | $249.90 | ↓ -47% |
| Aetna | MM | $285.60 | ↓ -39% |
| Molina | Chip KM | $357.00 | ↓ -24% |
| Molina | Star Plus KM | $357.00 | ↓ -24% |
| Molina | Star KM | $357.00 | ↓ -24% |
| Amerigroup | MM | $476.00 | ↑ +2% |
| Imperial Health Plan | MM | $476.00 | ↑ +2% |
| Devoted Health Plan | MM | $595.00 | ↑ +27% |
| Healthcare Highways | PPO | $595.00 | ↑ +27% |
| LSU First Choice Verity | PPO | $595.00 | ↑ +27% |
| ADV Cardiovas Specialist | MM | $595.00 | ↑ +27% |
| United Healthcare | HIX | $599.00 | ↑ +28% |
| Verity HealthNet | PPO | $714.00 | ↑ +53% |
| Naphcare Inc. | RRMB | $714.00 | ↑ +53% |
| Phcs | PPO | $773.50 | ↑ +66% |
| Multiplan | PPO | $773.50 | ↑ +66% |
| First Health | PPO | $773.50 | ↑ +66% |
| Healthsmart | Accel PPO | $773.50 | ↑ +66% |
| Provider Select | PPO | $952.00 | ↑ +104% |
| Beech Street | PPO | $952.00 | ↑ +104% |
| HealthSmart | PPO | $952.00 | ↑ +104% |
| Health Management Network | PPO | $952.00 | ↑ +104% |
| Triwest | VA MM | $1,011.50 | ↑ +116% |
| Verity Healthnet National | PPO | $1,011.50 | ↑ +116% |
| United Healthcare | All Payer | $1,338.00 | ↑ +186% |
| Aetna | New Business | $1,741.00 | ↑ +273% |
| Aetna | EPO | $1,934.00 | ↑ +314% |
| Aetna | POS | $1,934.00 | ↑ +314% |
| Aetna | HMO | $1,934.00 | ↑ +314% |
| Aetna | PPO | $1,934.00 | ↑ +314% |
| Humana | Choicecare | $2,885.00 | ↑ +517% |
| MCT Credit Union | All Plans | $3,829.00 | ↑ +719% |
| Partners Direct Health | PPO | $4,989.00 | ↑ +968% |
| Five Point Credit Union | PPO | $10,721.00 | ↑ +2194% |
Visitor-reported prices
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Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,031.75 | $292.33 – $1,461.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $289.57 | $59.60 – $434.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $318.40 | $63.68 – $398.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,031.75 | $275.13 – $1,461.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $289.57 | $85.00 – $434.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $289.57 | $149.61 – $434.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $318.40 | $71.00 – $477.60 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,031.75 | $275.13 – $1,461.65 |