Pr prolonged e&m service office outpatient each 15 minutes (g2212) at CHRISTUS Health - West Beaumont
6025 Metropolitan Drive, Beaumont, TX · Christushealth · · NPI 1679557888
$127.05
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.
$385.00
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.
$38.50 with United Healthcare vs $327.25 with Triwest — 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 | $38.50 | ↓ -70% |
| United Healthcare | Star Plus KM | $38.50 | ↓ -70% |
| United Healthcare | Star KM | $38.50 | ↓ -70% |
| United Healthcare | Star Kid KM | $38.50 | ↓ -70% |
| Superior | Star Plus KM | $42.35 | ↓ -67% |
| Superior | Foster Care KM | $42.35 | ↓ -67% |
| Superior | Chip KM | $42.35 | ↓ -67% |
| Community Health Choice | Chip KM | $42.35 | ↓ -67% |
| Superior | Star KM | $42.35 | ↓ -67% |
| Amerigroup | Chip KM | $46.20 | ↓ -64% |
| Texas Childrens Health Plan | Star Kids KM | $46.20 | ↓ -64% |
| Texas Childrens Health Plan | Star Plus KM | $46.20 | ↓ -64% |
| Texas Childrens Health Plan | Chip KM | $46.20 | ↓ -64% |
| Community Health Choice | Star KM | $46.20 | ↓ -64% |
| Amerigroup | Star KM | $46.20 | ↓ -64% |
| Amerigroup | Star Plus KM | $46.20 | ↓ -64% |
| Amerigroup | Star Kids KM | $46.20 | ↓ -64% |
| Christus Health | Med Adv MM | $57.75 | ↓ -55% |
| Christus Health | HIX | $80.85 | ↓ -36% |
| Aetna | MM | $92.40 | ↓ -27% |
| Molina | Chip KM | $115.50 | ↓ -9% |
| United Healthcare | HIX | $115.50 | ↓ -9% |
| Molina | Star KM | $115.50 | ↓ -9% |
| Molina | Star Plus KM | $115.50 | ↓ -9% |
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $121.01 | ↓ -5% |
| Blue Cross Blue Shield Of Texas | HEB | $135.42 | ↑ +7% |
| Blue Cross Blue Shield Of Texas | HMO | $135.42 | ↑ +7% |
| Cigna | New Business | $150.15 | ↑ +18% |
| Blue Cross Blue Shield Of Texas | PPO | $150.50 | ↑ +18% |
| Imperial Health Plan | MM | $154.00 | ↑ +21% |
| Amerigroup | MM | $154.00 | ↑ +21% |
| Blue Cross Blue Shield Of Texas | Traditional | $159.89 | ↑ +26% |
| United Healthcare | All Payer | $161.70 | ↑ +27% |
| Healthcare Highways | PPO | $173.25 | ↑ +36% |
| ADV Cardiovas Specialist | MM | $192.50 | ↑ +52% |
| Devoted Health Plan | MM | $192.50 | ↑ +52% |
| LSU First Choice Verity | PPO | $192.50 | ↑ +52% |
| Cigna | PPO | $231.00 | ↑ +82% |
| Naphcare Inc. | RRMB | $231.00 | ↑ +82% |
| Humana | Choicecare | $231.00 | ↑ +82% |
| Verity HealthNet | PPO | $231.00 | ↑ +82% |
| Aetna | New Business | $238.70 | ↑ +88% |
| Multiplan | PPO | $250.25 | ↑ +97% |
| First Health | PPO | $250.25 | ↑ +97% |
| Phcs | PPO | $250.25 | ↑ +97% |
| Healthsmart | Accel PPO | $250.25 | ↑ +97% |
| Aetna | EPO | $265.65 | ↑ +109% |
| Aetna | PPO | $265.65 | ↑ +109% |
| Aetna | HMO | $265.65 | ↑ +109% |
| Aetna | POS | $265.65 | ↑ +109% |
| Partners Direct Health | PPO | $269.50 | ↑ +112% |
| Five Point Credit Union | PPO | $269.50 | ↑ +112% |
| MCT Credit Union | All Plans | $269.50 | ↑ +112% |
| Provider Select | PPO | $308.00 | ↑ +142% |
| Beech Street | PPO | $308.00 | ↑ +142% |
| HealthSmart | PPO | $308.00 | ↑ +142% |
| Health Management Network | PPO | $308.00 | ↑ +142% |
| Verity Healthnet National | PPO | $327.25 | ↑ +158% |
| Triwest | VA MM | $327.25 | ↑ +158% |
Visitor-reported prices
Comments
Pr prolonged e&m service office outpatient each 15 minutes (g2212) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Hospital Plainview | Plainview | $31.50 | $70.73 – $70.73 |
| Texas Health Hospital Mansfield | Mansfield | $84.33 | $91.44 – $91.44 |
| Adventhealth Rollins Brook | Lampasas | not published | $129.05 – $129.05 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $78.44 – $78.44 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $78.44 – $78.44 |
| Covenant Children's Hospital | Lubbock | not published | $114.30 – $114.30 |
| HCA HOUSTON CONROE | CONROE | not published | $78.44 – $78.44 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $78.44 – $78.44 |