Ghs simple repair 12.6 - 20.0 cm - 12005 at St. Joseph Health College Station Hospital
1604 Rock Prairie Road, College Station, TX · CommonSpirit Health · · NPI 1942294939
$823.20
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.
$4,704.00
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.
$150.52 with SUPERIOR vs $4,704.00 with BCBS-TX — 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $150.52 | ↓ -82% |
| UNITED | Medicaid|All Other Plans | $153.53 | ↓ -81% |
| UNITED | Medicaid|STARKIDS | $153.53 | ↓ -81% |
| SUPERIOR | Medicaid|All Other Plans | $158.05 | ↓ -81% |
| Wellpoint | Medicaid|All Other Plans | $158.05 | ↓ -81% |
| BCBS | Medicaid|STARKIDS | $158.05 | ↓ -81% |
| SUPERIOR | Medicaid|STAR | $282.98 | ↓ -66% |
| Wellpoint | Medicaid|STAR | $282.98 | ↓ -66% |
| SUPERIOR | Medicaid|STARPLUS | $332.65 | ↓ -60% |
| UNITED | Medicaid|STARPLUS | $338.67 | ↓ -59% |
| KELSEY | Medicare|All Plans | $356.55 | ↓ -57% |
| PGT | Medicare|All Plans | $392.18 | ↓ -52% |
| BCBS | Medicare|All Plans | $400.18 | ↓ -51% |
| AETNA | Medicare|All Plans | $400.18 | ↓ -51% |
| UNITED | Medicare|All Plans | $408.18 | ↓ -50% |
| AMERIVANTAGE | Medicare|All Plans | $412.19 | ↓ -50% |
| SCANHealth | Medicare|All Plans | $428.19 | ↓ -48% |
| BCBS-TX | Commercial|Blue Premier | $447.31 | ↓ -46% |
| BCBS-TX | Commercial|Blue Advantage HMO | $450.51 | ↓ -45% |
| ACH | Commercial|All Plans | $460.21 | ↓ -44% |
| BCBS-TX | Commercial|HMO | $479.27 | ↓ -42% |
| BCBS-TX | Commercial|PPO | $527.19 | ↓ -36% |
| Ambetter | Commercial|All Plans | $580.26 | ↓ -30% |
| Wellpoint | Commercial|Exchange | $600.27 | ↓ -27% |
| Bright Health | Commercial|All Plans | $618.87 | ↓ -25% |
| Entrust | Commercial|All Plans | $705.86 | ↓ -14% |
| Wellpath | Commercial|All Plans | $773.84 | ↓ -6% |
| Ellwood | Commercial|All Plans | $1,200.54 | ↑ +46% |
| NX Health | Commercial|All Plans | $1,300.59 | ↑ +58% |
| United | Commercial|Exchange | $1,508.00 | ↑ +83% |
| Health Smart | Commercial|All Plans | $2,587.20 | ↑ +214% |
| Aetna | Commercial|All Plans | $2,634.24 | ↑ +220% |
| Humana | Commercial|All Plans | $2,869.44 | ↑ +249% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +260% |
| Cigna | Commercial|Local Plus | $3,346.00 | ↑ +306% |
| Multiplan | Commercial|All Plans | $3,998.40 | ↑ +386% |
| Cigna | Commercial|All Other Plans | $4,568.00 | ↑ +455% |
| BCBS-TX | Commercial|Ref Lab | $4,704.00 | ↑ +471% |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12005 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $563.75 | $85.00 – $987.79 |
| Adventhealth Rollins Brook | Lampasas | $2,273.04 | $399.39 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $744.69 | $143.08 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $563.75 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $624.34 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $744.69 | $143.08 – $987.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $563.75 | $143.08 – $987.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $624.34 | $71.00 – $987.79 |