Anoscopy remove lesions w/cautery/snare 46612 at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
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.
$939.93 with Amerigroup vs $19,587.97 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $939.93 | — |
| Parkland | Managed Medicaid | $939.93 | — |
| United Healthcare | Managed Medicaid | $939.93 | — |
| Blue Cross Blue Shield | Managed Medicaid | $939.93 | — |
| Superior Wellcare | Managed Medicaid | $986.93 | — |
| Molina | Managed Medicaid | $1,015.12 | — |
| Blue Cross Blue Shield | Medicare Advantage | $2,788.31 | — |
| American Health | Medicare Advantage | $2,788.31 | — |
| HealthSpring | Medicare Advantage | $2,844.08 | — |
| Humana | Medicare Advantage | $2,899.84 | — |
| Amerigroup | Medicare Advantage | $2,927.72 | — |
| Superior Wellcare | Medicare Advantage HMO | $2,927.72 | — |
| Molina | Medicare Advantage | $2,927.72 | — |
| Blue Cross Blue Shield | Exchange | $2,946.63 | — |
| Superior Wellcare | Medicare Advantage MMP | $3,067.14 | — |
| United Healthcare | Medicare Advantage PPO | $3,095.02 | — |
| United Healthcare | Medicare Advantage HMO | $3,150.79 | — |
| Fort Worth Firefighters | Commercial | $4,013.00 | — |
| United Healthcare | All Payer | $5,023.00 | — |
| Blue Cross Blue Shield | HMO | $5,508.82 | — |
| Blue Cross Blue Shield | PPO | $6,120.65 | — |
| United Healthcare Options | PPO | $6,494.00 | — |
| Blue Cross Blue Shield | Traditional | $19,587.97 | — |
Visitor-reported prices
Comments
Anoscopy remove lesions w/cautery/snare 46612 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Mansfield | Mansfield | $14,602.88 | $2,475.45 – $5,576.62 |
| Adventhealth Rollins Brook | Lampasas | not published | $2,930.23 – $6,108.74 |
| CHRISTUS Children's Hospital | San Antonio | not published | $939.93 – $1,788.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | not published | $939.93 – $6,955.62 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $921.13 – $3,750.69 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,008.59 – $4,805.57 |
| Covenant Children's Hospital | Lubbock | not published | $1,000.00 – $4,993.10 |
| HCA HOUSTON CONROE | CONROE | not published | $921.13 – $4,078.87 |