Arthrd glenohumeral jt w/grf at Adventhealth Central Texas
2201 S Clear Creek Road, Killeen, TX · AdventHealth · · NPI 1629089966
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.
$8,715.36 with Baylor Scott & White vs $20,635.50 with Superior Health Plan — 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 |
|---|---|---|---|
| Baylor Scott & White | Hmo/Ppo | $8,715.36 | — |
| American Health | Advantage Medicare Managed Care Plan | $12,897.19 | — |
| Centene | Ascension Complete Medicare Managed Care | $13,671.02 | — |
| Bcbs | Hmo | $14,875.89 | — |
| Bcbs | Ppo | $17,137.02 | — |
| Superior Health Plan | Ambetter Exchange | $20,635.50 | — |
Visitor-reported prices
Comments
Arthrd glenohumeral jt w/grf at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $8,715.36 – $14,875.89 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $4,714.80 – $19,041.14 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $5,162.41 – $24,396.46 |
| HCA HOUSTON CONROE | CONROE | not published | $4,714.80 – $20,707.24 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $4,714.80 – $21,183.26 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $5,162.41 – $21,183.26 |
| Baylor St Luke's Medical Center | Houston | not published | $3,115.00 – $3,115.00 |
| HCA HOUSTON PEARLAND | Pearland | not published | $5,162.41 – $24,396.46 |