Anoscopy and dilation 46604 at CHRISTUS Good Shepherd Medical Center - Longview

700 E Marshall Ave, Longview, TX · Christushealth · · NPI 1124092036

Source: hospital's published price file ↗ · Published Jan 12, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$276.72 with United Healthcare vs $4,757.00 with United Healthcare — 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 →

Payer
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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
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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 Star KM $276.72
United Healthcare Star Kids KM $276.72
Superior Star Kids KM $429.26
Superior Chip KM $429.26
Amerigroup Star KM $429.26
Superior Star KM $429.26
Molina Healthspring Star Plus KM $450.72
Texas Childrens Health Plan Star Plus KM $450.72
Molina Chip KM $450.72
Molina Star Plus KM $450.72
Blue Cross Blue Shield Of Texas Blue Advantage HMO $527.72
Blue Cross Blue Shield Of Texas HEB $720.54
Humana MM $1,069.72
Allwell Superior Medicare Advantage $1,126.02
Christus Health Med Adv MM $1,126.02
Washington National Supp MM $1,126.02
Aetna MM $1,126.02
Wellcare MM $1,126.02
Blue Cross TX MM $1,126.02
Cigna Healthspring Medicare Advantage MM $1,126.02
Triwest VA MM $1,126.02
Triwest VA CCN MM $1,126.02
United Healthcare MM $1,148.54
Provider Partners Health Plan MM $1,159.80
Shared Health Insurance Company MM $1,182.32
Amerigroup MM $1,216.10
Imperial Health Plan MM $1,238.62
ProCare Advantage MM $1,238.62
American Health Medicare Advantage MM $1,238.62
Blue Cross Blue Shield Of Texas HMO $1,476.59
Christus Health HIX $1,576.43
Blue Cross Blue Shield Of Texas PPO $1,725.23
Cigna New Business $2,052.00
United Healthcare HIX $2,103.00
Blue Cross Blue Shield Of Texas Traditional $2,105.79
Naphcare Inc. RRMB $2,252.04
Healthcare Highways PPO $3,436.00
Cigna PPO $4,099.00
United Healthcare All Payer $4,757.00
HealthSmart Preferred not published by hospital
Aetna All Plans not published by hospital
Phcs PPO not published by hospital
Humana Choicecare not published by hospital

Visitor-reported prices

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Anoscopy and dilation 46604 at other Texas hospitals

Hospital City Cash price Negotiated range
Texas Health Presbyterian Hospital Allen Allen $748.50 $429.26 – $463.60
Texas Health Presbyterian Hospital Flower Mound Flower Mound $748.50 $429.26 – $472.19
Texas Health Harris Methodist Hospital Alliance Fort Worth $748.50 $429.26 – $472.19
Texas Health Arlington Memorial Hospital Arlington $748.50 $429.26 – $472.19
Texas Health Presbyterian Hospital Denton Denton $748.50 $429.26 – $472.19
Texas Health Presbyterian Hospital Plano Plano $748.50 $429.26 – $463.60
Texas Health Hospital Rockwall Rockwall $748.50 $429.26 – $463.60
Texas Health Harris Methodist Hospital Azle Azle $748.50 $429.26 – $472.19

All Texas hospitals for this procedure →