Fitting of diaphragm/cap 57170 at CHRISTUS Good Shepherd Medical Center - Marshall
811 S Washington Ave, Marshall, TX · Christushealth · · NPI 1285280057
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$18.95 with United Healthcare vs $3,436.00 with Healthcare Highways — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Star KM | $18.95 | — |
| United Healthcare | Star Kids KM | $18.95 | — |
| Superior | Star KM | $35.71 | — |
| Amerigroup | Star KM | $35.71 | — |
| Superior | Chip KM | $35.71 | — |
| Superior | Star Kids KM | $35.71 | — |
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $36.78 | — |
| Molina | Star Plus KM | $37.50 | — |
| Molina | Healthspring Star Plus KM | $37.50 | — |
| Texas Childrens Health Plan | Star Plus KM | $37.50 | — |
| Molina | Chip KM | $37.50 | — |
| Blue Cross Blue Shield Of Texas | HEB | $50.23 | — |
| Blue Cross Blue Shield Of Texas | HMO | $102.93 | — |
| Blue Cross Blue Shield Of Texas | PPO | $120.26 | — |
| Cigna | New Business | $123.00 | — |
| Blue Cross Blue Shield Of Texas | Traditional | $146.79 | — |
| United Healthcare | HIX | $179.00 | — |
| Humana | MM | $182.51 | — |
| United Healthcare | MM | $192.12 | — |
| Wellcare | MM | $192.12 | — |
| Aetna | MM | $192.12 | — |
| Cigna | Healthspring Medicare Advantage MM | $192.12 | — |
| Allwell | Superior Medicare Advantage | $192.12 | — |
| Christus Health | Med Adv MM | $192.12 | — |
| Triwest | VA CCN MM | $192.12 | — |
| Triwest | VA MM | $192.12 | — |
| Washington National | Supp MM | $192.12 | — |
| Blue Cross TX | MM | $192.12 | — |
| Provider Partners Health Plan | MM | $197.88 | — |
| Shared Health Insurance Company | MM | $201.73 | — |
| Amerigroup | MM | $207.49 | — |
| Imperial Health Plan | MM | $211.33 | — |
| ProCare Advantage | MM | $211.33 | — |
| American Health Medicare | Advantage MM | $211.33 | — |
| Cigna | PPO | $245.00 | — |
| Christus Health | HIX | $268.97 | — |
| Naphcare Inc. | RRMB | $384.24 | — |
| United Healthcare | All Payer | $404.00 | — |
| Healthcare Highways | PPO | $3,436.00 | — |
| Phcs | PPO | not published by hospital | — |
| Humana | Choicecare | not published by hospital | — |
| Aetna | All Plans | not published by hospital | — |
| HealthSmart | Preferred | not published by hospital | — |
Visitor-reported prices
Comments
Fitting of diaphragm/cap 57170 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $29.63 | $6.10 – $493.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $168.73 | $35.71 – $493.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $29.63 | $17.96 – $493.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $29.63 | $24.69 – $493.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $168.73 | $35.71 – $493.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $29.63 | $16.30 – $493.64 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $29.63 | $17.28 – $493.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $168.73 | $35.71 – $493.64 |