Anoscopy and dilation 46604 at CHRISTUS Santa Rosa Hospital - San Marcos
1301 Wonder World Dr, San Marcos, TX · Christushealth · · NPI 1447883301
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.
$279.80 with United Healthcare vs $9,326.00 with Cigna — 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 |
|---|---|---|---|
| United Healthcare | Star Kids KM | $279.80 | — |
| United Healthcare | Star KM | $279.80 | — |
| Community First | Star Kids KM | $429.26 | — |
| Blue Cross Blue Shield Of Texas | Star KM | $437.85 | — |
| Blue Cross Blue Shield Of Texas | Star Kids KM | $437.85 | — |
| Amerigroup | Star KM | $450.72 | — |
| Texas Childrens Health Plan | Star Plus KM | $450.72 | — |
| Superior | Star Kids KM | $493.65 | — |
| Superior | Star KM | $493.65 | — |
| Superior | Chip KM | $493.65 | — |
| Blue Cross Blue Shield Of Texas | HMO | $608.90 | — |
| Blue Cross Blue Shield Of Texas | PPO | $659.65 | — |
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $685.02 | — |
| Wellcare | MM | $1,142.65 | — |
| Humana | MM | $1,142.65 | — |
| Washington National | Supp MM | $1,142.65 | — |
| United Healthcare | MM | $1,142.65 | — |
| Triwest | VA MM | $1,142.65 | — |
| Christus Health | Med Adv MM | $1,142.65 | — |
| Allwell | Superior Medicare Advantage | $1,142.65 | — |
| Aetna | MM | $1,165.50 | — |
| Cigna | Healthspring Medicare Advantage MM | $1,176.93 | — |
| Provider Partners Health Plan | MM | $1,176.93 | — |
| Shared Health Insurance Company | MM | $1,199.78 | — |
| Devoted Health Plan | MM | $1,234.06 | — |
| Amerigroup | MM | $1,234.06 | — |
| Blue Cross Blue Shield Of Texas | HEB | $1,273.62 | — |
| Humana | Choicecare | $1,496.00 | — |
| Christus Health | HIX | $1,599.71 | — |
| Sendero | HMO HIX | $1,953.93 | — |
| Naphcare Inc. | RRMB | $2,285.30 | — |
| Healthcare Highways | PPO | $2,890.90 | — |
| Five Point Credit Union | PPO | $4,020.00 | — |
| United Healthcare | All Payer | $4,331.00 | — |
| Cigna | New Business | $7,347.00 | — |
| Cigna | PPO | $9,326.00 | — |
| Aetna | PPO | not published by hospital | — |
| Healthsmart | Preferred | not published by hospital | — |
| Provider Select | PPO | not published by hospital | — |
| Community First Health Plan | HMO | not published by hospital | — |
| Aetna | POS | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| Blue Cross Blue Shield Of Texas | Traditional | not published by hospital | — |
| Coventry | First Health | not published by hospital | — |
| Aetna | New Business | not published by hospital | — |
| Health Management Network | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
Visitor-reported prices
Comments
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 |