99383 initial comp preventive med 5 to 11 years new at CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs
115 Airport Rd, Sulphur Springs, TX · Christushealth · · NPI 1033568621
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.
$103.73 with Blue Cross Blue Shield of Texas vs $148.06 with Blue Cross Blue Shield of Texas — 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Texas | Blue Advantage HMO | $103.73 | — |
| Blue Cross Blue Shield of Texas | HMO | $125.01 | — |
| Blue Cross Blue Shield of Texas | HEB | $125.90 | — |
| Blue Cross Blue Shield of Texas | PPO | $138.31 | — |
| Blue Cross Blue Shield of Texas | Traditional | $148.06 | — |
| United Healthcare | Star Kids KM | not published by hospital | — |
| Healthsmart | Preferred | not published by hospital | — |
| Aetna | All Plans | not published by hospital | — |
| Aetna | MM | not published by hospital | — |
| Coventry | First Health | not published by hospital | — |
| Coventry | First Health PPO | not published by hospital | — |
| Molina | Chip KM | not published by hospital | — |
| Molina | Star Plus KM | not published by hospital | — |
| Molina | Healthspring Star Plus KM | not published by hospital | — |
| Amerigroup | MM | not published by hospital | — |
| Amerigroup | Star KM | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Healthcare Highways | PPO | not published by hospital | — |
| Phcs | PPO | not published by hospital | — |
| Superior | Chip KM | not published by hospital | — |
| Superior | Star KM | not published by hospital | — |
| Superior | Star Kids KM | not published by hospital | — |
| Christus Health | HIX | not published by hospital | — |
| Christus Health | Med Adv MM | not published by hospital | — |
| Texas Childrens Health Plan | Star Plus KM | not published by hospital | — |
| Triwest | VA MM | not published by hospital | — |
| Imperial Health Plan | MM | not published by hospital | — |
| Humana | Choicecare | not published by hospital | — |
| Naphcare Inc. | RRMB | not published by hospital | — |
| United Healthcare | HIX | not published by hospital | — |
| United Healthcare | All Payer | not published by hospital | — |
| United Healthcare | VA CCN MM | not published by hospital | — |
| United Healthcare | Star KM | not published by hospital | — |
Visitor-reported prices
Comments
99383 initial comp preventive med 5 to 11 years new at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Hospital Plainview | Plainview | $95.34 | $187.07 – $191.05 |
| Covenant Hospital Levelland | Levelland | $95.34 | $191.05 – $211.90 |
| Adventhealth Rollins Brook | Lampasas | not published | $341.34 – $341.34 |
| CHRISTUS Children's Hospital | San Antonio | not published | $316.88 – $316.88 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $69.75 – $309.15 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $69.75 – $309.15 |
| Covenant Children's Hospital | Lubbock | not published | $302.33 – $302.33 |
| HCA HOUSTON CONROE | CONROE | not published | $61.05 – $309.15 |