Treatment x10sv retinopathy at CHRISTUS St. Michael Rehabilitation
2400 St Michael Dr, Texarkana, TX · Christushealth · · NPI 1467453902
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.
$142.30 with Amerigroup vs $4,754.00 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 |
|---|---|---|---|
| Amerigroup | Star KM | $142.30 | — |
| Texas True Choice | Chip KM | $142.30 | — |
| Superior | Star Plus KM | $142.30 | — |
| Superior | Star Kids KM | $142.30 | — |
| Superior | Star KM | $142.30 | — |
| Superior | Foster Care KM | $142.30 | — |
| Superior | Chip KM | $142.30 | — |
| Summit Community Care | KM | $145.15 | — |
| Molina | Star Plus KM | $149.42 | — |
| Molina | Star KM | $149.42 | — |
| Molina | Healthspring Star Plus KM | $149.42 | — |
| Texas Children's Health Plan | Chip KM | $149.42 | — |
| Texas Children's Health Plan | Star Kids KM | $149.42 | — |
| Texas Children's Health Plan | Star Plus KM | $149.42 | — |
| Molina | Chip KM | $149.42 | — |
| Arkansas Total Care | KM | $250.00 | — |
| Empower Healthcare Solutions | KM | $255.00 | — |
| United Healthcare | Star KM | $393.59 | — |
| United Healthcare | Chip KM | $393.59 | — |
| United Healthcare | Star Plus KM | $393.59 | — |
| United Healthcare | Star Kid KM | $393.59 | — |
| Blue Cross Blue Shield of Texas | MM | $538.56 | — |
| Windsor | MM | $538.56 | — |
| Humana | ChoiceCare Network MM | $538.56 | — |
| United Healthcare | MM | $538.56 | — |
| Molina | Medicare Adv MM | $538.56 | — |
| Coventry | First Health MM | $538.56 | — |
| Texas Healthspring | MM | $538.56 | — |
| Aetna | MM | $538.56 | — |
| Christus Health | Med Adv MM | $538.56 | — |
| Triwest | VA MM | $538.56 | — |
| Provider Partners Health Plan | MM | $554.72 | — |
| Texas Independence Health Plan | MM | $554.72 | — |
| Shared Health Insurance Company | MM | $565.49 | — |
| Tribute Health Plan | MM | $565.49 | — |
| US Imaging Network | PPO | $576.26 | — |
| Amerigroup | MM | $581.64 | — |
| ProCare Advantage | MM | $592.42 | — |
| Imperial Health Plan | MM | $592.42 | — |
| American Health Medicare | Advantage MM | $592.42 | — |
| Christus Health | HIX | $753.98 | — |
| State of Oklahoma | All Plans | $941.51 | — |
| Humana | Choicecare | $998.00 | — |
| Naphcare Inc. | RRMB | $1,077.12 | — |
| United Healthcare | HIX | $1,724.00 | — |
| United Healthcare | All Payer | $2,678.00 | — |
| Healthcare Highways | PPO | $3,067.00 | — |
| QualChoice | PPO | $3,584.00 | — |
| Five Point Credit Union | PPO | $4,020.00 | — |
| Aetna | PPO | $4,162.00 | — |
| Cigna | PPO | $4,754.00 | — |
| Zelis | PPO | not published by hospital | — |
| Municipal Health Benefit Fund | PPO | not published by hospital | — |
| PHCS | PPO | not published by hospital | — |
| HealthSmart | PPO | not published by hospital | — |
| Provider Select | PPO | not published by hospital | — |
| Multiplan | PPO | not published by hospital | — |
| Blue Cross Blue Shield of Texas | Traditional | not published by hospital | — |
| HealthSmart | Accel PPO | not published by hospital | — |
| Blue Cross Blue Shield of Texas | HMO | not published by hospital | — |
| Blue Cross Blue Shield of Texas | Blue Advantage HMO | not published by hospital | — |
| Blue Cross Blue Shield of Texas | HEB | not published by hospital | — |
| Blue Cross Blue Shield of Texas | PPO | not published by hospital | — |
| Health Management Network | PPO | not published by hospital | — |
| Beechstreet | PPO | not published by hospital | — |
| First Health | PPO | not published by hospital | — |
| PPOplus Llc | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Treatment x10sv retinopathy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,574.83 | $142.30 – $1,968.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,853.59 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,782.20 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,574.83 | $142.30 – $1,968.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,853.59 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,853.59 | $142.30 – $2,780.39 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,782.20 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,574.83 | $142.30 – $1,968.53 |