Unlisted misc path test at CHRISTUS Trinity Mother Frances Hospital - South Tyler
8389 S Broadway Ave, Tyler, TX · Christushealth · · NPI 1679578439
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.
$25.25 with Cigna vs $218.16 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 |
|---|---|---|---|
| Cigna | HealthSpring Medicare Advantage MM | $25.25 | — |
| United Healthcare | HIX | $30.98 | — |
| United Healthcare | All Payer | $46.47 | — |
| United Healthcare | MM | $50.50 | — |
| United Healthcare | VA CCN MM | $50.50 | — |
| Wellcare | MM | $50.50 | — |
| Washington National | Supp MM | $50.50 | — |
| Humana | MM | $50.50 | — |
| Aetna | MM | $50.50 | — |
| Christus Health | Med Adv MM | $50.50 | — |
| Allwell | Superior Medicare Advantage | $50.50 | — |
| Blue Cross Blue Shield of Texas | MM | $50.50 | — |
| Triwest | VA MM | $50.50 | — |
| Provider Partners Health Plan | MM | $52.02 | — |
| Peoples Health | MM | $52.02 | — |
| Shared Health Insurance Company | MM | $53.03 | — |
| Amerigroup | MM | $54.54 | — |
| Imperial Health Plan | MM | $55.55 | — |
| ProCare Advantage | MM | $55.55 | — |
| American Health Medicare | AdvantageMM | $55.55 | — |
| Christus Health | HIX | $70.70 | — |
| Naphcare Inc. | RRMB | $101.00 | — |
| Cigna | New Business | $101.40 | — |
| Blue Cross Blue Shield of Texas | Blue Advantage HMO | $152.37 | — |
| Blue Cross Blue Shield of Texas | HMO | $185.51 | — |
| Blue Cross Blue Shield of Texas | HEB | $187.49 | — |
| Cigna | PPO | $199.17 | — |
| Blue Cross Blue Shield of Texas | PPO | $203.82 | — |
| Blue Cross Blue Shield of Texas | Traditional | $218.16 | — |
| Texas Childrens Health Plan | Star Plus KM | not published by hospital | — |
| Aetna | All Plans | not published by hospital | — |
| Healthsmart | Preferred | not published by hospital | — |
| United Healthcare | Star Kids KM | not published by hospital | — |
| United Healthcare | Star KM | not published by hospital | — |
| Humana | Choicecare | not published by hospital | — |
| Molina | Healthspring Star Plus KM | not published by hospital | — |
| Amerigroup | Star KM | not published by hospital | — |
| Molina | Star Plus KM | 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 | — |
| Molina | Chip KM | not published by hospital | — |
| Coventry | First Health PPO | not published by hospital | — |
| Coventry | First Health | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted misc path test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler | not published | $25.25 – $101.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $89.40 | $10.00 – $134.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $89.40 | $12.00 – $134.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $89.40 | $12.00 – $134.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $89.40 | $10.00 – $134.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $89.40 | $12.00 – $134.24 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $89.40 | $8.00 – $134.24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $89.40 | $12.00 – $134.24 |