Medical: Helpful Provider Information

Anesthesiology:

  • Capitol Anesthesiology - They offer a 25% - 50% discount if you pay in advance, but will not provide an itemized bill or even an estimate on paper in advance.  Make sure you get that itemized statement after services are provided!

Chiropractor:

  • Rosewood Wellness - $35 for an adjustment

Dermatologist:

Emergency Services:

  • St. David's ER - Provided one staff member with an 88% discount!
  • Viks ER - Will NOT provide a patient with an Itemized Bill showing any discount.  Without this, you will not be able to be reimbursed by CHM!

Hospital:

  • MD Anderson - They will always ask for payment upfront and only give a 10% discount if the total cost is over $50,000. Sometimes it helps getting the doctor involved because they have more pull with the facilities. If you need to go to MD Anderson and you bill will be over $1,000, you can call CHM's member advocate department and they will do their best to negotiate with MD Anderson.  
  • Dell Children's - (part of the Seton Healthcare Network) - Offers a 14% discount for private pay patients.  They will provide an "Itemized Bill" but it does not have the CPT codes.  Instead, it has "Charge Codes"...these are sufficient for a filing a claim with CHM.
  • Baylor Scott & White - Offers a 40% Uninsured discount and a Financial Assistance Program
  • St. Davids - Offers an 88% discount!
  • St. David's South Austin Medical Center Contact Information

Imaging:

  • ARA Diagnostic Imaging - Connect with the billing office the day before your appointment to discuss our cash pay process.  They have provided a 50% "Quick Pay" discount!  They can also provide an itemized bill with codes and discounts when you arrive for your appointment.

Labs:

  • Clinical Pathology Laboratories - CPL has a great program called the "TUP" program in which they provide big discounts...but they will NOT provide an itemized receipt if they put you in this program.  You know that getting an itemized bill is MORE IMPORTANT than getting a great discount...So, what do you do?  
    • Upfront, before getting services done, and with confidence, communicate clearly that you are a cash pay patient, but that you do REQUIRE an itemized receipt for services provided. 
    • It can be super helpful to show the CPL member THIS STATEMENT and let them know that you need to receive a statement that looks just like this one before you leave today!
    • Let them know that, for you, an itemized receipt is MORE IMPORTANT than a big discount.
    • Ask if there are any discounts they can give you while still giving you an itemized receipt.  (Usually they will give you a 20-25% discount and give you an itemized receipt...this is great!)
    • They may look at you funny because they don't understand why you would give up a big discount just to get an itemized statement.  That is ok.  They don't need to know why you are asking for the statement!  

Pediatrician:

Pharmacy:

Primary Care Physician:

  • Austin Regional Clinic (ARC):
    • Usually requires that you pay a $50 deposit at the time of service.
    • Offers a 25% discount if the bill is paid in full within 30 days of the statement date.  They usually mail an itemized bill to you within 2-3 weeks. 
  • Wiseman Family Practice: Uses a Private Pay Rate, not a discount.  Tends to request a lot of Genetic Testing.  CHM does not cover Genetic Testing, so you will need to use your HRA to pay for these tests.
  • Brushy Creek Family Physicians - Call and speak with Jen Prinz. Let her know you are with ASCC and you will be able to make an appointment.  In general they do not take private pay patients, but they have made an exception for us!

Specialist:

  • Texas Diabetes and Endocrinology - offers a 20% discount
  • Specially for Children- Dell Children's Allergy- Very difficult to get appointments, high cash pay rates
  • Capital Otolaryngology - Dr. Wassmuth - Super great bedside manner.  Does great with septoplasty and turbinate reduction.  Very easy to get cash pay discounts and itemized statements.