Allograft amnioexcel plus 17mm disk at Houston Methodist Baytown Hospital
4401 Garth Road, Baytown, TX · Houstonmethodist · · NPI 1891789772
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.
$125.01 with Bcbs vs $604.39 with Unitedhealthcare — 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 |
|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | $125.01 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $126.89 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo | $127.51 | — |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $128.76 | — |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $131.26 | — |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $133.76 | — |
| Procare Advantage | Medicare Managed Care - Hmo | $137.51 | — |
| Community Health Choice | Silver & Gold Exchange | $203.77 | — |
| Cigna | Network C-24 Hmo/Ppo | $236.69 | — |
| Cigna | Local Plus/Surefit Hmo/Ppo | $236.69 | — |
| Optum Health | Transplant Medicare Managed Care Plan | $243.77 | — |
| Molina Healthcare | Exchange | $250.02 | — |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $251.80 | — |
| Unitedhealthcare | All Commercial Plans | $604.39 | — |
Visitor-reported prices
Comments
Allograft amnioexcel plus 17mm disk at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $507.30 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $507.30 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $507.30 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $507.30 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $507.30 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $507.30 | not published |
| Texas Health Hospital Rockwall | Rockwall | $507.30 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $507.30 | not published |