Amputation toe interphalangeal joint at Houston Methodist Baytown Hospital
4401 Garth Road, Baytown, TX · Houstonmethodist · · NPI 1891789772
$7,212.00
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.
?
What you pay up front if you don't use insurance.
$14,424.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,214.47 with Humana vs $6,573.82 with Molina Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Humana | Hmo/Pos | $2,214.47 | ↓ -69% |
| Aetna | New Business Discount Other Commercial Plan | $2,989.00 | ↓ -59% |
| Aetna | Hmo/Pos/Ppo | $3,081.00 | ↓ -57% |
| Bcbs | Medicare Managed Care - Hmo | $3,286.91 | ↓ -54% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $3,336.21 | ↓ -54% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $3,352.65 | ↓ -54% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $3,385.52 | ↓ -53% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $3,451.26 | ↓ -52% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $3,516.99 | ↓ -51% |
| Procare Advantage | Medicare Managed Care - Hmo | $3,615.60 | ↓ -50% |
| Entrust | All Commercial Plans | $3,695.00 | ↓ -49% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $3,849.00 | ↓ -47% |
| Cigna | Network C-24 Hmo/Ppo | $3,849.00 | ↓ -47% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,074.00 | ↓ -44% |
| Community Health Choice | Silver & Gold Exchange | $5,357.66 | ↓ -26% |
| Phcs | Ppo | $5,545.00 | ↓ -23% |
| Bcbs | All Commercial Plans | $5,584.40 | ↓ -23% |
| Unitedhealthcare | All Commercial Plans | $5,860.00 | ↓ -19% |
| Optum Health | Transplant Medicare Managed Care Plan | $6,409.48 | ↓ -11% |
| Molina Healthcare | Exchange | $6,573.82 | ↓ -9% |
Visitor-reported prices
Comments
Amputation toe interphalangeal joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,088.91 | $1,088.27 – $8,018.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,875.13 | $71.00 – $8,018.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,901.72 | $71.00 – $8,018.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,088.91 | $1,088.27 – $8,018.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,875.13 | $85.00 – $8,018.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,875.13 | $1,088.27 – $8,018.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,901.72 | $71.00 – $8,018.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,088.91 | $1,088.27 – $8,018.48 |