Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at Houston Methodist Baytown Hospital
4401 Garth Road, Baytown, TX · Houstonmethodist · · NPI 1891789772
$2,500.00
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.
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What you pay up front if you don't use insurance.
$5,000.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$742.44 with Bcbs vs $7,542.00 with Aetna — 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 | $742.44 | ↓ -70% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $753.58 | ↓ -70% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $757.29 | ↓ -70% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $764.71 | ↓ -69% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $779.56 | ↓ -69% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $794.41 | ↓ -68% |
| Procare Advantage | Medicare Managed Care - Hmo | $816.68 | ↓ -67% |
| Community Health Choice | Silver & Gold Exchange | $1,210.18 | ↓ -52% |
| Optum Health | Transplant Medicare Managed Care Plan | $1,447.76 | ↓ -42% |
| Molina Healthcare | Exchange | $1,484.88 | ↓ -41% |
| Bcbs | All Commercial Plans | $3,310.39 | ↑ +32% |
| Unitedhealthcare | All Commercial Plans | $3,894.00 | ↑ +56% |
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↑ +193% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↑ +202% |
Visitor-reported prices
Comments
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,634.67 | $2,028.43 – $4,827.98 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,014.19 | $71.16 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,749.81 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,341.69 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,014.19 | $71.16 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,749.81 | $76.14 – $4,517.58 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,749.81 | $71.16 – $4,517.58 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,341.69 | $71.00 – $4,517.58 |