Chemotherapy injection 96542 at Houston Methodist Baytown Hospital
4401 Garth Road, Baytown, TX · Houstonmethodist · · NPI 1891789772
$716.00
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.
$1,432.00
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.
$133.82 with Bcbs vs $663.62 with Molina Healthcare — 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 | All Commercial Plans | $133.82 | ↓ -81% |
| Bcbs | Medicare Managed Care - Hmo | $331.81 | ↓ -54% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $336.79 | ↓ -53% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $338.45 | ↓ -53% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $341.77 | ↓ -52% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $348.40 | ↓ -51% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $355.04 | ↓ -50% |
| Procare Advantage | Medicare Managed Care - Hmo | $364.99 | ↓ -49% |
| Community Health Choice | Silver & Gold Exchange | $540.85 | ↓ -24% |
| Optum Health | Transplant Medicare Managed Care Plan | $647.03 | ↓ -10% |
| Molina Healthcare | Exchange | $663.62 | ↓ -7% |
Visitor-reported prices
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Chemotherapy injection 96542 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $482.78 | $131.67 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $281.62 | $57.97 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $295.46 | $59.09 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $482.78 | $100.36 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $281.62 | $90.40 – $838.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $281.62 | $145.50 – $838.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $295.46 | $98.49 – $838.97 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $482.78 | $128.74 – $838.97 |