Colonoscopy w/control bleed at Houston Methodist Baytown Hospital
4401 Garth Road, Baytown, TX · Houstonmethodist · · NPI 1891789772
$778.50
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.
$1,557.00
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.
$1,202.09 with Bcbs vs $5,545.00 with Phcs — 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 |
|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | $1,202.09 | ↑ +54% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,220.13 | ↑ +57% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $1,226.14 | ↑ +58% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $1,238.16 | ↑ +59% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $1,262.20 | ↑ +62% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $1,286.24 | ↑ +65% |
| Procare Advantage | Medicare Managed Care - Hmo | $1,322.30 | ↑ +70% |
| Community Health Choice | Silver & Gold Exchange | $1,959.41 | ↑ +152% |
| Bcbs | All Commercial Plans | $2,048.61 | ↑ +163% |
| Humana | Hmo/Pos | $2,214.47 | ↑ +184% |
| Optum Health | Transplant Medicare Managed Care Plan | $2,344.08 | ↑ +201% |
| Molina Healthcare | Exchange | $2,404.19 | ↑ +209% |
| Aetna | New Business Discount Other Commercial Plan | $2,989.00 | ↑ +284% |
| Aetna | Hmo/Pos/Ppo | $3,081.00 | ↑ +296% |
| Entrust | All Commercial Plans | $3,695.00 | ↑ +375% |
| Cigna | Network C-24 Hmo/Ppo | $3,849.00 | ↑ +394% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $3,849.00 | ↑ +394% |
| Unitedhealthcare | All Commercial Plans | $3,894.00 | ↑ +400% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,074.00 | ↑ +423% |
| Phcs | Ppo | $5,545.00 | ↑ +612% |
Visitor-reported prices
Comments
Colonoscopy w/control bleed at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,364.58 | $932.10 – $7,034.24 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,475.60 | $2,529.60 – $3,162.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $760.95 | $429.26 – $463.60 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $760.95 | $429.26 – $472.19 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $760.95 | $429.26 – $472.19 |
| Texas Health Arlington Memorial Hospital | Arlington | $760.95 | $429.26 – $472.19 |
| Texas Health Presbyterian Hospital Denton | Denton | $760.95 | $429.26 – $472.19 |
| Texas Health Presbyterian Hospital Plano | Plano | $760.95 | $429.26 – $463.60 |