Complx repair fccmnaxghf 13132 at Houston Methodist Baytown Hospital
4401 Garth Road, Baytown, TX · Houstonmethodist · · NPI 1891789772
$704.00
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.
$1,408.00
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.
$408.37 with Bcbs vs $6,337.00 with Phcs — 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 | $408.37 | ↓ -42% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $414.49 | ↓ -41% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $416.53 | ↓ -41% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $420.62 | ↓ -40% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $428.79 | ↓ -39% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $436.95 | ↓ -38% |
| Procare Advantage | Medicare Managed Care - Hmo | $449.20 | ↓ -36% |
| Community Health Choice | Silver & Gold Exchange | $665.64 | ↓ -5% |
| Optum Health | Transplant Medicare Managed Care Plan | $796.32 | ↑ +13% |
| Molina Healthcare | Exchange | $816.74 | ↑ +16% |
| Bcbs | All Commercial Plans | $1,013.92 | ↑ +44% |
| Humana | Hmo/Pos | $2,537.60 | ↑ +260% |
| Aetna | New Business Discount Other Commercial Plan | $3,416.00 | ↑ +385% |
| Aetna | Hmo/Pos/Ppo | $3,522.00 | ↑ +400% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $4,004.00 | ↑ +469% |
| Cigna | Network C-24 Hmo/Ppo | $4,004.00 | ↑ +469% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,239.00 | ↑ +502% |
| Entrust | All Commercial Plans | $4,284.00 | ↑ +509% |
| Unitedhealthcare | All Commercial Plans | $4,610.00 | ↑ +555% |
| Phcs | Ppo | $6,337.00 | ↑ +800% |
Visitor-reported prices
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Complx repair fccmnaxghf 13132 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,440.06 | $621.28 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,528.04 | $216.80 – $1,910.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,720.30 | $71.00 – $2,580.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,631.57 | $71.00 – $2,039.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,528.04 | $216.80 – $1,910.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,720.30 | $85.00 – $2,580.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,720.30 | $216.80 – $2,580.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,631.57 | $71.00 – $2,447.36 |