Injection, ruconest at Houston Methodist Baytown Hospital
4401 Garth Road, Baytown, TX · Houstonmethodist · · NPI 1891789772
not published by hospital
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.
not published by hospital
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.
$36.77 with Bcbs vs $205.55 with Unitedhealthcare — 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 | $36.77 | — |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $36.77 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $37.32 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo | $37.50 | — |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $38.60 | — |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $39.34 | — |
| Procare Advantage | Medicare Managed Care - Hmo | $40.44 | — |
| Community Health Choice | Silver & Gold Exchange | $59.93 | — |
| Optum Health | Transplant Medicare Managed Care Plan | $71.69 | — |
| Molina Healthcare | Exchange | $73.53 | — |
| Aetna | New Business Discount Other Commercial Plan | $76.97 | — |
| Aetna | Hmo/Pos/Ppo | $79.39 | — |
| Cigna | Network C-24 Hmo/Ppo | $86.34 | — |
| Cigna | Local Plus/Surefit Hmo/Ppo | $86.34 | — |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $91.85 | — |
| Bcbs | All Commercial Plans | $111.66 | — |
| Unitedhealthcare | All Commercial Plans | $205.55 | — |
Visitor-reported prices
Comments
Injection, ruconest at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney | $44,089.27 | $33.71 – $222.31 |
| Adventhealth Rollins Brook | Lampasas | not published | $110.23 – $110.23 |
| CHRISTUS Children's Hospital | San Antonio | not published | $75.85 – $75.85 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $34.75 – $269.31 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $34.75 – $269.31 |
| Covenant Children's Hospital | Lubbock | not published | $107.08 – $128.58 |
| HCA HOUSTON CONROE | CONROE | not published | $36.78 – $269.31 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $36.78 – $269.31 |