Ercp bil/panc duct; each stent plcmt 43274 at Houston Methodist Cypress Hospital
24500 Northwest Fwy, Cypress, TX · Houstonmethodist · · NPI 1629828405
$810.00
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.
$1,620.00
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.
$5,860.00 with Unitedhealthcare vs $12,197.12 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 |
|---|---|---|---|
| Unitedhealthcare | All Commercial Plans | $5,860.00 | ↑ +623% |
| Bcbs | Medicare Managed Care - Hmo | $6,098.56 | ↑ +653% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $6,190.04 | ↑ +664% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $6,220.53 | ↑ +668% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $6,281.52 | ↑ +675% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $6,403.49 | ↑ +691% |
| Devoted Health | Medicare Managed Care - Hmo | $6,525.46 | ↑ +706% |
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↑ +803% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↑ +831% |
| Bcbs | All Commercial Plans | $9,752.89 | ↑ +1104% |
| Community Health Choice | Silver & Gold Exchange | $9,940.66 | ↑ +1127% |
| Optum Health | Transplant Medicare Managed Care Plan | $11,892.20 | ↑ +1368% |
| Molina Healthcare | Exchange | $12,197.12 | ↑ +1406% |
Visitor-reported prices
Comments
Ercp bil/panc duct; each stent plcmt 43274 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $1,332.77 | $2,284.74 – $2,855.93 |
| Texas Health Presbyterian Hospital Allen | Allen | $3,571.80 | $2,216.50 – $2,393.82 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $3,571.80 | $2,216.50 – $2,438.15 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $3,571.80 | $2,216.50 – $2,438.15 |
| Texas Health Arlington Memorial Hospital | Arlington | $3,571.80 | $2,216.50 – $2,438.15 |
| Texas Health Presbyterian Hospital Denton | Denton | $3,571.80 | $2,216.50 – $2,438.15 |
| Texas Health Presbyterian Hospital Plano | Plano | $3,571.80 | $2,216.50 – $2,393.82 |
| Texas Health Hospital Rockwall | Rockwall | $3,571.80 | $2,216.50 – $2,393.82 |