Opps service,sched team conf at Houston Methodist Cypress Hospital
24500 Northwest Fwy, Cypress, TX · Houstonmethodist · · NPI 1629828405
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.
$419.16 with Bcbs vs $1,097.58 with Bcbs — 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 | $419.16 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $425.45 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo | $427.55 | — |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $431.74 | — |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $440.12 | — |
| Devoted Health | Medicare Managed Care - Hmo | $448.51 | — |
| Community Health Choice | Silver & Gold Exchange | $683.24 | — |
| Optum Health | Transplant Medicare Managed Care Plan | $817.37 | — |
| Molina Healthcare | Exchange | $838.33 | — |
| Bcbs | All Commercial Plans | $1,097.58 | — |
Visitor-reported prices
Comments
Opps service,sched team conf at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Celina Medical Center | Celina | $101.00 | $15.18 – $1,047.91 |
| Methodist Charlton Medical Center | Dallas | $101.00 | $6.42 – $1,106.95 |
| Methodist Dallas Medical Center | Dallas | $101.00 | $6.42 – $1,131.74 |
| Methodist Midlothian Medical Center | Midlothian | $101.00 | $419.16 – $1,131.74 |
| Methodist Richardson Medical Center | Richardson | $101.00 | $8.37 – $1,131.74 |
| Methodist Southlake Medical Center | Souhtlake | $101.00 | $6.42 – $1,133.61 |
| Methodist Mansfield Medical Center | Mansfield | $101.00 | $6.42 – $1,133.61 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,354.39 – $1,354.39 |