Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Houston Methodist Cypress Hospital
24500 Northwest Fwy, Cypress, TX · Houstonmethodist · · NPI 1629828405
$188.00
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.
$376.00
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.
$52.05 with Bcbs vs $160.80 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 | $52.05 | ↓ -72% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $52.83 | ↓ -72% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $53.09 | ↓ -72% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $53.61 | ↓ -71% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $54.65 | ↓ -71% |
| Devoted Health | Medicare Managed Care - Hmo | $55.69 | ↓ -70% |
| Community Health Choice | Silver & Gold Exchange | $84.84 | ↓ -55% |
| Optum Health | Transplant Medicare Managed Care Plan | $101.50 | ↓ -46% |
| Molina Healthcare | Exchange | $104.10 | ↓ -45% |
| Bcbs | All Commercial Plans | $160.80 | ↓ -14% |
Visitor-reported prices
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Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $124.35 | $35.23 – $176.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $135.00 | $27.79 – $202.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $118.67 | $23.73 – $155.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $124.35 | $33.16 – $176.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $135.00 | $43.34 – $202.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $135.00 | $69.75 – $253.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $118.67 | $39.56 – $178.01 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $124.35 | $33.16 – $176.16 |