Aco annual medicare visit (awv), initial g0438aco at HCA HOUSTON CLEAR LAKE

225 E PARKWOOD AVE, FRIENDSWOOD, TX · HCA Houston Healthcare · · NPI 1063466035

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$139.36 with Christus (USFHP) vs $1,646.55 with Humana — 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 →

Payer
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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
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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
Christus (USFHP) TRICARE $139.36
TriWest Health Alliance TRCR $139.36
Oscar MGMCR $173.08
Devoted Health MGMCR $176.61
Humana MedicareAdvantageHMO $176.61
Humana MedicareAdvantagePPOPFFS $176.61
Amerigroup DualEligible $176.61
Cigna HealthSpring MCRHMO $176.61
Cigna HealthSpring MCRPPO $176.61
Cigna HealthSpring MCRSNP $176.61
Cigna HealthSpring PFFS $176.61
Cigna HealthSpring MMP $176.61
BCBS MCRPPO $176.61
BCBS MedicareAdvantageHMO $176.61
CHC Harris Health Indigent $176.61
Kelsey Seybold MGMCR $176.61
Renaissance IPA Radiology COMM $176.61
Renaissance IPA Radiology MCR $176.61
TriWest Healthcare Alliance Veterans $176.61
WellMed MGMCR $177.49
Aetna MCR $178.11
Van Lang IPA MCR $178.38
United MCR $180.14
WellCare SNP $181.91
Integranet Amerigroup IPA MCR $181.91
WellCare PPO $181.91
WellCare PFFS $181.91
WellCare MCRHMO $181.91
WellCare POS $181.91
Superior Health Plan PFFS $185.44
ProCare Advantage MGMCR $185.44
Shared Health MGMCR $185.44
American Health Plan MGMCR $185.44
Superior Health Plan DualEligible $185.44
Superior Health Plan MCRHMO $185.44
Superior Health Plan MCRPOS $185.44
Superior Health Plan MCRPPO $185.44
Superior Health Plan MCRSNP $185.44
Provider Partners Health Plan of Texas POS $187.21
Provider Partners Health Plan of Texas SNP $187.21
Provider Partners Health Plan of Texas PPO $187.21
Provider Partners Health Plan of Texas PFFS $187.21
Provider Partners Health Plan of Texas MCRHMO $187.21
Molina MGMCR $192.50
Kindred Hospital MGMCR $203.10
Universal Healthcare Group MCR $211.93
Verda Health Plan MCR $229.59
Superior ValueHMO $256.08
Community Health Choice HIX $256.08
Superior EPO $273.75
Superior HMO $273.75
UTMB MGMCR $287.87
Corvel Corporation WORKERSCOMP $349.69
OMNI Healthcare WORKERSCOMP $370.88
Molina Healthcare HIX $379.71
Humana PPO $1,646.55
Humana HMO $1,646.55

Visitor-reported prices

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Aco annual medicare visit (awv), initial g0438aco at other Texas hospitals

Hospital City Cash price Negotiated range
St. Joseph Health Madison Hospital Madisonville $41.30 $30.07 – $236.00
St. Joseph Health College Station Hospital College Station $41.30 $77.00 – $507.58
St. Joseph Health Grimes Hospital Navasota $41.30 $77.00 – $261.96
St. Joseph Health Burleson Hospital Caldwell $41.30 $51.92 – $236.00
HCA HOUSTON MEDICAL CENTER Houston not published $139.36 – $379.71
HCA HOUSTON CONROE CONROE not published $144.18 – $364.70
HCA HOUSTON KINGWOOD HUMBLE not published $150.12 – $379.71
HCA HOUSTON NORTHWEST SPRING not published $139.36 – $379.71

All Texas hospitals for this procedure →