Apc gene dup/delet variants at HCA HOUSTON CLEAR LAKE
225 E PARKWOOD AVE, FRIENDSWOOD, TX · HCA Houston Healthcare · · NPI 1063466035
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.
$164.64 with Texas Health Network vs $2,164.00 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 →
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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 |
|---|---|---|---|
| Texas Health Network | MCD | $164.64 | — |
| Community Health Choice MCD | CHIP | $168.00 | — |
| Texas Childrens Health Plans | STARKIDS | $168.00 | — |
| Texas Childrens Health Plans | STAR | $168.00 | — |
| UTMB | MGMCD | $168.00 | — |
| Community Health Choice MCD | STAR+PLUS | $168.00 | — |
| Community Health Choice MCD | STAR | $168.00 | — |
| Amerigroup | MGMCD | $168.00 | — |
| Amerigroup | MCDCHIPBH | $168.00 | — |
| Community Health Choice MCD | CHIPPerinatal | $168.00 | — |
| United | MGMCD | $171.36 | — |
| Aetna Better Health | MGMCD | $181.44 | — |
| Molina Healthcare | STARKIDS | $184.80 | — |
| Molina Healthcare | CHIP | $184.80 | — |
| Molina Healthcare | STAR | $184.80 | — |
| Molina Healthcare | STARPLUS | $184.80 | — |
| Oscar | MGMCR | $196.00 | — |
| United | SmallGroup | $200.00 | — |
| Amerigroup | DualEligible | $200.00 | — |
| Cigna HealthSpring | PFFS | $200.00 | — |
| Cigna HealthSpring | MCRSNP | $200.00 | — |
| Cigna HealthSpring | MCRPPO | $200.00 | — |
| Cigna HealthSpring | MCRHMO | $200.00 | — |
| Humana | MedicareAdvantageHMO | $200.00 | — |
| Humana | MedicareAdvantagePPOPFFS | $200.00 | — |
| Renaissance IPA Radiology | MCR | $200.00 | — |
| Renaissance IPA Radiology | COMM | $200.00 | — |
| Kelsey Seybold | MGMCR | $200.00 | — |
| CHC Harris Health | Indigent | $200.00 | — |
| BCBS | MedicareAdvantageHMO | $200.00 | — |
| BCBS | MCRPPO | $200.00 | — |
| Devoted Health | MGMCR | $200.00 | — |
| TriWest Healthcare Alliance | Veterans | $200.00 | — |
| Cigna HealthSpring | MMP | $200.00 | — |
| United | AllPayerAppendix | $200.00 | — |
| United | NarrowNetworkIndivExchange | $200.00 | — |
| WellMed | MGMCR | $201.00 | — |
| Aetna | MCR | $201.70 | — |
| Van Lang IPA | MCR | $202.00 | — |
| United | MCR | $204.00 | — |
| WellCare | MCRHMO | $206.00 | — |
| WellCare | SNP | $206.00 | — |
| WellCare | POS | $206.00 | — |
| Integranet Amerigroup IPA | MCR | $206.00 | — |
| WellCare | PPO | $206.00 | — |
| WellCare | PFFS | $206.00 | — |
| Superior Health Plan | MCRPPO | $210.00 | — |
| Humana | MCD | $210.00 | — |
| American Health Plan | MGMCR | $210.00 | — |
| Superior Health Plan | DualEligible | $210.00 | — |
| Superior Health Plan | MCRHMO | $210.00 | — |
| Superior Health Plan | MCRPOS | $210.00 | — |
| Superior Health Plan | MCRSNP | $210.00 | — |
| Superior Health Plan | PFFS | $210.00 | — |
| ProCare Advantage | MGMCR | $210.00 | — |
| Shared Health | MGMCR | $210.00 | — |
| Provider Partners Health Plan of Texas | PFFS | $212.00 | — |
| Provider Partners Health Plan of Texas | PPO | $212.00 | — |
| Provider Partners Health Plan of Texas | SNP | $212.00 | — |
| Provider Partners Health Plan of Texas | POS | $212.00 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $212.00 | — |
| Molina | MGMCR | $218.00 | — |
| Kindred Hospital | MGMCR | $230.00 | — |
| Universal Healthcare Group | MCR | $240.00 | — |
| Verda Health Plan | MCR | $260.00 | — |
| Community Health Choice | HIX | $290.00 | — |
| Superior | ValueHMO | $290.00 | — |
| Superior | EPO | $310.00 | — |
| Superior | HMO | $310.00 | — |
| UTMB | MGMCR | $326.00 | — |
| Corvel Corporation | WORKERSCOMP | $396.00 | — |
| BCBS | MyBlueHealth | $404.00 | — |
| OMNI Healthcare | WORKERSCOMP | $420.00 | — |
| Molina Healthcare | HIX | $430.00 | — |
| BCBS | BAV | $446.00 | — |
| Healthcare Highways | NarrowNetwork | $486.00 | — |
| BCBS | HMO | $558.00 | — |
| Oscar | HIX | $578.00 | — |
| BCBS | EPOSOA | $598.00 | — |
| BCBS | PPO | $638.00 | — |
| Aetna | QHPExchange | $732.64 | — |
| Cigna | CSN | $822.44 | — |
| Cigna | OpenAccessPlus | $890.82 | — |
| Aetna | NBPPO | $974.32 | — |
| Aetna | NBPOS | $974.32 | — |
| Aetna | NBHMO | $974.32 | — |
| Aetna | COMMPOS | $1,035.12 | — |
| Aetna | COMMHMO | $1,035.12 | — |
| Aetna | COMMPPO | $1,035.12 | — |
| Cigna | PPO | $1,059.87 | — |
| Aetna | OONHMO | $1,216.00 | — |
| Aetna | OONPPO | $1,216.00 | — |
| Aetna | OONPOS | $1,216.00 | — |
| Aetna | ASAPPO | $1,314.80 | — |
| Aetna | ASAPOS | $1,314.80 | — |
| Aetna | ASAHMO | $1,314.80 | — |
| Humana | HMO | $2,164.00 | — |
| Humana | PPO | $2,164.00 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Apc gene dup/delet variants at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $468.75 | $35.00 – $585.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,582.00 | $36.00 – $703.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,582.00 | $36.00 – $585.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $468.75 | $35.00 – $585.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,582.00 | $36.00 – $703.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,582.00 | $26.00 – $703.12 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,582.00 | $36.00 – $703.12 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $468.75 | $35.00 – $585.94 |