Cymetra injectable at HCA HOUSTON CLEAR LAKE
225 E PARKWOOD AVE, FRIENDSWOOD, TX · HCA Houston Healthcare · · NPI 1063466035
$1,310.00
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.
$1,310.00
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.
$78.60 with Superior Health Plan vs $7,350.97 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $78.60 | ↓ -94% |
| Superior Health Plan | STARKids | $78.60 | ↓ -94% |
| Superior Health Plan | STAR | $78.60 | ↓ -94% |
| Superior Health Plan | CHPFC | $78.60 | ↓ -94% |
| Superior Health Plan | CHIP | $78.60 | ↓ -94% |
| Aetna | MCR | $86.85 | ↓ -93% |
| Community Health Choice MCD | STAR | $170.30 | ↓ -87% |
| Community Health Choice MCD | CHIP | $170.30 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $170.30 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $170.30 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $183.40 | ↓ -86% |
| Amerigroup | MGMCD | $183.40 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $217.46 | ↓ -83% |
| United | OptionsPPO | $230.56 | ↓ -82% |
| Texas Childrens Health Plans | STARKIDS | $310.47 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $310.47 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $314.40 | ↓ -76% |
| IPA Management Services | COMM | $327.50 | ↓ -75% |
| Molina Healthcare | HIX | $353.70 | ↓ -73% |
| CHC Harris Health | Indigent | $393.00 | ↓ -70% |
| BCBS | MyBlueHealth | $443.67 | ↓ -66% |
| BCBS | Traditional | $458.50 | ↓ -65% |
| BCBS | BAV | $488.94 | ↓ -63% |
| Christus (USFHP) | TRICARE | $524.00 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $563.30 | ↓ -57% |
| United | GlobalAppendix | $589.50 | ↓ -55% |
| BCBS | HMO | $611.17 | ↓ -53% |
| BCBS | PPO | $611.17 | ↓ -53% |
| BCBS | EPOSOA | $611.17 | ↓ -53% |
| Coventry National First Health | COMM | $698.23 | ↓ -47% |
| Rockport Workers Comp | COMM | $720.50 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $720.50 | ↓ -45% |
| National Healthcare Solutions | COMM | $786.00 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $786.00 | ↓ -40% |
| Beech Street | WCOMP | $786.00 | ↓ -40% |
| Independent Medical System | COMM | $786.00 | ↓ -40% |
| Coastal Comp | COMM | $851.50 | ↓ -35% |
| Beech Street | COMMPPO | $1,048.00 | ↓ -20% |
| TriWest Healthcare Alliance | Veterans | $1,048.00 | ↓ -20% |
| Cigna Behavioral Health | COMMBH | $1,048.00 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $1,074.20 | ↓ -18% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,113.50 | ↓ -15% |
| Physicians, INC | COMM | $1,113.50 | ↓ -15% |
| Affiliated PPO | COMM | $1,179.00 | ↓ -10% |
| Multiplan | COMPLEMENTARYPPO | $1,179.00 | ↓ -10% |
| Cigna | CSN | $2,110.43 | ↑ +61% |
| Cigna | OpenAccessPlus | $2,284.85 | ↑ +74% |
| Cigna | PPO | $2,720.89 | ↑ +108% |
| Humana | PPO | $7,350.97 | ↑ +461% |
| Humana | HMO | $7,350.97 | ↑ +461% |
Visitor-reported prices
Comments
Cymetra injectable at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $984.75 | $846.59 – $903.79 |
| Covenant Medical Center | Lubbock | $984.75 | $846.59 – $1,804.13 |
| Covenant Hospital Plainview | Plainview | $984.75 | $839.80 – $839.80 |
| Covenant Hospital Levelland | Levelland | $984.75 | $839.80 – $839.80 |
| Covenant Specialty Hospital | Lubbock | $984.75 | not published |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $575.91 | $190.05 – $811.17 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $575.91 | $190.05 – $811.17 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $673.74 | $190.05 – $811.17 |