Established Patient Office Visit (level 1) 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.
$19.10 with Superior Health Plan vs $600.00 with Texas Athletic Network — 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 | STAR | $19.10 | — |
| Superior Health Plan | STARPLUS | $19.10 | — |
| Superior Health Plan | STARKids | $19.10 | — |
| Superior Health Plan | CHPFC | $19.10 | — |
| Superior Health Plan | CHIP | $19.10 | — |
| Aetna | MCR | $21.10 | — |
| BCBS | MyBlueHealth | $21.93 | — |
| BCBS | BAV | $24.17 | — |
| BCBS | HMO | $30.27 | — |
| BCBS | PPO | $30.27 | — |
| BCBS | EPOSOA | $30.27 | — |
| Community Health Choice MCD | STAR+PLUS | $41.38 | — |
| Community Health Choice MCD | CHIP | $41.38 | — |
| Community Health Choice MCD | STAR | $41.38 | — |
| Community Health Choice MCD | CHIPPerinatal | $41.38 | — |
| Amerigroup | MGMCD | $44.56 | — |
| Amerigroup | MCDCHIPBH | $44.56 | — |
| Texas Childrens Health Plans | CHIP | $52.83 | — |
| United | OptionsPPO | $56.02 | — |
| Cigna | CSN | $57.88 | — |
| Cigna | OpenAccessPlus | $62.57 | — |
| Cigna | PPO | $74.30 | — |
| Texas Childrens Health Plans | STAR | $75.43 | — |
| Texas Childrens Health Plans | STARKIDS | $75.43 | — |
| Texas Workforce Commission | WCOMP | $76.39 | — |
| Healthcare Highways | NarrowNetwork | $81.16 | — |
| Molina Healthcare | HIX | $85.94 | — |
| Evry Health | BroadNetwork | $86.89 | — |
| CHC Harris Health | Indigent | $95.48 | — |
| IPA Management Services | COMM | $97.77 | — |
| Aetna | NBHMO | $102.17 | — |
| Aetna | NBPOS | $102.17 | — |
| Aetna | NBPPO | $102.17 | — |
| Aetna | QHPExchange | $103.63 | — |
| Aetna | COMMHMO | $108.85 | — |
| Aetna | COMMPPO | $108.85 | — |
| Aetna | COMMPOS | $108.85 | — |
| BCBS | Traditional | $111.40 | — |
| Imagine Health | PPO | $111.40 | — |
| Kelsey Care (Boon-Chapman) | COMM | $111.40 | — |
| Humana | HMO | $115.13 | — |
| Humana | PPO | $115.13 | — |
| Christus (USFHP) | TRICARE | $127.31 | — |
| Curative Administrators | COMM | $127.31 | — |
| Aetna | OONPPO | $127.63 | — |
| Aetna | OONHMO | $127.63 | — |
| Aetna | OONPOS | $127.63 | — |
| HealthSmart Preferred Care | ACCEL | $136.86 | — |
| Aetna | ASAHMO | $137.82 | — |
| Aetna | ASAPPO | $137.82 | — |
| Aetna | ASAPOS | $137.82 | — |
| Fidelis SecureCare of TX | MGMCR | $143.23 | — |
| United | GlobalAppendix | $143.23 | — |
| Averde Health | Commercial | $143.23 | — |
| Multiplan | SAVILITYNETWORK | $159.14 | — |
| Coventry National First Health | COMM | $169.64 | — |
| Physicians Cooperative of Texas | WC | $175.05 | — |
| Rockport Workers Comp | COMM | $175.05 | — |
| Independent Medical System | COMM | $190.97 | — |
| Beech Street | WCOMP | $190.97 | — |
| SouthWest Medical | WORKERSCOMP | $190.97 | — |
| National Healthcare Solutions | COMM | $190.97 | — |
| Coastal Comp | COMM | $206.88 | — |
| TriWest Healthcare Alliance | Veterans | $254.62 | — |
| Beech Street | COMMPPO | $254.62 | — |
| HealthSmart Preferred Care | PPO | $260.99 | — |
| Physicians, INC | COMM | $270.54 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $270.54 | — |
| Affiliated PPO | COMM | $286.45 | — |
| Multiplan | COMPLEMENTARYPPO | $286.45 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Cigna Behavioral Health | COMMBH | $312.86 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $256.64 | $36.07 – $36.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.02 | $15.44 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $96.94 | $15.00 – $93.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.02 | $24.07 – $112.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.02 | $38.75 – $112.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $96.94 | $25.00 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $134.02 | $15.00 – $106.25 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $134.02 | $8.82 – $112.50 |