Established Patient Office Visit (level 2) 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.
$21.84 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 | STARPLUS | $21.84 | — |
| Superior Health Plan | CHIP | $21.84 | — |
| Superior Health Plan | CHPFC | $21.84 | — |
| Superior Health Plan | STAR | $21.84 | — |
| Superior Health Plan | STARKids | $21.84 | — |
| Aetna | MCR | $24.14 | — |
| Community Health Choice MCD | CHIP | $47.33 | — |
| Community Health Choice MCD | STAR+PLUS | $47.33 | — |
| Community Health Choice MCD | STAR | $47.33 | — |
| Community Health Choice MCD | CHIPPerinatal | $47.33 | — |
| Amerigroup | MGMCD | $50.97 | — |
| Amerigroup | MCDCHIPBH | $50.97 | — |
| Texas Childrens Health Plans | CHIP | $60.43 | — |
| BCBS | MyBlueHealth | $60.72 | — |
| United | OptionsPPO | $64.07 | — |
| BCBS | BAV | $66.95 | — |
| Cigna | CSN | $75.16 | — |
| Cigna | OpenAccessPlus | $81.25 | — |
| BCBS | PPO | $83.82 | — |
| BCBS | HMO | $83.82 | — |
| BCBS | EPOSOA | $83.82 | — |
| Texas Childrens Health Plans | STAR | $86.28 | — |
| Texas Childrens Health Plans | STARKIDS | $86.28 | — |
| Texas Workforce Commission | WCOMP | $87.37 | — |
| Healthcare Highways | NarrowNetwork | $92.84 | — |
| Cigna | PPO | $96.49 | — |
| Molina Healthcare | HIX | $98.30 | — |
| Evry Health | BroadNetwork | $99.39 | — |
| CHC Harris Health | Indigent | $109.22 | — |
| Aetna | NBPPO | $116.86 | — |
| Aetna | NBHMO | $116.86 | — |
| Aetna | NBPOS | $116.86 | — |
| Aetna | COMMHMO | $124.51 | — |
| Aetna | COMMPOS | $124.51 | — |
| Aetna | COMMPPO | $124.51 | — |
| IPA Management Services | COMM | $126.96 | — |
| BCBS | Traditional | $127.42 | — |
| Imagine Health | PPO | $127.42 | — |
| Kelsey Care (Boon-Chapman) | COMM | $127.42 | — |
| Aetna | QHPExchange | $134.58 | — |
| Christus (USFHP) | TRICARE | $145.62 | — |
| Curative Administrators | COMM | $145.62 | — |
| Aetna | OONHMO | $145.99 | — |
| Aetna | OONPPO | $145.99 | — |
| Aetna | OONPOS | $145.99 | — |
| HealthSmart Preferred Care | ACCEL | $156.55 | — |
| Aetna | ASAPPO | $157.64 | — |
| Aetna | ASAHMO | $157.64 | — |
| Aetna | ASAPOS | $157.64 | — |
| Averde Health | Commercial | $163.83 | — |
| United | GlobalAppendix | $163.83 | — |
| Fidelis SecureCare of TX | MGMCR | $163.83 | — |
| Humana | HMO | $171.03 | — |
| Humana | PPO | $171.03 | — |
| Multiplan | SAVILITYNETWORK | $182.03 | — |
| Coventry National First Health | COMM | $194.04 | — |
| Physicians Cooperative of Texas | WC | $200.23 | — |
| Rockport Workers Comp | COMM | $200.23 | — |
| Independent Medical System | COMM | $218.44 | — |
| Beech Street | WCOMP | $218.44 | — |
| National Healthcare Solutions | COMM | $218.44 | — |
| SouthWest Medical | WORKERSCOMP | $218.44 | — |
| Coastal Comp | COMM | $236.64 | — |
| TriWest Healthcare Alliance | Veterans | $291.25 | — |
| Beech Street | COMMPPO | $291.25 | — |
| HealthSmart Preferred Care | PPO | $298.53 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Physicians, INC | COMM | $309.45 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $309.45 | — |
| Multiplan | COMPLEMENTARYPPO | $327.65 | — |
| Affiliated PPO | COMM | $327.65 | — |
| Cigna Behavioral Health | COMMBH | $406.27 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $314.35 | $99.91 – $99.91 |
| Baylor St Luke's Medical Center | Houston | $118.65 | $30.62 – $339.00 |
| St. Joseph Health Madison Hospital | Madisonville | $190.05 | $9.18 – $104.64 |
| St. Luke's Health Memorial Lufkin | Lufkin | $57.53 | $50.95 – $305.70 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $118.65 | $37.89 – $339.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $118.65 | $37.89 – $339.00 |
| St. Joseph Health College Station Hospital | College Station | $190.05 | $39.60 – $213.64 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $118.65 | $37.89 – $339.00 |