Established Patient Office Visit (level 4) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$44.26 with Aetna vs $600.81 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | MCR | $44.26 | — |
| Superior Health Plan | STARKids | $71.29 | — |
| Superior Health Plan | STARPLUS | $71.29 | — |
| Superior Health Plan | CHIP | $71.29 | — |
| Superior Health Plan | CHPFC | $71.29 | — |
| Superior Health Plan | STAR | $71.29 | — |
| Community Health Choice MCD | CHIPPerinatal | $86.78 | — |
| Community Health Choice MCD | CHIP | $86.78 | — |
| Community Health Choice MCD | STAR+PLUS | $86.78 | — |
| Community Health Choice MCD | STAR | $86.78 | — |
| Amerigroup | MGMCD | $93.46 | — |
| Amerigroup | MCDCHIPBH | $93.46 | — |
| Cigna | CSN | $98.80 | — |
| Cigna | OpenAccessPlus | $106.81 | — |
| Texas Childrens Health Plans | CHIP | $110.82 | — |
| United | OptionsPPO | $117.49 | — |
| Cigna | PPO | $126.84 | — |
| Texas Childrens Health Plans | STAR | $158.21 | — |
| Texas Childrens Health Plans | STARKIDS | $158.21 | — |
| Texas Workforce Commission | WCOMP | $160.22 | — |
| IPA Management Services | COMM | $166.89 | — |
| Healthcare Highways | NarrowNetwork | $170.23 | — |
| Aetna | QHPExchange | $176.91 | — |
| Molina Healthcare | HIX | $180.24 | — |
| Evry Health | BroadNetwork | $182.25 | — |
| BCBS | MyBlueHealth | $187.22 | — |
| CHC Harris Health | Indigent | $200.27 | — |
| BCBS | BAV | $206.43 | — |
| Aetna | NBPPO | $214.29 | — |
| Aetna | NBHMO | $214.29 | — |
| Aetna | NBPOS | $214.29 | — |
| Aetna | COMMPOS | $228.31 | — |
| Aetna | COMMPPO | $228.31 | — |
| Aetna | COMMHMO | $228.31 | — |
| Imagine Health | PPO | $233.65 | — |
| Kelsey Care (Boon-Chapman) | COMM | $233.65 | — |
| BCBS | Traditional | $233.65 | — |
| BCBS | PPO | $258.43 | — |
| BCBS | EPOSOA | $258.43 | — |
| BCBS | HMO | $258.43 | — |
| Christus (USFHP) | TRICARE | $267.03 | — |
| Curative Administrators | COMM | $267.03 | — |
| Aetna | OONHMO | $267.70 | — |
| Aetna | OONPPO | $267.70 | — |
| Aetna | OONPOS | $267.70 | — |
| Humana | PPO | $269.70 | — |
| Humana | HMO | $269.70 | — |
| HealthSmart Preferred Care | ACCEL | $287.06 | — |
| Aetna | ASAPOS | $289.06 | — |
| Aetna | ASAPPO | $289.06 | — |
| Aetna | ASAHMO | $289.06 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| United | GlobalAppendix | $300.41 | — |
| Multiplan | SAVILITYNETWORK | $333.79 | — |
| Coventry National First Health | COMM | $355.81 | — |
| Physicians Cooperative of Texas | WC | $367.16 | — |
| Rockport Workers Comp | COMM | $367.16 | — |
| SouthWest Medical | WORKERSCOMP | $400.54 | — |
| Beech Street | WCOMP | $400.54 | — |
| Independent Medical System | COMM | $400.54 | — |
| National Healthcare Solutions | COMM | $400.54 | — |
| Coastal Comp | COMM | $433.92 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Cigna Behavioral Health | COMMBH | $534.06 | — |
| Beech Street | COMMPPO | $534.06 | — |
| TriWest Healthcare Alliance | Veterans | $534.06 | — |
| Averde Health | Commercial | $534.64 | — |
| Fidelis SecureCare of TX | MGMCR | $534.64 | — |
| HealthSmart Preferred Care | PPO | $547.41 | — |
| Physicians, INC | COMM | $567.43 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $567.43 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Affiliated PPO | COMM | $600.81 | — |
| Multiplan | COMPLEMENTARYPPO | $600.81 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $439.04 | $308.04 – $308.04 |
| Baylor St Luke's Medical Center | Houston | $168.70 | $82.00 – $482.00 |
| St. Joseph Health Madison Hospital | Madisonville | $148.58 | $22.68 – $160.20 |
| St. Luke's Health Memorial Lufkin | Lufkin | $83.39 | $73.75 – $442.48 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $168.70 | $74.00 – $482.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $168.70 | $74.00 – $482.00 |
| St. Joseph Health College Station Hospital | College Station | $148.58 | $77.00 – $245.98 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $168.70 | $74.00 – $482.00 |