Inj, biorphen, 20 micrograms 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.
$0.04 with Superior Health Plan vs $0.58 with Affiliated PPO — 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 | $0.04 | — |
| Aetna | MCR | $0.04 | — |
| Superior Health Plan | CHIP | $0.04 | — |
| Superior Health Plan | CHPFC | $0.04 | — |
| Superior Health Plan | STAR | $0.04 | — |
| Superior Health Plan | STARKids | $0.04 | — |
| Community Health Choice MCD | CHIPPerinatal | $0.08 | — |
| Community Health Choice MCD | CHIP | $0.08 | — |
| Community Health Choice MCD | STAR+PLUS | $0.08 | — |
| Community Health Choice MCD | STAR | $0.08 | — |
| Amerigroup | MCDCHIPBH | $0.09 | — |
| Amerigroup | MGMCD | $0.09 | — |
| Texas Childrens Health Plans | CHIP | $0.11 | — |
| United | OptionsPPO | $0.11 | — |
| Texas Workforce Commission | WCOMP | $0.15 | — |
| Texas Childrens Health Plans | STARKIDS | $0.15 | — |
| Texas Childrens Health Plans | STAR | $0.15 | — |
| IPA Management Services | COMM | $0.16 | — |
| Molina Healthcare | HIX | $0.17 | — |
| Christus (USFHP) | TRICARE | $0.18 | — |
| TriWest Health Alliance | TRCR | $0.18 | — |
| CHC Harris Health | Indigent | $0.19 | — |
| Humana | PPO | $0.20 | — |
| Humana | HMO | $0.20 | — |
| BCBS | Traditional | $0.22 | — |
| United | SmallGroup | $0.26 | — |
| United | NarrowNetworkIndivExchange | $0.26 | — |
| United | AllPayerAppendix | $0.26 | — |
| HealthSmart Preferred Care | ACCEL | $0.28 | — |
| United | GlobalAppendix | $0.29 | — |
| Coventry National First Health | COMM | $0.34 | — |
| Rockport Workers Comp | COMM | $0.35 | — |
| Physicians Cooperative of Texas | WC | $0.35 | — |
| National Healthcare Solutions | COMM | $0.38 | — |
| SouthWest Medical | WORKERSCOMP | $0.38 | — |
| Independent Medical System | COMM | $0.38 | — |
| Beech Street | WCOMP | $0.38 | — |
| Cigna | CSN | $0.41 | — |
| BCBS | MyBlueHealth | $0.41 | — |
| Coastal Comp | COMM | $0.42 | — |
| Cigna | OpenAccessPlus | $0.45 | — |
| BCBS | BAV | $0.45 | — |
| TriWest Healthcare Alliance | Veterans | $0.51 | — |
| Cigna Behavioral Health | COMMBH | $0.51 | — |
| Beech Street | COMMPPO | $0.51 | — |
| HealthSmart Preferred Care | PPO | $0.52 | — |
| Cigna | PPO | $0.53 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $0.54 | — |
| Physicians, INC | COMM | $0.54 | — |
| BCBS | PPO | $0.57 | — |
| BCBS | HMO | $0.57 | — |
| BCBS | EPOSOA | $0.57 | — |
| Multiplan | COMPLEMENTARYPPO | $0.58 | — |
| Affiliated PPO | COMM | $0.58 | — |
Visitor-reported prices
Comments
Inj, biorphen, 20 micrograms at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $20.40 | $0.17 – $28.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $20.40 | $0.17 – $30.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $20.40 | $0.17 – $25.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $20.40 | $0.17 – $28.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $20.40 | $0.17 – $30.60 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $20.40 | $0.17 – $30.60 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $20.40 | $0.17 – $30.60 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $20.40 | $0.17 – $28.90 |