New 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.
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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.
$58.65 with Aetna vs $796.12 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 |
|---|---|---|---|
| Aetna | MCR | $58.65 | — |
| Superior Health Plan | STARKids | $93.19 | — |
| Superior Health Plan | STARPLUS | $93.19 | — |
| Superior Health Plan | CHIP | $93.19 | — |
| Superior Health Plan | CHPFC | $93.19 | — |
| Superior Health Plan | STAR | $93.19 | — |
| Community Health Choice MCD | CHIPPerinatal | $115.00 | — |
| Community Health Choice MCD | CHIP | $115.00 | — |
| Community Health Choice MCD | STAR+PLUS | $115.00 | — |
| Community Health Choice MCD | STAR | $115.00 | — |
| Amerigroup | MGMCD | $123.84 | — |
| Amerigroup | MCDCHIPBH | $123.84 | — |
| Cigna | CSN | $130.92 | — |
| Cigna | OpenAccessPlus | $141.53 | — |
| Texas Childrens Health Plans | CHIP | $146.84 | — |
| United | OptionsPPO | $155.69 | — |
| Cigna | PPO | $168.07 | — |
| Texas Childrens Health Plans | STAR | $209.65 | — |
| Texas Childrens Health Plans | STARKIDS | $209.65 | — |
| Texas Workforce Commission | WCOMP | $212.30 | — |
| IPA Management Services | COMM | $221.15 | — |
| Healthcare Highways | NarrowNetwork | $225.57 | — |
| Aetna | QHPExchange | $234.41 | — |
| Molina Healthcare | HIX | $238.84 | — |
| Evry Health | BroadNetwork | $241.49 | — |
| CHC Harris Health | Indigent | $265.37 | — |
| Aetna | NBPOS | $283.95 | — |
| Aetna | NBPPO | $283.95 | — |
| Aetna | NBHMO | $283.95 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Aetna | COMMPOS | $302.53 | — |
| Aetna | COMMPPO | $302.53 | — |
| Aetna | COMMHMO | $302.53 | — |
| BCBS | MyBlueHealth | $306.96 | — |
| BCBS | Traditional | $309.60 | — |
| Imagine Health | PPO | $309.60 | — |
| Kelsey Care (Boon-Chapman) | COMM | $309.60 | — |
| Humana | PPO | $325.61 | — |
| Humana | HMO | $325.61 | — |
| BCBS | BAV | $338.44 | — |
| Curative Administrators | COMM | $353.83 | — |
| Christus (USFHP) | TRICARE | $353.83 | — |
| Aetna | OONPOS | $354.72 | — |
| Aetna | OONPPO | $354.72 | — |
| Aetna | OONHMO | $354.72 | — |
| HealthSmart Preferred Care | ACCEL | $380.37 | — |
| Aetna | ASAPOS | $383.02 | — |
| Aetna | ASAPPO | $383.02 | — |
| Aetna | ASAHMO | $383.02 | — |
| United | GlobalAppendix | $398.06 | — |
| BCBS | HMO | $423.71 | — |
| BCBS | PPO | $423.71 | — |
| BCBS | EPOSOA | $423.71 | — |
| Multiplan | SAVILITYNETWORK | $442.29 | — |
| Coventry National First Health | COMM | $471.48 | — |
| Physicians Cooperative of Texas | WC | $486.52 | — |
| Rockport Workers Comp | COMM | $486.52 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Beech Street | WCOMP | $530.75 | — |
| SouthWest Medical | WORKERSCOMP | $530.75 | — |
| Independent Medical System | COMM | $530.75 | — |
| National Healthcare Solutions | COMM | $530.75 | — |
| Coastal Comp | COMM | $574.98 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Averde Health | Commercial | $698.96 | — |
| Fidelis SecureCare of TX | MGMCR | $698.96 | — |
| Beech Street | COMMPPO | $707.66 | — |
| TriWest Healthcare Alliance | Veterans | $707.66 | — |
| Cigna Behavioral Health | COMMBH | $707.66 | — |
| HealthSmart Preferred Care | PPO | $725.36 | — |
| Physicians, INC | COMM | $751.89 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $751.89 | — |
| Multiplan | COMPLEMENTARYPPO | $796.12 | — |
| Affiliated PPO | COMM | $796.12 | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $820.97 | $505.04 – $505.04 |
| Baylor St Luke's Medical Center | Houston | $238.35 | $82.00 – $681.00 |
| St. Joseph Health Madison Hospital | Madisonville | $261.63 | $34.53 – $261.05 |
| St. Luke's Health Memorial Lufkin | Lufkin | $102.36 | $94.25 – $565.49 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $238.35 | $74.00 – $681.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $238.35 | $74.00 – $681.00 |
| St. Joseph Health College Station Hospital | College Station | $261.63 | $77.00 – $517.44 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $238.35 | $74.00 – $681.00 |