New Patient Office Visit (level 5) at HCA HOUSTON CLEAR LAKE
225 E PARKWOOD AVE, FRIENDSWOOD, TX · HCA Houston Healthcare · · NPI 1063466035
$1,210.66
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.
$1,210.66
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.
$80.27 with Aetna vs $1,089.59 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 | $80.27 | ↓ -93% |
| Superior Health Plan | STARPLUS | $143.23 | ↓ -88% |
| Superior Health Plan | CHIP | $143.23 | ↓ -88% |
| Superior Health Plan | CHPFC | $143.23 | ↓ -88% |
| Superior Health Plan | STAR | $143.23 | ↓ -88% |
| Superior Health Plan | STARKids | $143.23 | ↓ -88% |
| Community Health Choice MCD | CHIP | $157.39 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $157.39 | ↓ -87% |
| Community Health Choice MCD | STAR | $157.39 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $157.39 | ↓ -87% |
| Amerigroup | MGMCD | $169.49 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $169.49 | ↓ -86% |
| Cigna | CSN | $179.18 | ↓ -85% |
| Cigna | OpenAccessPlus | $193.71 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $200.97 | ↓ -83% |
| United | OptionsPPO | $213.08 | ↓ -82% |
| Cigna | PPO | $230.03 | ↓ -81% |
| Texas Childrens Health Plans | STAR | $286.93 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $286.93 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $290.56 | ↓ -76% |
| Texas Athletic Network | Premier | $300.00 | ↓ -75% |
| IPA Management Services | COMM | $302.67 | ↓ -75% |
| Healthcare Highways | NarrowNetwork | $308.72 | ↓ -74% |
| Aetna | QHPExchange | $320.82 | ↓ -74% |
| Molina Healthcare | HIX | $326.88 | ↓ -73% |
| Evry Health | BroadNetwork | $330.51 | ↓ -73% |
| Humana | PPO | $351.91 | ↓ -71% |
| Humana | HMO | $351.91 | ↓ -71% |
| CHC Harris Health | Indigent | $363.20 | ↓ -70% |
| Aetna | NBHMO | $388.62 | ↓ -68% |
| Aetna | NBPPO | $388.62 | ↓ -68% |
| Aetna | NBPOS | $388.62 | ↓ -68% |
| BCBS | MyBlueHealth | $400.58 | ↓ -67% |
| Aetna | COMMPOS | $414.05 | ↓ -66% |
| Aetna | COMMPPO | $414.05 | ↓ -66% |
| Aetna | COMMHMO | $414.05 | ↓ -66% |
| Kelsey Care (Boon-Chapman) | COMM | $423.73 | ↓ -65% |
| Imagine Health | PPO | $423.73 | ↓ -65% |
| BCBS | Traditional | $423.73 | ↓ -65% |
| BCBS | BAV | $441.67 | ↓ -64% |
| Curative Administrators | COMM | $484.26 | ↓ -60% |
| Christus (USFHP) | TRICARE | $484.26 | ↓ -60% |
| Aetna | OONPPO | $485.47 | ↓ -60% |
| Aetna | OONPOS | $485.47 | ↓ -60% |
| Aetna | OONHMO | $485.47 | ↓ -60% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -59% |
| HealthSmart Preferred Care | ACCEL | $520.58 | ↓ -57% |
| Aetna | ASAHMO | $524.22 | ↓ -57% |
| Aetna | ASAPPO | $524.22 | ↓ -57% |
| Aetna | ASAPOS | $524.22 | ↓ -57% |
| United | GlobalAppendix | $544.80 | ↓ -55% |
| BCBS | PPO | $552.94 | ↓ -54% |
| BCBS | EPOSOA | $552.94 | ↓ -54% |
| BCBS | HMO | $552.94 | ↓ -54% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -50% |
| Multiplan | SAVILITYNETWORK | $605.33 | ↓ -50% |
| Coventry National First Health | COMM | $645.28 | ↓ -47% |
| Rockport Workers Comp | COMM | $665.86 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $665.86 | ↓ -45% |
| Beech Street | WCOMP | $726.40 | ↓ -40% |
| National Healthcare Solutions | COMM | $726.40 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $726.40 | ↓ -40% |
| Independent Medical System | COMM | $726.40 | ↓ -40% |
| Coastal Comp | COMM | $786.93 | ↓ -35% |
| Cigna Behavioral Health | COMMBH | $968.53 | ↓ -20% |
| TriWest Healthcare Alliance | Veterans | $968.53 | ↓ -20% |
| Beech Street | COMMPPO | $968.53 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $992.74 | ↓ -18% |
| Physicians, INC | COMM | $1,029.06 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,029.06 | ↓ -15% |
| Averde Health | Commercial | $1,074.19 | ↓ -11% |
| Fidelis SecureCare of TX | MGMCR | $1,074.19 | ↓ -11% |
| Multiplan | COMPLEMENTARYPPO | $1,089.59 | ↓ -10% |
| Affiliated PPO | COMM | $1,089.59 | ↓ -10% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,075.78 | $659.08 – $659.08 |
| Baylor St Luke's Medical Center | Houston | $251.65 | $82.00 – $719.00 |
| St. Joseph Health Madison Hospital | Madisonville | $208.78 | $37.59 – $295.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $246.90 | $100.00 – $671.98 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $251.65 | $74.00 – $719.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $251.65 | $74.00 – $719.00 |
| St. Joseph Health College Station Hospital | College Station | $208.78 | $77.00 – $363.58 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $251.65 | $74.00 – $719.00 |