Prgrmg eval implantable dfb at HCA HOUSTON CLEAR LAKE
225 E PARKWOOD AVE, FRIENDSWOOD, TX · HCA Houston Healthcare · · NPI 1063466035
$5,118.82
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.
$5,118.82
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.
$84.82 with BCBS vs $4,606.94 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $84.82 | ↓ -98% |
| BCBS | BAV | $93.53 | ↓ -98% |
| BCBS | PPO | $117.09 | ↓ -98% |
| BCBS | EPOSOA | $117.09 | ↓ -98% |
| BCBS | HMO | $117.09 | ↓ -98% |
| Humana | PPO | $170.55 | ↓ -97% |
| Humana | HMO | $170.55 | ↓ -97% |
| Texas Athletic Network | Premier | $300.00 | ↓ -94% |
| Superior Health Plan | CHIP | $307.13 | ↓ -94% |
| Superior Health Plan | STARPLUS | $307.13 | ↓ -94% |
| Superior Health Plan | STAR | $307.13 | ↓ -94% |
| Superior Health Plan | STARKids | $307.13 | ↓ -94% |
| Superior Health Plan | CHPFC | $307.13 | ↓ -94% |
| Texas Athletic Network | PremierPlus | $500.00 | ↓ -90% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↓ -88% |
| Community Health Choice MCD | STAR+PLUS | $665.45 | ↓ -87% |
| Community Health Choice MCD | CHIP | $665.45 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $665.45 | ↓ -87% |
| Community Health Choice MCD | STAR | $665.45 | ↓ -87% |
| Amerigroup | MGMCD | $716.63 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $716.63 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $849.72 | ↓ -83% |
| Oscar | HIX | $998.17 | ↓ -80% |
| United | OptionsPPO | $1,034.00 | ↓ -80% |
| Texas Childrens Health Plans | STARKIDS | $1,213.16 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $1,213.16 | ↓ -76% |
| IPA Management Services | COMM | $1,279.70 | ↓ -75% |
| Healthcare Highways | NarrowNetwork | $1,305.30 | ↓ -74% |
| Evry Health | BroadNetwork | $1,397.44 | ↓ -73% |
| BCBS | Traditional | $1,791.59 | ↓ -65% |
| Curative Administrators | COMM | $2,047.53 | ↓ -60% |
| Christus (USFHP) | TRICARE | $2,047.53 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $2,201.09 | ↓ -57% |
| United | GlobalAppendix | $2,303.47 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $2,303.47 | ↓ -55% |
| Multiplan | SAVILITYNETWORK | $2,559.41 | ↓ -50% |
| Coventry National First Health | COMM | $2,728.33 | ↓ -47% |
| Rockport Workers Comp | COMM | $2,815.35 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $2,815.35 | ↓ -45% |
| National Healthcare Solutions | COMM | $3,071.29 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $3,071.29 | ↓ -40% |
| Independent Medical System | COMM | $3,071.29 | ↓ -40% |
| Beech Street | WCOMP | $3,071.29 | ↓ -40% |
| Coastal Comp | COMM | $3,327.23 | ↓ -35% |
| Cigna Behavioral Health | COMMBH | $4,095.06 | ↓ -20% |
| Beech Street | COMMPPO | $4,095.06 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $4,197.43 | ↓ -18% |
| Physicians, INC | COMM | $4,351.00 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $4,351.00 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $4,606.94 | ↓ -10% |
| Affiliated PPO | COMM | $4,606.94 | ↓ -10% |
Visitor-reported prices
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Prgrmg eval implantable dfb at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $202.13 | $35.62 – $252.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $304.15 | $62.60 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $283.25 | $35.62 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $202.13 | $35.62 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $304.15 | $35.62 – $917.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $304.15 | $93.42 – $456.22 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $283.25 | $35.62 – $424.87 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $202.13 | $35.62 – $252.67 |