X-ray exam of tear duct 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.
$56.43 with Texas Health Network vs $2,429.27 with Aetna — 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 |
|---|---|---|---|
| Texas Health Network | MCD | $56.43 | — |
| Community Health Choice MCD | STAR+PLUS | $57.57 | — |
| Community Health Choice MCD | CHIP | $57.57 | — |
| Community Health Choice MCD | CHIPPerinatal | $57.57 | — |
| Community Health Choice MCD | STAR | $57.57 | — |
| Amerigroup | MGMCD | $57.58 | — |
| Texas Childrens Health Plans | STAR | $57.58 | — |
| Amerigroup | MCDCHIPBH | $57.58 | — |
| Texas Childrens Health Plans | STARKIDS | $57.58 | — |
| UTMB | MGMCD | $57.58 | — |
| United | MGMCD | $58.72 | — |
| Aetna Better Health | MGMCD | $62.18 | — |
| Molina Healthcare | STARPLUS | $63.34 | — |
| Molina Healthcare | CHIP | $63.34 | — |
| Molina Healthcare | STAR | $63.34 | — |
| Molina Healthcare | STARKIDS | $63.34 | — |
| Humana | MCD | $71.97 | — |
| Cigna | CSN | $126.22 | — |
| Cigna | OpenAccessPlus | $136.60 | — |
| Cigna | PPO | $162.38 | — |
| BCBS | MyBlueHealth | $410.15 | — |
| United | NarrowNetworkIndivExchange | $437.25 | — |
| BCBS | BAV | $442.78 | — |
| United | AllPayerAppendix | $517.79 | — |
| United | SmallGroup | $517.79 | — |
| Humana | PPO | $773.17 | — |
| Humana | HMO | $773.17 | — |
| BCBS | HMO | $792.34 | — |
| BCBS | EPOSOA | $822.63 | — |
| BCBS | PPO | $850.60 | — |
| Aetna | QHPExchange | $1,352.14 | — |
| Aetna | NBHMO | $1,797.12 | — |
| Aetna | NBPOS | $1,797.12 | — |
| Aetna | NBPPO | $1,797.12 | — |
| Aetna | COMMHMO | $1,911.71 | — |
| Aetna | COMMPPO | $1,911.71 | — |
| Aetna | COMMPOS | $1,911.71 | — |
| Aetna | OONHMO | $2,247.83 | — |
| Aetna | OONPOS | $2,247.83 | — |
| Aetna | OONPPO | $2,247.83 | — |
| Aetna | ASAPPO | $2,429.27 | — |
| Aetna | ASAPOS | $2,429.27 | — |
| Aetna | ASAHMO | $2,429.27 | — |
Visitor-reported prices
Comments
X-ray exam of tear duct at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $864.68 | $177.98 – $1,297.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $907.91 | $57.58 – $1,134.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $864.68 | $61.61 – $1,297.02 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $864.68 | $57.58 – $1,297.02 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $907.91 | $57.58 – $1,361.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $864.68 | $57.58 – $1,080.85 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $864.68 | $57.58 – $1,297.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $907.91 | $57.58 – $1,361.86 |