Adh-sendout at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$498.50
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.
$498.50
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.
$28.51 with Community Health Choice MCD vs $453.36 with Humana — 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 |
|---|---|---|---|
| Community Health Choice MCD | STAR+PLUS | $28.51 | ↓ -94% |
| Community Health Choice MCD | CHIP | $28.51 | ↓ -94% |
| Community Health Choice MCD | STAR | $28.51 | ↓ -94% |
| Community Health Choice MCD | CHIPPerinatal | $28.51 | ↓ -94% |
| United | MGMCD | $29.08 | ↓ -94% |
| Superior Health Plan | STARKids | $29.91 | ↓ -94% |
| Superior Health Plan | CHIP | $29.91 | ↓ -94% |
| Superior Health Plan | CHPFC | $29.91 | ↓ -94% |
| Superior Health Plan | STARPLUS | $29.91 | ↓ -94% |
| Superior Health Plan | STAR | $29.91 | ↓ -94% |
| Aetna Better Health | MGMCD | $30.79 | ↓ -94% |
| Molina Healthcare | STAR | $31.36 | ↓ -94% |
| Molina Healthcare | STARPLUS | $31.36 | ↓ -94% |
| Molina Healthcare | CHIP | $31.36 | ↓ -94% |
| Molina Healthcare | STARKIDS | $31.36 | ↓ -94% |
| Oscar | MGMCR | $33.26 | ↓ -93% |
| TriWest Healthcare Alliance | FED | $33.94 | ↓ -93% |
| United | AllPayerAppendix | $33.94 | ↓ -93% |
| Humana | MedicareAdvantageHMO | $33.94 | ↓ -93% |
| Humana | MedicareAdvantagePPOPFFS | $33.94 | ↓ -93% |
| Devoted Health | MGMCR | $33.94 | ↓ -93% |
| BCBS | MedicareAdvantageHMO | $33.94 | ↓ -93% |
| BCBS | MCRPPO | $33.94 | ↓ -93% |
| Cigna HealthSpring | MMP | $33.94 | ↓ -93% |
| Cigna HealthSpring | PFFS | $33.94 | ↓ -93% |
| Cigna HealthSpring | MCRSNP | $33.94 | ↓ -93% |
| Cigna HealthSpring | MCRPPO | $33.94 | ↓ -93% |
| Cigna HealthSpring | MCRHMO | $33.94 | ↓ -93% |
| United | SmallGroup | $33.94 | ↓ -93% |
| United | NarrowNetworkIndivExchange | $33.94 | ↓ -93% |
| WellMed | MGMCR | $34.11 | ↓ -93% |
| Van Lang IPA | MCR | $34.28 | ↓ -93% |
| United | MCR | $34.62 | ↓ -93% |
| WellCare | PFFS | $34.96 | ↓ -93% |
| WellCare | SNP | $34.96 | ↓ -93% |
| WellCare | PPO | $34.96 | ↓ -93% |
| WellCare | POS | $34.96 | ↓ -93% |
| Integranet Amerigroup IPA | MCR | $34.96 | ↓ -93% |
| WellCare | MCRHMO | $34.96 | ↓ -93% |
| American Health Plan | MGMCR | $35.64 | ↓ -93% |
| Humana | MCD | $35.64 | ↓ -93% |
| Superior Health Plan | DualEligible | $35.64 | ↓ -93% |
| Superior Health Plan | MCRHMO | $35.64 | ↓ -93% |
| Superior Health Plan | MCRPOS | $35.64 | ↓ -93% |
| Superior Health Plan | MCRPPO | $35.64 | ↓ -93% |
| Superior Health Plan | MCRSNP | $35.64 | ↓ -93% |
| Superior Health Plan | PFFS | $35.64 | ↓ -93% |
| ProCare Advantage | MGMCR | $35.64 | ↓ -93% |
| Shared Health | MGMCR | $35.64 | ↓ -93% |
| Provider Partners Health Plan of Texas | MCRHMO | $35.98 | ↓ -93% |
| Provider Partners Health Plan of Texas | POS | $35.98 | ↓ -93% |
| Provider Partners Health Plan of Texas | SNP | $35.98 | ↓ -93% |
| Provider Partners Health Plan of Texas | PFFS | $35.98 | ↓ -93% |
| Provider Partners Health Plan of Texas | PPO | $35.98 | ↓ -93% |
| Christus (USFHP) | TRICARE | $36.73 | ↓ -93% |
| TriWest Health Alliance | TRCR | $36.73 | ↓ -93% |
| Molina | MGMCR | $36.99 | ↓ -93% |
| Verda Health Plan | MCR | $44.12 | ↓ -91% |
| Community Health Choice | HIX | $49.21 | ↓ -90% |
| Superior | ValueHMO | $49.21 | ↓ -90% |
| Superior | EPO | $52.61 | ↓ -89% |
| Superior | HMO | $52.61 | ↓ -89% |
| BCBS | MyBlueHealth | $68.56 | ↓ -86% |
| Molina Healthcare | HIX | $72.97 | ↓ -85% |
| BCBS | BAV | $75.69 | ↓ -85% |
| United | OptionsPPO | $83.75 | ↓ -83% |
| BCBS | HMO | $94.69 | ↓ -81% |
| Oscar | HIX | $98.09 | ↓ -80% |
| BCBS | EPOSOA | $101.48 | ↓ -80% |
| Healthcare Highways | NarrowNetwork | $101.82 | ↓ -80% |
| BCBS | PPO | $108.27 | ↓ -78% |
| Aetna | QHPExchange | $124.31 | ↓ -75% |
| Evry Health | BroadNetwork | $136.09 | ↓ -73% |
| Cigna | CSN | $139.38 | ↓ -72% |
| Cigna | OpenAccessPlus | $150.97 | ↓ -70% |
| Aetna | NBPPO | $165.31 | ↓ -67% |
| Aetna | NBPOS | $165.31 | ↓ -67% |
| Aetna | NBHMO | $165.31 | ↓ -67% |
| BCBS | Traditional | $174.47 | ↓ -65% |
| Aetna | COMMPPO | $175.63 | ↓ -65% |
| Aetna | COMMPOS | $175.63 | ↓ -65% |
| Aetna | COMMHMO | $175.63 | ↓ -65% |
| Cigna | PPO | $179.62 | ↓ -64% |
| Aetna | OONHMO | $206.32 | ↓ -59% |
| Aetna | OONPPO | $206.32 | ↓ -59% |
| Aetna | OONPOS | $206.32 | ↓ -59% |
| Aetna | ASAHMO | $223.08 | ↓ -55% |
| Aetna | ASAPOS | $223.08 | ↓ -55% |
| Aetna | ASAPPO | $223.08 | ↓ -55% |
| United | GlobalAppendix | $224.32 | ↓ -55% |
| Coventry National First Health | COMM | $265.70 | ↓ -47% |
| Humana | HMO | $453.36 | ↓ -9% |
| Humana | PPO | $453.36 | ↓ -9% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Adh-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $59.85 | $24.44 – $171.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $59.85 | $24.44 – $171.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $431.03 | $28.51 – $139.38 |
| Adventhealth Rollins Brook | Lampasas | $433.43 | $30.55 – $130.67 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $435.33 | $10.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $414.60 | $12.00 – $101.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $414.60 | $12.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $435.33 | $10.00 – $84.38 |