Administration vaccine pneumococcal at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
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.
$14.60 with Superior Health Plan vs $193.92 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $14.60 | — |
| Superior Health Plan | CHPFC | $14.60 | — |
| Superior Health Plan | STAR | $14.60 | — |
| Superior Health Plan | STARKids | $14.60 | — |
| Superior Health Plan | CHIP | $14.60 | — |
| Community Health Choice MCD | STAR+PLUS | $31.64 | — |
| Community Health Choice MCD | CHIP | $31.64 | — |
| Community Health Choice MCD | STAR | $31.64 | — |
| Community Health Choice MCD | CHIPPerinatal | $31.64 | — |
| Cigna | CSN | $36.02 | — |
| Cigna | OpenAccessPlus | $38.94 | — |
| United | OptionsPPO | $40.89 | — |
| Cigna | PPO | $46.24 | — |
| Oscar | HIX | $47.46 | — |
| Healthcare Highways | NarrowNetwork | $62.06 | — |
| Aetna | QHPExchange | $64.50 | — |
| Evry Health | BroadNetwork | $66.45 | — |
| Aetna | NBPPO | $78.13 | — |
| Aetna | NBHMO | $78.13 | — |
| Aetna | NBPOS | $78.13 | — |
| Aetna | COMMPOS | $83.24 | — |
| Aetna | COMMPPO | $83.24 | — |
| Aetna | COMMHMO | $83.24 | — |
| BCBS | Traditional | $85.19 | — |
| Christus (USFHP) | TRICARE | $97.36 | — |
| Curative Administrators | COMM | $97.36 | — |
| Aetna | OONPPO | $97.60 | — |
| Aetna | OONPOS | $97.60 | — |
| Aetna | OONHMO | $97.60 | — |
| Aetna | ASAPPO | $105.39 | — |
| Aetna | ASAPOS | $105.39 | — |
| Aetna | ASAHMO | $105.39 | — |
| United | GlobalAppendix | $109.53 | — |
| BCBS | MyBlueHealth | $112.16 | — |
| BCBS | BAV | $123.66 | — |
| Coventry National First Health | COMM | $129.73 | — |
| BCBS | HMO | $154.81 | — |
| BCBS | EPOSOA | $154.81 | — |
| BCBS | PPO | $154.81 | — |
| Humana | HMO | $193.92 | — |
| Humana | PPO | $193.92 | — |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $51.80 | $39.96 – $148.00 |
| HCA HOUSTON WEST | HOUSTON | $107.00 | $112.16 – $193.92 |
| St. Luke's Health - The Vintage Hospital | Houston | $51.80 | $37.00 – $148.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $112.16 – $193.92 |
| St. Luke's Health - Patients Medical Center | Pasadena | $45.15 | $37.00 – $96.75 |
| St. Luke's Health Memorial Lufkin | Lufkin | $31.50 | $82.62 – $145.80 |
| HCA HOUSTON PEARLAND | Pearland | $85.13 | $112.16 – $193.92 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $51.80 | $37.00 – $148.00 |