Alginate drsg >16 <=48 sq in 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.
$22.97 with Oscar vs $180.19 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 |
|---|---|---|---|
| Oscar | MGMCR | $22.97 | — |
| TriWest Healthcare Alliance | FED | $23.44 | — |
| BCBS | MCRPPO | $23.44 | — |
| Humana | MedicareAdvantageHMO | $23.44 | — |
| Humana | MedicareAdvantagePPOPFFS | $23.44 | — |
| Devoted Health | MGMCR | $23.44 | — |
| Cigna HealthSpring | MCRHMO | $23.44 | — |
| Cigna HealthSpring | MCRPPO | $23.44 | — |
| Cigna HealthSpring | MCRSNP | $23.44 | — |
| Cigna HealthSpring | PFFS | $23.44 | — |
| Cigna HealthSpring | MMP | $23.44 | — |
| TriWest Health Alliance | TRCR | $23.44 | — |
| Christus (USFHP) | TRICARE | $23.44 | — |
| BCBS | MedicareAdvantageHMO | $23.44 | — |
| WellMed | MGMCR | $23.56 | — |
| Van Lang IPA | MCR | $23.67 | — |
| BCBS | MyBlueHealth | $23.68 | — |
| United | MCR | $23.91 | — |
| WellCare | MCRHMO | $24.14 | — |
| WellCare | PFFS | $24.14 | — |
| WellCare | POS | $24.14 | — |
| WellCare | PPO | $24.14 | — |
| WellCare | SNP | $24.14 | — |
| Integranet Amerigroup IPA | MCR | $24.14 | — |
| Superior Health Plan | DualEligible | $24.61 | — |
| Superior Health Plan | MCRPOS | $24.61 | — |
| Superior Health Plan | MCRPPO | $24.61 | — |
| Superior Health Plan | MCRSNP | $24.61 | — |
| Superior Health Plan | PFFS | $24.61 | — |
| Shared Health | MGMCR | $24.61 | — |
| ProCare Advantage | MGMCR | $24.61 | — |
| American Health Plan | MGMCR | $24.61 | — |
| Superior Health Plan | MCRHMO | $24.61 | — |
| Provider Partners Health Plan of Texas | POS | $24.85 | — |
| Provider Partners Health Plan of Texas | PPO | $24.85 | — |
| Provider Partners Health Plan of Texas | SNP | $24.85 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $24.85 | — |
| Provider Partners Health Plan of Texas | PFFS | $24.85 | — |
| Molina | MGMCR | $25.55 | — |
| BCBS | BAV | $26.17 | — |
| Verda Health Plan | MCR | $30.47 | — |
| BCBS | HMO | $32.66 | — |
| Superior | ValueHMO | $33.99 | — |
| Community Health Choice | HIX | $33.99 | — |
| BCBS | EPOSOA | $34.57 | — |
| Superior | EPO | $36.33 | — |
| Superior | HMO | $36.33 | — |
| BCBS | PPO | $36.48 | — |
| Molina Healthcare | HIX | $50.40 | — |
| Humana | PPO | $180.19 | — |
| Humana | HMO | $180.19 | — |
Visitor-reported prices
Comments
Alginate drsg >16 <=48 sq in at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON TOMBALL | HOUSTON | not published | $22.97 – $50.40 |
| Covenant Children's Hospital | Lubbock | $30.74 | $21.97 – $21.97 |
| St. Joseph Health Madison Hospital | Madisonville | $269.68 | $6.25 – $44.10 |
| St. Luke's Health Memorial Lufkin | Lufkin | $20.64 | $1.58 – $6.30 |
| St. Joseph Health College Station Hospital | College Station | $269.68 | $24.01 – $41.65 |
| St. Joseph Health Grimes Hospital | Navasota | $269.68 | $17.77 – $54.39 |
| St. Luke's Health Memorial Livingston | Livingston | $20.64 | $1.39 – $6.30 |
| Covenant Medical Center | Lubbock | $30.74 | $21.97 – $91.53 |