Antibody bacterium, not elsewhere specified 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.
$7.52 with Superior Health Plan vs $172.04 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 | CHIP | $7.52 | — |
| Superior Health Plan | CHPFC | $7.52 | — |
| Superior Health Plan | STAR | $7.52 | — |
| Superior Health Plan | STARKids | $7.52 | — |
| Superior Health Plan | STARPLUS | $7.52 | — |
| Community Health Choice MCD | CHIPPerinatal | $10.82 | — |
| Community Health Choice MCD | CHIP | $10.82 | — |
| Community Health Choice MCD | STAR | $10.82 | — |
| Community Health Choice MCD | STAR+PLUS | $10.82 | — |
| United | MGMCD | $11.04 | — |
| Aetna Better Health | MGMCD | $11.69 | — |
| Molina Healthcare | STARPLUS | $11.90 | — |
| Molina Healthcare | CHIP | $11.90 | — |
| Molina Healthcare | STAR | $11.90 | — |
| Molina Healthcare | STARKIDS | $11.90 | — |
| Oscar | MGMCR | $12.62 | — |
| TriWest Healthcare Alliance | FED | $12.88 | — |
| United | AllPayerAppendix | $12.88 | — |
| United | SmallGroup | $12.88 | — |
| United | NarrowNetworkIndivExchange | $12.88 | — |
| Humana | MedicareAdvantagePPOPFFS | $12.88 | — |
| Devoted Health | MGMCR | $12.88 | — |
| Humana | MedicareAdvantageHMO | $12.88 | — |
| BCBS | MedicareAdvantageHMO | $12.88 | — |
| BCBS | MCRPPO | $12.88 | — |
| Cigna HealthSpring | MMP | $12.88 | — |
| Cigna HealthSpring | PFFS | $12.88 | — |
| Cigna HealthSpring | MCRSNP | $12.88 | — |
| Cigna HealthSpring | MCRPPO | $12.88 | — |
| Cigna HealthSpring | MCRHMO | $12.88 | — |
| WellMed | MGMCR | $12.94 | — |
| Van Lang IPA | MCR | $13.01 | — |
| United | MCR | $13.14 | — |
| WellCare | PPO | $13.27 | — |
| WellCare | POS | $13.27 | — |
| WellCare | MCRHMO | $13.27 | — |
| WellCare | PFFS | $13.27 | — |
| Integranet Amerigroup IPA | MCR | $13.27 | — |
| WellCare | SNP | $13.27 | — |
| American Health Plan | MGMCR | $13.52 | — |
| Superior Health Plan | DualEligible | $13.52 | — |
| Superior Health Plan | MCRHMO | $13.52 | — |
| Superior Health Plan | MCRPOS | $13.52 | — |
| Superior Health Plan | MCRPPO | $13.52 | — |
| Superior Health Plan | MCRSNP | $13.52 | — |
| Superior Health Plan | PFFS | $13.52 | — |
| ProCare Advantage | MGMCR | $13.52 | — |
| Shared Health | MGMCR | $13.52 | — |
| Humana | MCD | $13.53 | — |
| Provider Partners Health Plan of Texas | POS | $13.65 | — |
| Provider Partners Health Plan of Texas | PPO | $13.65 | — |
| Provider Partners Health Plan of Texas | PFFS | $13.65 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $13.65 | — |
| Provider Partners Health Plan of Texas | SNP | $13.65 | — |
| TriWest Health Alliance | TRCR | $13.94 | — |
| Christus (USFHP) | TRICARE | $13.94 | — |
| Molina | MGMCR | $14.04 | — |
| Verda Health Plan | MCR | $16.74 | — |
| Community Health Choice | HIX | $18.68 | — |
| Superior | ValueHMO | $18.68 | — |
| Superior | HMO | $19.96 | — |
| Superior | EPO | $19.96 | — |
| United | OptionsPPO | $21.05 | — |
| BCBS | MyBlueHealth | $26.02 | — |
| Molina Healthcare | HIX | $27.69 | — |
| BCBS | BAV | $28.72 | — |
| Evry Health | BroadNetwork | $34.20 | — |
| BCBS | HMO | $35.94 | — |
| Oscar | HIX | $37.22 | — |
| BCBS | EPOSOA | $38.51 | — |
| Healthcare Highways | NarrowNetwork | $38.64 | — |
| BCBS | PPO | $41.09 | — |
| BCBS | Traditional | $43.85 | — |
| Aetna | QHPExchange | $47.19 | — |
| Cigna | CSN | $52.96 | — |
| United | GlobalAppendix | $56.38 | — |
| Cigna | OpenAccessPlus | $57.36 | — |
| Aetna | NBPOS | $62.75 | — |
| Aetna | NBPPO | $62.75 | — |
| Aetna | NBHMO | $62.75 | — |
| Aetna | COMMPOS | $66.67 | — |
| Aetna | COMMHMO | $66.67 | — |
| Aetna | COMMPPO | $66.67 | — |
| Coventry National First Health | COMM | $66.77 | — |
| Cigna | PPO | $68.24 | — |
| Aetna | OONHMO | $78.32 | — |
| Aetna | OONPOS | $78.32 | — |
| Aetna | OONPPO | $78.32 | — |
| Aetna | ASAPOS | $84.68 | — |
| Aetna | ASAPPO | $84.68 | — |
| Aetna | ASAHMO | $84.68 | — |
| Humana | PPO | $172.04 | — |
| Humana | HMO | $172.04 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Antibody bacterium, not elsewhere specified at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON TOMBALL | HOUSTON | not published | $10.82 – $52.96 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $110.72 | $10.00 – $81.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $105.45 | $12.00 – $96.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $105.45 | $10.82 – $76.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $110.72 | $10.00 – $81.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $105.45 | $11.58 – $96.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $105.45 | $8.00 – $96.68 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $105.45 | $10.82 – $92.07 |