Arthrd elbow jt autog graft 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.
$948.00 with Superior Health Plan vs $32,488.94 with BCBS — 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 | CHPFC | $948.00 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Superior Health Plan | STAR | $948.00 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Aetna | QHPExchange | $2,370.00 | — |
| Aetna | NBHMO | $3,148.00 | — |
| Aetna | NBPOS | $3,148.00 | — |
| Aetna | COMMHMO | $3,345.00 | — |
| Aetna | COMMPOS | $3,345.00 | — |
| Aetna | NBPPO | $3,388.00 | — |
| Aetna | COMMPPO | $3,601.00 | — |
| Aetna | OONPOS | $3,934.00 | — |
| Aetna | OONHMO | $3,934.00 | — |
| Aetna | OONPPO | $4,237.00 | — |
| Aetna | ASAPOS | $4,250.00 | — |
| Aetna | ASAHMO | $4,250.00 | — |
| Aetna | ASAPPO | $4,577.00 | — |
| Humana | HMO | $4,690.00 | — |
| Humana | PPO | $4,690.00 | — |
| United | MGMCD | $5,162.41 | — |
| Molina Healthcare | STARKIDS | $5,292.12 | — |
| Molina Healthcare | STAR | $5,292.12 | — |
| Molina Healthcare | CHIP | $5,292.12 | — |
| Molina Healthcare | STARPLUS | $5,292.12 | — |
| Community Health Choice MCD | CHIPPerinatal | $5,388.34 | — |
| Community Health Choice MCD | STAR+PLUS | $5,388.34 | — |
| Community Health Choice MCD | STAR | $5,388.34 | — |
| Community Health Choice MCD | CHIP | $5,388.34 | — |
| Humana | MCD | $6,013.78 | — |
| Aetna Better Health | MGMCD | $6,073.43 | — |
| United | SmallGroup | $6,300.00 | — |
| Curative Administrators | COMM | $8,778.00 | — |
| United | NarrowNetworkIndivExchange | $8,987.00 | — |
| United | AllPayerAppendix | $9,000.00 | — |
| Healthcare Highways | NarrowNetwork | $9,124.00 | — |
| Evry Health | BroadNetwork | $9,493.00 | — |
| Oscar | HIX | $9,653.00 | — |
| Cigna | CSN | $10,398.00 | — |
| Cigna | OpenAccessPlus | $11,265.00 | — |
| Cigna | PPO | $13,394.00 | — |
| BCBS | MyBlueHealth | $24,396.46 | — |
| BCBS | BAV | $24,634.47 | — |
| BCBS | HMO | $24,634.47 | — |
| BCBS | EPOSOA | $28,561.70 | — |
| BCBS | PPO | $32,488.94 | — |
Visitor-reported prices
Comments
Arthrd elbow jt autog graft at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | not published | $2,177.00 – $2,177.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $4,714.80 – $20,707.24 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $2,177.00 – $2,177.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $4,811.02 – $20,707.24 |
| Adventhealth Rollins Brook | Lampasas | not published | $8,715.36 – $14,875.89 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $4,714.80 – $19,041.14 |
| HCA HOUSTON CONROE | CONROE | not published | $4,714.80 – $20,707.24 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $4,714.80 – $21,183.26 |