Biopsy of heart lining at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$15,637.71
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.
$15,637.71
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.
$2,032.90 with Community Health Choice MCD vs $17,384.00 with Curative Administrators — 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 | CHIPPerinatal | $2,032.90 | ↓ -87% |
| Community Health Choice MCD | CHIP | $2,032.90 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $2,032.90 | ↓ -87% |
| Community Health Choice MCD | STAR | $2,032.90 | ↓ -87% |
| United | OptionsPPO | $2,627.14 | ↓ -83% |
| Superior Health Plan | STAR | $2,795.00 | ↓ -82% |
| Superior Health Plan | STARPLUS | $2,795.00 | ↓ -82% |
| Superior Health Plan | STARKids | $2,795.00 | ↓ -82% |
| Superior Health Plan | CHIP | $2,795.00 | ↓ -82% |
| Superior Health Plan | CHPFC | $2,795.00 | ↓ -82% |
| Humana | HMO | $4,690.00 | ↓ -70% |
| Humana | PPO | $4,690.00 | ↓ -70% |
| United | SmallGroup | $4,760.00 | ↓ -70% |
| BCBS | Traditional | $5,473.20 | ↓ -65% |
| Oscar | HIX | $5,571.00 | ↓ -64% |
| United | NarrowNetworkIndivExchange | $5,951.00 | ↓ -62% |
| BCBS | MyBlueHealth | $6,124.53 | ↓ -61% |
| Christus (USFHP) | TRICARE | $6,255.08 | ↓ -60% |
| BCBS | BAV | $6,734.21 | ↓ -57% |
| United | AllPayerAppendix | $6,800.00 | ↓ -57% |
| United | GlobalAppendix | $7,036.97 | ↓ -55% |
| Coventry National First Health | COMM | $8,334.90 | ↓ -47% |
| Aetna | QHPExchange | $9,064.00 | ↓ -42% |
| BCBS | HMO | $9,339.21 | ↓ -40% |
| BCBS | EPOSOA | $9,976.61 | ↓ -36% |
| Healthcare Highways | NarrowNetwork | $10,342.00 | ↓ -34% |
| BCBS | PPO | $10,614.00 | ↓ -32% |
| Aetna | NBHMO | $12,039.00 | ↓ -23% |
| Aetna | NBPPO | $12,039.00 | ↓ -23% |
| Aetna | NBPOS | $12,039.00 | ↓ -23% |
| Aetna | COMMPPO | $12,794.00 | ↓ -18% |
| Aetna | COMMPOS | $12,794.00 | ↓ -18% |
| Aetna | COMMHMO | $12,794.00 | ↓ -18% |
| Aetna | OONPOS | $15,050.00 | ↓ -4% |
| Aetna | OONPPO | $15,050.00 | ↓ -4% |
| Aetna | OONHMO | $15,050.00 | ↓ -4% |
| Aetna | ASAPPO | $16,261.00 | ↑ +4% |
| Aetna | ASAPOS | $16,261.00 | ↑ +4% |
| Aetna | ASAHMO | $16,261.00 | ↑ +4% |
| Evry Health | BroadNetwork | $16,640.00 | ↑ +6% |
| Curative Administrators | COMM | $17,384.00 | ↑ +11% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $3,336.90 | $100.00 – $9,534.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $3,336.90 | $100.00 – $9,534.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $5,210.01 – $5,210.01 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $6,124.53 – $6,124.53 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,819.15 | $1,648.76 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,306.49 | $1,298.09 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,099.77 | $1,019.95 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,819.15 | $1,551.77 – $17,181.00 |