Blood Count (CBC) Test 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.
$6.53 with Community Health Choice MCD vs $103.76 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 |
|---|---|---|---|
| Community Health Choice MCD | STAR | $6.53 | — |
| Community Health Choice MCD | STAR+PLUS | $6.53 | — |
| Community Health Choice MCD | CHIP | $6.53 | — |
| Community Health Choice MCD | CHIPPerinatal | $6.53 | — |
| United | MGMCD | $6.66 | — |
| Aetna Better Health | MGMCD | $7.05 | — |
| Molina Healthcare | STARPLUS | $7.18 | — |
| Molina Healthcare | STARKIDS | $7.18 | — |
| Molina Healthcare | STAR | $7.18 | — |
| Molina Healthcare | CHIP | $7.18 | — |
| Oscar | MGMCR | $7.61 | — |
| Devoted Health | MGMCR | $7.77 | — |
| Humana | MedicareAdvantageHMO | $7.77 | — |
| Humana | MedicareAdvantagePPOPFFS | $7.77 | — |
| United | AllPayerAppendix | $7.77 | — |
| United | NarrowNetworkIndivExchange | $7.77 | — |
| United | SmallGroup | $7.77 | — |
| Cigna HealthSpring | MCRHMO | $7.77 | — |
| Cigna HealthSpring | MCRPPO | $7.77 | — |
| Cigna HealthSpring | MCRSNP | $7.77 | — |
| Cigna HealthSpring | PFFS | $7.77 | — |
| Cigna HealthSpring | MMP | $7.77 | — |
| BCBS | MCRPPO | $7.77 | — |
| BCBS | MedicareAdvantageHMO | $7.77 | — |
| TriWest Healthcare Alliance | FED | $7.77 | — |
| WellMed | MGMCR | $7.81 | — |
| Van Lang IPA | MCR | $7.85 | — |
| United | MCR | $7.93 | — |
| WellCare | SNP | $8.00 | — |
| WellCare | PPO | $8.00 | — |
| WellCare | PFFS | $8.00 | — |
| WellCare | MCRHMO | $8.00 | — |
| WellCare | POS | $8.00 | — |
| Integranet Amerigroup IPA | MCR | $8.00 | — |
| Superior Health Plan | MCRHMO | $8.16 | — |
| Superior Health Plan | MCRPOS | $8.16 | — |
| Superior Health Plan | MCRPPO | $8.16 | — |
| Superior Health Plan | MCRSNP | $8.16 | — |
| Superior Health Plan | PFFS | $8.16 | — |
| ProCare Advantage | MGMCR | $8.16 | — |
| Shared Health | MGMCR | $8.16 | — |
| Humana | MCD | $8.16 | — |
| American Health Plan | MGMCR | $8.16 | — |
| Superior Health Plan | DualEligible | $8.16 | — |
| Provider Partners Health Plan of Texas | SNP | $8.24 | — |
| Provider Partners Health Plan of Texas | PPO | $8.24 | — |
| Provider Partners Health Plan of Texas | PFFS | $8.24 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $8.24 | — |
| Provider Partners Health Plan of Texas | POS | $8.24 | — |
| Christus (USFHP) | TRICARE | $8.41 | — |
| TriWest Health Alliance | TRCR | $8.41 | — |
| Molina | MGMCR | $8.47 | — |
| Verda Health Plan | MCR | $10.10 | — |
| Community Health Choice | HIX | $11.27 | — |
| Superior | ValueHMO | $11.27 | — |
| Superior | HMO | $12.04 | — |
| Superior | EPO | $12.04 | — |
| BCBS | MyBlueHealth | $15.70 | — |
| Molina Healthcare | HIX | $16.71 | — |
| BCBS | BAV | $17.33 | — |
| BCBS | HMO | $21.68 | — |
| Oscar | HIX | $22.46 | — |
| BCBS | EPOSOA | $23.23 | — |
| Healthcare Highways | NarrowNetwork | $23.30 | — |
| BCBS | PPO | $24.79 | — |
| Aetna | QHPExchange | $28.49 | — |
| Cigna | CSN | $32.04 | — |
| Cigna | OpenAccessPlus | $34.71 | — |
| Aetna | NBHMO | $37.88 | — |
| Aetna | NBPPO | $37.88 | — |
| Aetna | NBPOS | $37.88 | — |
| Aetna | COMMHMO | $40.25 | — |
| Aetna | COMMPOS | $40.25 | — |
| Aetna | COMMPPO | $40.25 | — |
| Cigna | PPO | $41.29 | — |
| Aetna | OONHMO | $47.28 | — |
| Aetna | OONPPO | $47.28 | — |
| Aetna | OONPOS | $47.28 | — |
| Aetna | ASAPPO | $51.12 | — |
| Aetna | ASAPOS | $51.12 | — |
| Aetna | ASAHMO | $51.12 | — |
| Humana | HMO | $103.76 | — |
| Humana | PPO | $103.76 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Blood Count (CBC) Test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $93.80 | $5.59 – $268.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $93.80 | $5.59 – $268.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $6.40 – $32.04 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $6.53 – $32.04 |
| Adventhealth Rollins Brook | Lampasas | $268.66 | $6.99 – $29.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $110.18 | $6.53 – $137.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $89.81 | $11.38 – $134.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $67.31 | $6.53 – $84.14 |