Breath test analysis c-14 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.
$79.30 with Community Health Choice MCD vs $1,737.14 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 | $79.30 | — |
| Community Health Choice MCD | STAR+PLUS | $79.30 | — |
| Community Health Choice MCD | CHIP | $79.30 | — |
| Community Health Choice MCD | CHIPPerinatal | $79.30 | — |
| United | MGMCD | $80.89 | — |
| Aetna Better Health | MGMCD | $85.64 | — |
| Molina Healthcare | STARPLUS | $87.23 | — |
| Molina Healthcare | STARKIDS | $87.23 | — |
| Molina Healthcare | STAR | $87.23 | — |
| Molina Healthcare | CHIP | $87.23 | — |
| Oscar | MGMCR | $92.52 | — |
| Devoted Health | MGMCR | $94.41 | — |
| Humana | MedicareAdvantageHMO | $94.41 | — |
| Humana | MedicareAdvantagePPOPFFS | $94.41 | — |
| Cigna HealthSpring | MCRHMO | $94.41 | — |
| Cigna HealthSpring | MCRPPO | $94.41 | — |
| Cigna HealthSpring | MCRSNP | $94.41 | — |
| Cigna HealthSpring | PFFS | $94.41 | — |
| Cigna HealthSpring | MMP | $94.41 | — |
| BCBS | MCRPPO | $94.41 | — |
| BCBS | MedicareAdvantageHMO | $94.41 | — |
| TriWest Healthcare Alliance | FED | $94.41 | — |
| WellMed | MGMCR | $94.88 | — |
| Van Lang IPA | MCR | $95.35 | — |
| United | MCR | $96.30 | — |
| WellCare | SNP | $97.24 | — |
| WellCare | PPO | $97.24 | — |
| Integranet Amerigroup IPA | MCR | $97.24 | — |
| WellCare | PFFS | $97.24 | — |
| WellCare | MCRHMO | $97.24 | — |
| WellCare | POS | $97.24 | — |
| ProCare Advantage | MGMCR | $99.13 | — |
| Shared Health | MGMCR | $99.13 | — |
| Superior Health Plan | DualEligible | $99.13 | — |
| Superior Health Plan | MCRHMO | $99.13 | — |
| Superior Health Plan | MCRPOS | $99.13 | — |
| Superior Health Plan | MCRPPO | $99.13 | — |
| Superior Health Plan | MCRSNP | $99.13 | — |
| Superior Health Plan | PFFS | $99.13 | — |
| American Health Plan | MGMCR | $99.13 | — |
| Humana | MCD | $99.13 | — |
| Provider Partners Health Plan of Texas | POS | $100.07 | — |
| Provider Partners Health Plan of Texas | PPO | $100.07 | — |
| Provider Partners Health Plan of Texas | SNP | $100.07 | — |
| Provider Partners Health Plan of Texas | PFFS | $100.07 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $100.07 | — |
| Christus (USFHP) | TRICARE | $102.18 | — |
| TriWest Health Alliance | TRCR | $102.18 | — |
| Molina | MGMCR | $102.91 | — |
| Verda Health Plan | MCR | $122.73 | — |
| Superior | ValueHMO | $136.89 | — |
| Community Health Choice | HIX | $136.89 | — |
| Superior | EPO | $146.34 | — |
| Superior | HMO | $146.34 | — |
| BCBS | MyBlueHealth | $166.16 | — |
| United | NarrowNetworkIndivExchange | $179.38 | — |
| Molina Healthcare | HIX | $202.98 | — |
| BCBS | BAV | $210.53 | — |
| United | SmallGroup | $212.42 | — |
| United | AllPayerAppendix | $212.42 | — |
| Healthcare Highways | NarrowNetwork | $229.42 | — |
| Oscar | HIX | $272.84 | — |
| BCBS | HMO | $320.99 | — |
| BCBS | EPOSOA | $343.65 | — |
| BCBS | PPO | $365.37 | — |
| Aetna | QHPExchange | $507.99 | — |
| Aetna | NBPPO | $675.17 | — |
| Aetna | NBHMO | $675.17 | — |
| Aetna | NBPOS | $675.17 | — |
| Aetna | COMMPOS | $718.22 | — |
| Aetna | COMMPPO | $718.22 | — |
| Aetna | COMMHMO | $718.22 | — |
| Aetna | OONPOS | $844.50 | — |
| Aetna | OONPPO | $844.50 | — |
| Aetna | OONHMO | $844.50 | — |
| Aetna | ASAHMO | $912.66 | — |
| Aetna | ASAPOS | $912.66 | — |
| Aetna | ASAPPO | $912.66 | — |
| Humana | PPO | $1,737.14 | — |
| Humana | HMO | $1,737.14 | — |
Visitor-reported prices
Comments
Breath test analysis c-14 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $77.71 – $229.42 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $79.30 – $229.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $197.34 | $79.30 – $246.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $401.25 | $82.59 – $601.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $421.31 | $79.30 – $526.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $197.34 | $79.30 – $246.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $401.25 | $84.85 – $601.88 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $401.25 | $79.30 – $601.88 |