Catheterization collection of specimen single patient all places of service 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.
$3.00 with United vs $93.26 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 |
|---|---|---|---|
| United | AllPayerAppendix | $3.00 | — |
| United | SmallGroup | $3.00 | — |
| United | NarrowNetworkIndivExchange | $3.00 | — |
| Healthcare Highways | NarrowNetwork | $7.29 | — |
| TriWest Health Alliance | TRCR | $9.09 | — |
| Christus (USFHP) | TRICARE | $9.09 | — |
| Oscar | MGMCR | $9.15 | — |
| Humana | MedicareAdvantageHMO | $9.34 | — |
| Cigna HealthSpring | MMP | $9.34 | — |
| Cigna HealthSpring | PFFS | $9.34 | — |
| Cigna HealthSpring | MCRPPO | $9.34 | — |
| Cigna HealthSpring | MCRSNP | $9.34 | — |
| Humana | MedicareAdvantagePPOPFFS | $9.34 | — |
| BCBS | MedicareAdvantageHMO | $9.34 | — |
| BCBS | MCRPPO | $9.34 | — |
| Devoted Health | MGMCR | $9.34 | — |
| Cigna HealthSpring | MCRHMO | $9.34 | — |
| TriWest Healthcare Alliance | FED | $9.34 | — |
| WellMed | MGMCR | $9.39 | — |
| Van Lang IPA | MCR | $9.43 | — |
| United | MCR | $9.53 | — |
| WellCare | PPO | $9.62 | — |
| WellCare | SNP | $9.62 | — |
| WellCare | POS | $9.62 | — |
| WellCare | MCRHMO | $9.62 | — |
| WellCare | PFFS | $9.62 | — |
| Integranet Amerigroup IPA | MCR | $9.62 | — |
| American Health Plan | MGMCR | $9.81 | — |
| Superior Health Plan | MCRHMO | $9.81 | — |
| Superior Health Plan | MCRPOS | $9.81 | — |
| Superior Health Plan | MCRPPO | $9.81 | — |
| Superior Health Plan | MCRSNP | $9.81 | — |
| Superior Health Plan | PFFS | $9.81 | — |
| Superior Health Plan | DualEligible | $9.81 | — |
| Shared Health | MGMCR | $9.81 | — |
| ProCare Advantage | MGMCR | $9.81 | — |
| Provider Partners Health Plan of Texas | PFFS | $9.90 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $9.90 | — |
| Provider Partners Health Plan of Texas | POS | $9.90 | — |
| Provider Partners Health Plan of Texas | PPO | $9.90 | — |
| Provider Partners Health Plan of Texas | SNP | $9.90 | — |
| Molina | MGMCR | $10.18 | — |
| Aetna | QHPExchange | $10.99 | — |
| Verda Health Plan | MCR | $12.14 | — |
| Community Health Choice | HIX | $13.54 | — |
| Superior | ValueHMO | $13.54 | — |
| Superior | HMO | $14.48 | — |
| Superior | EPO | $14.48 | — |
| Aetna | NBHMO | $14.61 | — |
| Aetna | NBPPO | $14.61 | — |
| Aetna | NBPOS | $14.61 | — |
| Aetna | COMMPOS | $15.53 | — |
| Aetna | COMMPPO | $15.53 | — |
| Aetna | COMMHMO | $15.53 | — |
| Aetna | OONPPO | $18.24 | — |
| Aetna | OONHMO | $18.24 | — |
| Aetna | OONPOS | $18.24 | — |
| Aetna | ASAHMO | $19.72 | — |
| Aetna | ASAPPO | $19.72 | — |
| Aetna | ASAPOS | $19.72 | — |
| Molina Healthcare | HIX | $20.08 | — |
| Oscar | HIX | $26.99 | — |
| Humana | PPO | $29.22 | — |
| Humana | HMO | $29.22 | — |
| Cigna | CSN | $34.86 | — |
| Cigna | OpenAccessPlus | $37.75 | — |
| Cigna | PPO | $44.92 | — |
| BCBS | MyBlueHealth | $72.72 | — |
| BCBS | BAV | $80.09 | — |
| BCBS | PPO | $90.72 | — |
| BCBS | EPOSOA | $91.99 | — |
| BCBS | HMO | $93.26 | — |
Visitor-reported prices
Comments
Catheterization collection of specimen single patient all places of service at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $26.95 | $4.50 – $77.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $26.95 | $4.50 – $77.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $3.00 – $34.86 |
| Covenant Children's Hospital | Lubbock | $23.52 | $6.55 – $2,444.00 |
| St. Luke's Health - Patients Medical Center | Pasadena | $25.20 | $4.50 – $54.00 |
| St. Joseph Health Madison Hospital | Madisonville | $4.73 | $2.70 – $29.54 |
| St. Luke's Health Memorial Lufkin | Lufkin | $44.40 | $3.25 – $26.49 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $26.95 | $4.50 – $77.00 |