Cell function assay w/stim 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$114.12 with Community Health Choice MCD vs $1,814.84 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $114.12 | — |
| Community Health Choice MCD | STAR+PLUS | $114.12 | — |
| Community Health Choice MCD | CHIP | $114.12 | — |
| Community Health Choice MCD | CHIPPerinatal | $114.12 | — |
| United | MGMCD | $116.40 | — |
| Aetna Better Health | MGMCD | $123.25 | — |
| Molina Healthcare | STARPLUS | $125.53 | — |
| Molina Healthcare | STARKIDS | $125.53 | — |
| Molina Healthcare | STAR | $125.53 | — |
| Molina Healthcare | CHIP | $125.53 | — |
| Oscar | MGMCR | $133.14 | — |
| Devoted Health | MGMCR | $135.86 | — |
| Humana | MedicareAdvantageHMO | $135.86 | — |
| Humana | MedicareAdvantagePPOPFFS | $135.86 | — |
| United | AllPayerAppendix | $135.86 | — |
| United | NarrowNetworkIndivExchange | $135.86 | — |
| United | SmallGroup | $135.86 | — |
| Cigna HealthSpring | MCRHMO | $135.86 | — |
| Cigna HealthSpring | MCRPPO | $135.86 | — |
| Cigna HealthSpring | MCRSNP | $135.86 | — |
| Cigna HealthSpring | PFFS | $135.86 | — |
| Cigna HealthSpring | MMP | $135.86 | — |
| BCBS | MCRPPO | $135.86 | — |
| BCBS | MedicareAdvantageHMO | $135.86 | — |
| TriWest Healthcare Alliance | FED | $135.86 | — |
| WellMed | MGMCR | $136.54 | — |
| Van Lang IPA | MCR | $137.22 | — |
| United | MCR | $138.58 | — |
| WellCare | SNP | $139.94 | — |
| WellCare | PPO | $139.94 | — |
| WellCare | PFFS | $139.94 | — |
| WellCare | MCRHMO | $139.94 | — |
| WellCare | POS | $139.94 | — |
| Integranet Amerigroup IPA | MCR | $139.94 | — |
| Superior Health Plan | MCRHMO | $142.65 | — |
| Superior Health Plan | MCRPOS | $142.65 | — |
| Superior Health Plan | MCRPPO | $142.65 | — |
| Superior Health Plan | MCRSNP | $142.65 | — |
| Superior Health Plan | PFFS | $142.65 | — |
| ProCare Advantage | MGMCR | $142.65 | — |
| Shared Health | MGMCR | $142.65 | — |
| Humana | MCD | $142.65 | — |
| American Health Plan | MGMCR | $142.65 | — |
| Superior Health Plan | DualEligible | $142.65 | — |
| Provider Partners Health Plan of Texas | SNP | $144.01 | — |
| Provider Partners Health Plan of Texas | PPO | $144.01 | — |
| Provider Partners Health Plan of Texas | PFFS | $144.01 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $144.01 | — |
| Provider Partners Health Plan of Texas | POS | $144.01 | — |
| Christus (USFHP) | TRICARE | $147.04 | — |
| TriWest Health Alliance | TRCR | $147.04 | — |
| Molina | MGMCR | $148.09 | — |
| Verda Health Plan | MCR | $176.62 | — |
| Community Health Choice | HIX | $197.00 | — |
| Superior | ValueHMO | $197.00 | — |
| Superior | HMO | $210.58 | — |
| Superior | EPO | $210.58 | — |
| BCBS | MyBlueHealth | $274.44 | — |
| Molina Healthcare | HIX | $292.10 | — |
| BCBS | BAV | $302.97 | — |
| BCBS | HMO | $379.05 | — |
| Oscar | HIX | $392.64 | — |
| BCBS | EPOSOA | $406.22 | — |
| Healthcare Highways | NarrowNetwork | $407.59 | — |
| BCBS | PPO | $433.39 | — |
| Aetna | QHPExchange | $497.67 | — |
| Cigna | CSN | $558.96 | — |
| Cigna | OpenAccessPlus | $605.43 | — |
| Aetna | NBHMO | $661.83 | — |
| Aetna | NBPPO | $661.83 | — |
| Aetna | NBPOS | $661.83 | — |
| Aetna | COMMHMO | $703.13 | — |
| Aetna | COMMPOS | $703.13 | — |
| Aetna | COMMPPO | $703.13 | — |
| Cigna | PPO | $720.32 | — |
| Aetna | OONHMO | $826.00 | — |
| Aetna | OONPPO | $826.00 | — |
| Aetna | OONPOS | $826.00 | — |
| Aetna | ASAPPO | $893.11 | — |
| Aetna | ASAPOS | $893.11 | — |
| Aetna | ASAHMO | $893.11 | — |
| Humana | HMO | $1,814.84 | — |
| Humana | PPO | $1,814.84 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cell function assay w/stim at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $111.84 – $558.96 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $114.12 – $558.96 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $438.90 | $10.00 – $375.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $492.41 | $12.00 – $450.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $448.39 | $12.00 – $375.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $438.90 | $10.00 – $375.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $492.41 | $12.00 – $450.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $492.41 | $8.00 – $450.00 |