Chronic urticaria - sendout 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.
$10.47 with Community Health Choice MCD vs $166.41 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 | $10.47 | — |
| Community Health Choice MCD | STAR+PLUS | $10.47 | — |
| Community Health Choice MCD | CHIP | $10.47 | — |
| Community Health Choice MCD | CHIPPerinatal | $10.47 | — |
| United | MGMCD | $10.68 | — |
| Aetna Better Health | MGMCD | $11.31 | — |
| Molina Healthcare | STARPLUS | $11.52 | — |
| Molina Healthcare | STARKIDS | $11.52 | — |
| Molina Healthcare | STAR | $11.52 | — |
| Molina Healthcare | CHIP | $11.52 | — |
| Oscar | MGMCR | $12.21 | — |
| Devoted Health | MGMCR | $12.46 | — |
| Humana | MedicareAdvantageHMO | $12.46 | — |
| Humana | MedicareAdvantagePPOPFFS | $12.46 | — |
| United | AllPayerAppendix | $12.46 | — |
| United | NarrowNetworkIndivExchange | $12.46 | — |
| United | SmallGroup | $12.46 | — |
| Cigna HealthSpring | MCRHMO | $12.46 | — |
| Cigna HealthSpring | MCRPPO | $12.46 | — |
| Cigna HealthSpring | MCRSNP | $12.46 | — |
| Cigna HealthSpring | PFFS | $12.46 | — |
| Cigna HealthSpring | MMP | $12.46 | — |
| BCBS | MCRPPO | $12.46 | — |
| BCBS | MedicareAdvantageHMO | $12.46 | — |
| TriWest Healthcare Alliance | FED | $12.46 | — |
| WellMed | MGMCR | $12.52 | — |
| Van Lang IPA | MCR | $12.58 | — |
| United | MCR | $12.71 | — |
| WellCare | SNP | $12.83 | — |
| WellCare | PPO | $12.83 | — |
| WellCare | PFFS | $12.83 | — |
| WellCare | MCRHMO | $12.83 | — |
| WellCare | POS | $12.83 | — |
| Integranet Amerigroup IPA | MCR | $12.83 | — |
| Superior Health Plan | DualEligible | $13.08 | — |
| Superior Health Plan | MCRPOS | $13.08 | — |
| Superior Health Plan | MCRPPO | $13.08 | — |
| Superior Health Plan | MCRSNP | $13.08 | — |
| Superior Health Plan | PFFS | $13.08 | — |
| ProCare Advantage | MGMCR | $13.08 | — |
| Shared Health | MGMCR | $13.08 | — |
| Superior Health Plan | MCRHMO | $13.08 | — |
| American Health Plan | MGMCR | $13.08 | — |
| Humana | MCD | $13.09 | — |
| Provider Partners Health Plan of Texas | SNP | $13.21 | — |
| Provider Partners Health Plan of Texas | PPO | $13.21 | — |
| Provider Partners Health Plan of Texas | PFFS | $13.21 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $13.21 | — |
| Provider Partners Health Plan of Texas | POS | $13.21 | — |
| Christus (USFHP) | TRICARE | $13.49 | — |
| TriWest Health Alliance | TRCR | $13.49 | — |
| Molina | MGMCR | $13.58 | — |
| Verda Health Plan | MCR | $16.20 | — |
| Community Health Choice | HIX | $18.07 | — |
| Superior | ValueHMO | $18.07 | — |
| Superior | HMO | $19.31 | — |
| Superior | EPO | $19.31 | — |
| BCBS | MyBlueHealth | $25.17 | — |
| Molina Healthcare | HIX | $26.79 | — |
| BCBS | BAV | $27.79 | — |
| BCBS | HMO | $34.76 | — |
| Oscar | HIX | $36.01 | — |
| BCBS | EPOSOA | $37.26 | — |
| Healthcare Highways | NarrowNetwork | $37.37 | — |
| BCBS | PPO | $39.75 | — |
| Aetna | QHPExchange | $45.65 | — |
| Cigna | CSN | $51.57 | — |
| Cigna | OpenAccessPlus | $55.86 | — |
| Aetna | NBHMO | $60.70 | — |
| Aetna | NBPPO | $60.70 | — |
| Aetna | NBPOS | $60.70 | — |
| Aetna | COMMHMO | $64.49 | — |
| Aetna | COMMPOS | $64.49 | — |
| Aetna | COMMPPO | $64.49 | — |
| Cigna | PPO | $66.46 | — |
| Aetna | OONHMO | $75.76 | — |
| Aetna | OONPPO | $75.76 | — |
| Aetna | OONPOS | $75.76 | — |
| Aetna | ASAPPO | $81.92 | — |
| Aetna | ASAPOS | $81.92 | — |
| Aetna | ASAHMO | $81.92 | — |
| Humana | HMO | $166.41 | — |
| Humana | PPO | $166.41 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Chronic urticaria - sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $10.26 – $51.57 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $10.47 – $51.57 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $202.85 | $10.00 – $253.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $126.69 | $12.00 – $190.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $117.31 | $10.47 – $146.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $202.85 | $10.00 – $253.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $126.69 | $11.20 – $190.03 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $126.69 | $8.00 – $190.03 |