Clotting assay whole blood at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$1,210.50
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.
$1,210.50
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.
$19.89 with United vs $968.40 with TriWest Healthcare Alliance — 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 | SmallGroup | $19.89 | ↓ -98% |
| United | AllPayerAppendix | $19.89 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $19.89 | ↓ -98% |
| BCBS | MyBlueHealth | $42.22 | ↓ -97% |
| BCBS | BAV | $46.61 | ↓ -96% |
| Cigna | CSN | $54.38 | ↓ -96% |
| BCBS | HMO | $58.31 | ↓ -95% |
| Cigna | OpenAccessPlus | $58.91 | ↓ -95% |
| BCBS | EPOSOA | $62.49 | ↓ -95% |
| BCBS | PPO | $66.67 | ↓ -94% |
| Cigna | PPO | $70.08 | ↓ -94% |
| Superior Health Plan | STAR | $72.63 | ↓ -94% |
| Superior Health Plan | STARPLUS | $72.63 | ↓ -94% |
| Superior Health Plan | CHIP | $72.63 | ↓ -94% |
| Superior Health Plan | CHPFC | $72.63 | ↓ -94% |
| Superior Health Plan | STARKids | $72.63 | ↓ -94% |
| Aetna | QHPExchange | $74.18 | ↓ -94% |
| Aetna | NBPPO | $98.65 | ↓ -92% |
| Aetna | NBPOS | $98.65 | ↓ -92% |
| Aetna | NBHMO | $98.65 | ↓ -92% |
| Aetna | COMMHMO | $104.81 | ↓ -91% |
| Aetna | COMMPOS | $104.81 | ↓ -91% |
| Aetna | COMMPPO | $104.81 | ↓ -91% |
| Aetna | OONPOS | $123.12 | ↓ -90% |
| Aetna | OONPPO | $123.12 | ↓ -90% |
| Aetna | OONHMO | $123.12 | ↓ -90% |
| Aetna | ASAPOS | $133.12 | ↓ -89% |
| Aetna | ASAHMO | $133.12 | ↓ -89% |
| Aetna | ASAPPO | $133.12 | ↓ -89% |
| Community Health Choice MCD | CHIP | $157.37 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $157.37 | ↓ -87% |
| Community Health Choice MCD | STAR | $157.37 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $157.37 | ↓ -87% |
| United | OptionsPPO | $203.36 | ↓ -83% |
| Humana | HMO | $223.43 | ↓ -82% |
| Humana | PPO | $223.43 | ↓ -82% |
| Oscar | HIX | $236.05 | ↓ -80% |
| Healthcare Highways | NarrowNetwork | $308.68 | ↓ -74% |
| Molina Healthcare | HIX | $326.83 | ↓ -73% |
| Evry Health | BroadNetwork | $330.47 | ↓ -73% |
| BCBS | Traditional | $423.68 | ↓ -65% |
| Christus (USFHP) | TRICARE | $484.20 | ↓ -60% |
| United | GlobalAppendix | $544.73 | ↓ -55% |
| Coventry National First Health | COMM | $645.20 | ↓ -47% |
| TriWest Healthcare Alliance | FED | $968.40 | ↓ -20% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Clotting assay whole blood at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $224.00 | $25.08 – $640.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $224.00 | $29.74 – $640.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $19.89 – $223.43 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $19.89 – $223.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $101.52 | $12.00 – $152.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $101.52 | $12.00 – $126.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $101.52 | $12.00 – $152.28 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $101.52 | $8.00 – $152.28 |