Consultation/report referred slides prepared elsewhere at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$129.24
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.
$129.24
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.
$7.75 with Superior Health Plan vs $1,101.80 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $7.75 | ↓ -94% |
| Superior Health Plan | STARPLUS | $7.75 | ↓ -94% |
| Superior Health Plan | STARKids | $7.75 | ↓ -94% |
| Superior Health Plan | STAR | $7.75 | ↓ -94% |
| Superior Health Plan | CHPFC | $7.75 | ↓ -94% |
| Community Health Choice MCD | CHIP | $16.80 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $16.80 | ↓ -87% |
| Community Health Choice MCD | STAR | $16.80 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $16.80 | ↓ -87% |
| United | OptionsPPO | $21.71 | ↓ -83% |
| Oscar | HIX | $25.20 | ↓ -81% |
| Healthcare Highways | NarrowNetwork | $32.96 | ↓ -74% |
| United | AllPayerAppendix | $33.84 | ↓ -74% |
| United | SmallGroup | $33.84 | ↓ -74% |
| United | NarrowNetworkIndivExchange | $33.84 | ↓ -74% |
| Evry Health | BroadNetwork | $35.28 | ↓ -73% |
| BCBS | Traditional | $45.23 | ↓ -65% |
| Christus (USFHP) | TRICARE | $51.70 | ↓ -60% |
| United | GlobalAppendix | $58.16 | ↓ -55% |
| BCBS | MyBlueHealth | $67.53 | ↓ -48% |
| Coventry National First Health | COMM | $68.88 | ↓ -47% |
| BCBS | BAV | $74.55 | ↓ -42% |
| BCBS | HMO | $93.27 | ↓ -28% |
| BCBS | EPOSOA | $99.96 | ↓ -23% |
| BCBS | PPO | $106.64 | ↓ -17% |
| Cigna | CSN | $233.69 | ↑ +81% |
| Cigna | OpenAccessPlus | $253.12 | ↑ +96% |
| Cigna | PPO | $301.15 | ↑ +133% |
| Aetna | QHPExchange | $316.14 | ↑ +145% |
| Aetna | NBHMO | $420.43 | ↑ +225% |
| Aetna | NBPOS | $420.43 | ↑ +225% |
| Aetna | NBPPO | $420.43 | ↑ +225% |
| Aetna | COMMPOS | $446.67 | ↑ +246% |
| Aetna | COMMHMO | $446.67 | ↑ +246% |
| Aetna | COMMPPO | $446.67 | ↑ +246% |
| Aetna | OONPOS | $524.72 | ↑ +306% |
| Aetna | OONHMO | $524.72 | ↑ +306% |
| Aetna | OONPPO | $524.72 | ↑ +306% |
| Aetna | ASAPOS | $567.35 | ↑ +339% |
| Aetna | ASAHMO | $567.35 | ↑ +339% |
| Aetna | ASAPPO | $567.35 | ↑ +339% |
| Humana | HMO | $1,101.80 | ↑ +753% |
| Humana | PPO | $1,101.80 | ↑ +753% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $54.95 | $40.12 – $157.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $54.95 | $42.39 – $157.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $80.05 | $33.84 – $1,101.80 |
| HCA HOUSTON WEST | HOUSTON | not published | $33.84 – $1,101.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $171.65 | $10.00 – $214.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $151.88 | $12.00 – $227.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $147.46 | $12.00 – $184.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $171.65 | $10.00 – $214.57 |