Counseling visit to discuss need for ldct g0296 at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$2,748.00
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.
$2,748.00
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.
$19.77 with Humana vs $1,464.68 with Coventry National First Health — 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 |
|---|---|---|---|
| Humana | HMO | $19.77 | ↓ -99% |
| Humana | PPO | $19.77 | ↓ -99% |
| BCBS | MyBlueHealth | $63.25 | ↓ -98% |
| BCBS | BAV | $69.74 | ↓ -97% |
| BCBS | EPOSOA | $87.31 | ↓ -97% |
| BCBS | HMO | $87.31 | ↓ -97% |
| BCBS | PPO | $87.31 | ↓ -97% |
| Superior Health Plan | STARPLUS | $164.88 | ↓ -94% |
| Superior Health Plan | CHIP | $164.88 | ↓ -94% |
| Superior Health Plan | CHPFC | $164.88 | ↓ -94% |
| Superior Health Plan | STAR | $164.88 | ↓ -94% |
| Superior Health Plan | STARKids | $164.88 | ↓ -94% |
| Community Health Choice MCD | CHIP | $357.24 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $357.24 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $357.24 | ↓ -87% |
| Community Health Choice MCD | STAR | $357.24 | ↓ -87% |
| United | OptionsPPO | $461.66 | ↓ -83% |
| Healthcare Highways | NarrowNetwork | $700.74 | ↓ -75% |
| Evry Health | BroadNetwork | $750.20 | ↓ -73% |
| Aetna | NBPOS | $882.11 | ↓ -68% |
| Aetna | NBPPO | $882.11 | ↓ -68% |
| Aetna | NBHMO | $882.11 | ↓ -68% |
| Aetna | COMMPOS | $939.82 | ↓ -66% |
| Aetna | COMMHMO | $939.82 | ↓ -66% |
| Aetna | COMMPPO | $939.82 | ↓ -66% |
| BCBS | Traditional | $961.80 | ↓ -65% |
| Curative Administrators | COMM | $1,099.20 | ↓ -60% |
| Christus (USFHP) | TRICARE | $1,099.20 | ↓ -60% |
| Aetna | OONHMO | $1,101.95 | ↓ -60% |
| Aetna | OONPPO | $1,101.95 | ↓ -60% |
| Aetna | OONPOS | $1,101.95 | ↓ -60% |
| Aetna | ASAPOS | $1,189.88 | ↓ -57% |
| Aetna | ASAPPO | $1,189.88 | ↓ -57% |
| Aetna | ASAHMO | $1,189.88 | ↓ -57% |
| United | GlobalAppendix | $1,236.60 | ↓ -55% |
| Coventry National First Health | COMM | $1,464.68 | ↓ -47% |
Visitor-reported prices
Comments
Counseling visit to discuss need for ldct g0296 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | $333.00 | $19.77 – $63.25 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $19.77 – $63.25 |
| St. Joseph Health Madison Hospital | Madisonville | $6.48 | $4.72 – $77.00 |
| St. Joseph Health College Station Hospital | College Station | $6.48 | $20.35 – $77.00 |
| St. Joseph Health Grimes Hospital | Navasota | $6.48 | $13.42 – $77.00 |
| St. Joseph Health Burleson Hospital | Caldwell | $6.48 | $8.14 – $37.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $104.07 – $104.07 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $19.77 – $63.25 |