Cystic fibrosis cftr 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.
$419.16 with Community Health Choice MCD vs $5,399.18 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 | $419.16 | — |
| Community Health Choice MCD | STAR+PLUS | $419.16 | — |
| Community Health Choice MCD | CHIP | $419.16 | — |
| Community Health Choice MCD | CHIPPerinatal | $419.16 | — |
| United | MGMCD | $427.54 | — |
| Aetna Better Health | MGMCD | $452.69 | — |
| Molina Healthcare | STARPLUS | $461.08 | — |
| Molina Healthcare | STARKIDS | $461.08 | — |
| Molina Healthcare | STAR | $461.08 | — |
| Molina Healthcare | CHIP | $461.08 | — |
| Oscar | MGMCR | $489.02 | — |
| Devoted Health | MGMCR | $499.00 | — |
| Humana | MedicareAdvantageHMO | $499.00 | — |
| Humana | MedicareAdvantagePPOPFFS | $499.00 | — |
| United | AllPayerAppendix | $499.00 | — |
| United | NarrowNetworkIndivExchange | $499.00 | — |
| United | SmallGroup | $499.00 | — |
| Cigna HealthSpring | MCRHMO | $499.00 | — |
| Cigna HealthSpring | MCRPPO | $499.00 | — |
| Cigna HealthSpring | MCRSNP | $499.00 | — |
| Cigna HealthSpring | PFFS | $499.00 | — |
| Cigna HealthSpring | MMP | $499.00 | — |
| BCBS | MCRPPO | $499.00 | — |
| BCBS | MedicareAdvantageHMO | $499.00 | — |
| TriWest Healthcare Alliance | FED | $499.00 | — |
| WellMed | MGMCR | $501.49 | — |
| Van Lang IPA | MCR | $503.99 | — |
| United | MCR | $508.98 | — |
| WellCare | PPO | $513.97 | — |
| WellCare | MCRHMO | $513.97 | — |
| WellCare | POS | $513.97 | — |
| WellCare | SNP | $513.97 | — |
| WellCare | PFFS | $513.97 | — |
| Integranet Amerigroup IPA | MCR | $513.97 | — |
| Superior Health Plan | MCRHMO | $523.95 | — |
| Superior Health Plan | MCRPOS | $523.95 | — |
| Superior Health Plan | MCRPPO | $523.95 | — |
| Superior Health Plan | MCRSNP | $523.95 | — |
| Superior Health Plan | PFFS | $523.95 | — |
| Shared Health | MGMCR | $523.95 | — |
| American Health Plan | MGMCR | $523.95 | — |
| ProCare Advantage | MGMCR | $523.95 | — |
| Humana | MCD | $523.95 | — |
| Superior Health Plan | DualEligible | $523.95 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $528.94 | — |
| Provider Partners Health Plan of Texas | POS | $528.94 | — |
| Provider Partners Health Plan of Texas | PPO | $528.94 | — |
| Provider Partners Health Plan of Texas | PFFS | $528.94 | — |
| Provider Partners Health Plan of Texas | SNP | $528.94 | — |
| Molina | MGMCR | $543.91 | — |
| Verda Health Plan | MCR | $648.70 | — |
| Superior | ValueHMO | $723.55 | — |
| Community Health Choice | HIX | $723.55 | — |
| Superior | EPO | $773.45 | — |
| Superior | HMO | $773.45 | — |
| BCBS | MyBlueHealth | $1,007.98 | — |
| Molina Healthcare | HIX | $1,072.85 | — |
| BCBS | BAV | $1,112.77 | — |
| Healthcare Highways | NarrowNetwork | $1,212.57 | — |
| BCBS | HMO | $1,392.21 | — |
| Oscar | HIX | $1,442.11 | — |
| BCBS | EPOSOA | $1,492.01 | — |
| BCBS | PPO | $1,591.81 | — |
| Aetna | QHPExchange | $1,827.94 | — |
| Christus (USFHP) | TRICARE | $1,893.66 | — |
| TriWest Health Alliance | TRCR | $1,893.66 | — |
| Cigna | CSN | $2,053.29 | — |
| Cigna | OpenAccessPlus | $2,224.00 | — |
| Aetna | NBHMO | $2,430.93 | — |
| Aetna | NBPOS | $2,430.93 | — |
| Aetna | NBPPO | $2,430.93 | — |
| Aetna | COMMPPO | $2,582.62 | — |
| Aetna | COMMHMO | $2,582.62 | — |
| Aetna | COMMPOS | $2,582.62 | — |
| Cigna | PPO | $2,646.04 | — |
| Aetna | OONHMO | $3,033.92 | — |
| Aetna | OONPOS | $3,033.92 | — |
| Aetna | OONPPO | $3,033.92 | — |
| Aetna | ASAHMO | $3,280.43 | — |
| Aetna | ASAPOS | $3,280.43 | — |
| Aetna | ASAPPO | $3,280.43 | — |
| Humana | HMO | $5,399.18 | — |
| Humana | PPO | $5,399.18 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cystic fibrosis cftr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $410.78 – $2,053.29 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $419.16 – $2,053.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,245.28 | $35.00 – $1,197.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,653.56 | $36.00 – $1,425.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,890.00 | $36.00 – $1,197.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,245.28 | $35.00 – $1,197.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,653.56 | $36.00 – $1,425.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,653.56 | $26.00 – $1,425.00 |