Electrophysiology evaluation at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$40,464.92
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.
$40,464.92
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.
$2,643.00 with Aetna vs $43,890.00 with Curative Administrators — 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 |
|---|---|---|---|
| Aetna | QHPExchange | $2,643.00 | ↓ -93% |
| Aetna | NBPOS | $3,511.00 | ↓ -91% |
| Aetna | NBHMO | $3,511.00 | ↓ -91% |
| Aetna | COMMPOS | $3,730.00 | ↓ -91% |
| Aetna | COMMHMO | $3,730.00 | ↓ -91% |
| Aetna | NBPPO | $3,792.00 | ↓ -91% |
| Aetna | COMMPPO | $4,028.00 | ↓ -90% |
| Aetna | OONHMO | $4,390.00 | ↓ -89% |
| Aetna | OONPOS | $4,390.00 | ↓ -89% |
| Aetna | OONPPO | $4,740.00 | ↓ -88% |
| Aetna | ASAPOS | $4,742.00 | ↓ -88% |
| Aetna | ASAHMO | $4,742.00 | ↓ -88% |
| Aetna | ASAPPO | $5,120.00 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $5,260.44 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $5,260.44 | ↓ -87% |
| Community Health Choice MCD | CHIP | $5,260.44 | ↓ -87% |
| Community Health Choice MCD | STAR | $5,260.44 | ↓ -87% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -86% |
| Superior Health Plan | CHIP | $5,591.00 | ↓ -86% |
| Superior Health Plan | CHPFC | $5,591.00 | ↓ -86% |
| Superior Health Plan | STAR | $5,591.00 | ↓ -86% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -86% |
| United | OptionsPPO | $6,798.11 | ↓ -83% |
| Humana | HMO | $10,106.00 | ↓ -75% |
| Humana | PPO | $10,106.00 | ↓ -75% |
| BCBS | MyBlueHealth | $13,772.56 | ↓ -66% |
| BCBS | Traditional | $14,162.72 | ↓ -65% |
| BCBS | BAV | $15,185.13 | ↓ -62% |
| United | SmallGroup | $15,400.00 | ↓ -62% |
| Christus (USFHP) | TRICARE | $16,185.97 | ↓ -60% |
| United | NarrowNetworkIndivExchange | $17,742.00 | ↓ -56% |
| United | GlobalAppendix | $18,209.21 | ↓ -55% |
| BCBS | EPOSOA | $19,010.84 | ↓ -53% |
| BCBS | PPO | $19,010.84 | ↓ -53% |
| BCBS | HMO | $19,010.84 | ↓ -53% |
| Healthcare Highways | NarrowNetwork | $21,231.00 | ↓ -48% |
| Coventry National First Health | COMM | $21,567.80 | ↓ -47% |
| United | AllPayerAppendix | $22,000.00 | ↓ -46% |
| Evry Health | BroadNetwork | $29,288.00 | ↓ -28% |
| Oscar | HIX | $37,284.00 | ↓ -8% |
| Curative Administrators | COMM | $43,890.00 | ↑ +8% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $5,632.55 | $4,345.11 – $16,093.00 |
| HCA HOUSTON WEST | HOUSTON | $24,910.00 | $13,772.56 – $13,772.56 |
| St. Luke's Health - The Vintage Hospital | Houston | $5,632.55 | $4,345.11 – $16,093.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $30,032.40 | $13,772.56 – $13,772.56 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,778.39 | $3,053.88 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $11,476.94 | $2,362.34 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,678.21 | $1,735.64 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,778.39 | $2,874.24 – $18,500.61 |