Electrophysiology evaluation at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$38,486.54
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.
$38,486.54
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.
$285.88 with BCBS 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $285.88 | ↓ -99% |
| BCBS | BAV | $315.20 | ↓ -99% |
| BCBS | HMO | $394.61 | ↓ -99% |
| BCBS | EPOSOA | $394.61 | ↓ -99% |
| BCBS | PPO | $394.61 | ↓ -99% |
| Aetna | QHPExchange | $2,643.00 | ↓ -93% |
| Aetna | NBHMO | $3,511.00 | ↓ -91% |
| Aetna | NBPOS | $3,511.00 | ↓ -91% |
| Aetna | COMMHMO | $3,730.00 | ↓ -90% |
| Aetna | COMMPOS | $3,730.00 | ↓ -90% |
| Aetna | NBPPO | $3,792.00 | ↓ -90% |
| Aetna | COMMPPO | $4,028.00 | ↓ -90% |
| Aetna | OONPOS | $4,390.00 | ↓ -89% |
| Aetna | OONHMO | $4,390.00 | ↓ -89% |
| Aetna | OONPPO | $4,740.00 | ↓ -88% |
| Aetna | ASAHMO | $4,742.00 | ↓ -88% |
| Aetna | ASAPOS | $4,742.00 | ↓ -88% |
| Community Health Choice MCD | STAR | $5,003.25 | ↓ -87% |
| Community Health Choice MCD | CHIP | $5,003.25 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $5,003.25 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $5,003.25 | ↓ -87% |
| Aetna | ASAPPO | $5,120.00 | ↓ -87% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -85% |
| Superior Health Plan | CHIP | $5,591.00 | ↓ -85% |
| Superior Health Plan | CHPFC | $5,591.00 | ↓ -85% |
| Superior Health Plan | STAR | $5,591.00 | ↓ -85% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -85% |
| United | OptionsPPO | $6,465.74 | ↓ -83% |
| Healthcare Highways | NarrowNetwork | $9,814.07 | ↓ -74% |
| Humana | HMO | $10,106.00 | ↓ -74% |
| Humana | PPO | $10,106.00 | ↓ -74% |
| Molina Healthcare | HIX | $10,391.37 | ↓ -73% |
| BCBS | Traditional | $13,470.29 | ↓ -65% |
| Christus (USFHP) | TRICARE | $15,394.62 | ↓ -60% |
| United | SmallGroup | $15,400.00 | ↓ -60% |
| United | GlobalAppendix | $17,318.94 | ↓ -55% |
| United | NarrowNetworkIndivExchange | $17,742.00 | ↓ -54% |
| Coventry National First Health | COMM | $20,513.33 | ↓ -47% |
| United | AllPayerAppendix | $22,000.00 | ↓ -43% |
| Evry Health | BroadNetwork | $29,288.00 | ↓ -24% |
| TriWest Healthcare Alliance | FED | $30,789.23 | ↓ -20% |
| Oscar | HIX | $37,284.00 | ↓ -3% |
| Curative Administrators | COMM | $43,890.00 | ↑ +14% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,584.10 | $100.00 – $4,526.00 |
| HCA HOUSTON WEST | HOUSTON | $4,183.00 | $285.88 – $285.88 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,584.10 | $100.00 – $4,526.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $19,354.36 | $285.88 – $285.88 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,605.71 | $375.06 – $12,191.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,157.17 | $368.95 – $15,235.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,304.10 | $368.95 – $14,130.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,605.71 | $285.88 – $12,191.42 |