Epoetin alfa, 100 units esrd at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$1,283.72
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.
$1,283.72
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.
$0.71 with Christus (USFHP) vs $1,026.98 with TriWest Healthcare Alliance — 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 |
|---|---|---|---|
| Christus (USFHP) | TRICARE | $0.71 | ↓ -100% |
| TriWest Health Alliance | TRCR | $0.71 | ↓ -100% |
| United | AllPayerAppendix | $1.27 | ↓ -100% |
| United | SmallGroup | $1.27 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $1.27 | ↓ -100% |
| Cigna | CSN | $1.86 | ↓ -100% |
| Cigna | OpenAccessPlus | $2.02 | ↓ -100% |
| Cigna | PPO | $2.40 | ↓ -100% |
| BCBS | MyBlueHealth | $3.14 | ↓ -100% |
| BCBS | BAV | $3.46 | ↓ -100% |
| BCBS | PPO | $4.32 | ↓ -100% |
| BCBS | HMO | $4.32 | ↓ -100% |
| BCBS | EPOSOA | $4.32 | ↓ -100% |
| Humana | PPO | $11.98 | ↓ -99% |
| Humana | HMO | $11.98 | ↓ -99% |
| Superior Health Plan | STAR | $77.02 | ↓ -94% |
| Superior Health Plan | STARPLUS | $77.02 | ↓ -94% |
| Superior Health Plan | CHIP | $77.02 | ↓ -94% |
| Superior Health Plan | CHPFC | $77.02 | ↓ -94% |
| Superior Health Plan | STARKids | $77.02 | ↓ -94% |
| Community Health Choice MCD | STAR | $166.88 | ↓ -87% |
| Community Health Choice MCD | CHIP | $166.88 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $166.88 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $166.88 | ↓ -87% |
| United | OptionsPPO | $215.66 | ↓ -83% |
| Oscar | HIX | $250.33 | ↓ -80% |
| Healthcare Highways | NarrowNetwork | $327.35 | ↓ -74% |
| Aetna | QHPExchange | $340.19 | ↓ -73% |
| Molina Healthcare | HIX | $346.60 | ↓ -73% |
| Evry Health | BroadNetwork | $350.46 | ↓ -73% |
| Aetna | NBHMO | $412.07 | ↓ -68% |
| Aetna | NBPOS | $412.07 | ↓ -68% |
| Aetna | NBPPO | $412.07 | ↓ -68% |
| Aetna | COMMHMO | $439.03 | ↓ -66% |
| Aetna | COMMPPO | $439.03 | ↓ -66% |
| Aetna | COMMPOS | $439.03 | ↓ -66% |
| BCBS | Traditional | $449.30 | ↓ -65% |
| Curative Administrators | COMM | $513.49 | ↓ -60% |
| Aetna | OONPOS | $514.77 | ↓ -60% |
| Aetna | OONHMO | $514.77 | ↓ -60% |
| Aetna | OONPPO | $514.77 | ↓ -60% |
| Aetna | ASAPPO | $555.85 | ↓ -57% |
| Aetna | ASAPOS | $555.85 | ↓ -57% |
| Aetna | ASAHMO | $555.85 | ↓ -57% |
| United | GlobalAppendix | $577.67 | ↓ -55% |
| Coventry National First Health | COMM | $684.22 | ↓ -47% |
| TriWest Healthcare Alliance | FED | $1,026.98 | ↓ -20% |
Visitor-reported prices
Comments
Epoetin alfa, 100 units esrd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $0.77 – $11.98 |
| St. Joseph Health Madison Hospital | Madisonville | $41.32 | $0.65 – $101.58 |
| St. Joseph Health College Station Hospital | College Station | $41.32 | $0.65 – $95.94 |
| St. Joseph Health Grimes Hospital | Navasota | $41.32 | $0.65 – $125.28 |
| St. Joseph Health Burleson Hospital | Caldwell | $41.32 | $0.65 – $101.58 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $2.15 | $1.17 – $5.50 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $2.43 | $1.17 – $6.70 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $1.26 | $1.17 – $1.17 |