Ercp biliary & pancreas 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.
$81.82 with BCBS vs $4,532.75 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $81.82 | — |
| BCBS | BAV | $103.67 | — |
| BCBS | HMO | $158.07 | — |
| BCBS | EPOSOA | $169.22 | — |
| BCBS | PPO | $179.92 | — |
| Superior Health Plan | STAR | $339.96 | — |
| Superior Health Plan | CHPFC | $339.96 | — |
| Superior Health Plan | STARPLUS | $339.96 | — |
| Superior Health Plan | STARKids | $339.96 | — |
| Superior Health Plan | CHIP | $339.96 | — |
| Aetna | QHPExchange | $457.08 | — |
| Aetna | NBPPO | $607.51 | — |
| Aetna | NBPOS | $607.51 | — |
| Aetna | NBHMO | $607.51 | — |
| Aetna | COMMHMO | $646.25 | — |
| Aetna | COMMPOS | $646.25 | — |
| Aetna | COMMPPO | $646.25 | — |
| Community Health Choice MCD | STAR | $736.57 | — |
| Community Health Choice MCD | CHIPPerinatal | $736.57 | — |
| Community Health Choice MCD | CHIP | $736.57 | — |
| Community Health Choice MCD | STAR+PLUS | $736.57 | — |
| Aetna | OONHMO | $759.87 | — |
| Aetna | OONPPO | $759.87 | — |
| Aetna | OONPOS | $759.87 | — |
| Aetna | ASAPPO | $821.20 | — |
| Aetna | ASAHMO | $821.20 | — |
| Aetna | ASAPOS | $821.20 | — |
| Cigna | CSN | $838.56 | — |
| Cigna | OpenAccessPlus | $906.55 | — |
| United | OptionsPPO | $951.88 | — |
| Cigna | PPO | $1,076.53 | — |
| Healthcare Highways | NarrowNetwork | $1,444.81 | — |
| Molina Healthcare | HIX | $1,529.80 | — |
| Evry Health | BroadNetwork | $1,546.80 | — |
| BCBS | Traditional | $1,983.08 | — |
| Christus (USFHP) | TRICARE | $2,266.38 | — |
| Curative Administrators | COMM | $2,266.38 | — |
| Humana | HMO | $2,542.33 | — |
| Humana | PPO | $2,542.33 | — |
| United | GlobalAppendix | $2,549.67 | — |
| Coventry National First Health | COMM | $3,019.95 | — |
| TriWest Healthcare Alliance | FED | $4,532.75 | — |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $494.20 | $55.79 – $1,412.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $494.20 | $65.55 – $1,412.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $5,321.75 | $81.82 – $2,542.33 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $967.04 | $92.98 – $1,369.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,167.85 | $156.21 – $1,751.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,106.24 | $156.21 – $1,382.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $967.04 | $106.46 – $1,369.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,167.85 | $190.14 – $1,751.78 |