Exome sequence analysis 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.
$11,760.00 with Oscar vs $129,840.00 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 |
|---|---|---|---|
| Oscar | MGMCR | $11,760.00 | — |
| United | SmallGroup | $12,000.00 | — |
| United | NarrowNetworkIndivExchange | $12,000.00 | — |
| United | AllPayerAppendix | $12,000.00 | — |
| Humana | MedicareAdvantagePPOPFFS | $12,000.00 | — |
| BCBS | MCRPPO | $12,000.00 | — |
| Cigna HealthSpring | MCRHMO | $12,000.00 | — |
| Cigna HealthSpring | PFFS | $12,000.00 | — |
| Cigna HealthSpring | MCRSNP | $12,000.00 | — |
| Cigna HealthSpring | MCRPPO | $12,000.00 | — |
| Cigna HealthSpring | MMP | $12,000.00 | — |
| Devoted Health | MGMCR | $12,000.00 | — |
| TriWest Healthcare Alliance | FED | $12,000.00 | — |
| BCBS | MedicareAdvantageHMO | $12,000.00 | — |
| Humana | MedicareAdvantageHMO | $12,000.00 | — |
| WellMed | MGMCR | $12,060.00 | — |
| Van Lang IPA | MCR | $12,120.00 | — |
| United | MCR | $12,240.00 | — |
| WellCare | PPO | $12,360.00 | — |
| WellCare | SNP | $12,360.00 | — |
| WellCare | POS | $12,360.00 | — |
| WellCare | MCRHMO | $12,360.00 | — |
| WellCare | PFFS | $12,360.00 | — |
| Integranet Amerigroup IPA | MCR | $12,360.00 | — |
| American Health Plan | MGMCR | $12,600.00 | — |
| ProCare Advantage | MGMCR | $12,600.00 | — |
| Shared Health | MGMCR | $12,600.00 | — |
| Superior Health Plan | DualEligible | $12,600.00 | — |
| Superior Health Plan | MCRHMO | $12,600.00 | — |
| Superior Health Plan | MCRPOS | $12,600.00 | — |
| Superior Health Plan | MCRPPO | $12,600.00 | — |
| Superior Health Plan | MCRSNP | $12,600.00 | — |
| Superior Health Plan | PFFS | $12,600.00 | — |
| Provider Partners Health Plan of Texas | PFFS | $12,720.00 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $12,720.00 | — |
| Provider Partners Health Plan of Texas | POS | $12,720.00 | — |
| Provider Partners Health Plan of Texas | SNP | $12,720.00 | — |
| Provider Partners Health Plan of Texas | PPO | $12,720.00 | — |
| TriWest Health Alliance | TRCR | $12,987.60 | — |
| Christus (USFHP) | TRICARE | $12,987.60 | — |
| Molina | MGMCR | $13,080.00 | — |
| Verda Health Plan | MCR | $15,600.00 | — |
| Superior | ValueHMO | $17,400.00 | — |
| Community Health Choice | HIX | $17,400.00 | — |
| Superior | EPO | $18,600.00 | — |
| Superior | HMO | $18,600.00 | — |
| BCBS | MyBlueHealth | $24,240.00 | — |
| Molina Healthcare | HIX | $25,800.00 | — |
| BCBS | BAV | $26,760.00 | — |
| Healthcare Highways | NarrowNetwork | $29,160.00 | — |
| BCBS | HMO | $33,480.00 | — |
| Oscar | HIX | $34,680.00 | — |
| BCBS | EPOSOA | $35,880.00 | — |
| BCBS | PPO | $38,280.00 | — |
| Aetna | QHPExchange | $43,958.40 | — |
| Cigna | CSN | $49,362.56 | — |
| Cigna | OpenAccessPlus | $53,466.61 | — |
| Aetna | NBPOS | $58,459.20 | — |
| Aetna | NBHMO | $58,459.20 | — |
| Aetna | NBPPO | $58,459.20 | — |
| Aetna | COMMPOS | $62,107.20 | — |
| Aetna | COMMHMO | $62,107.20 | — |
| Aetna | COMMPPO | $62,107.20 | — |
| Cigna | PPO | $63,612.73 | — |
| Aetna | OONPOS | $72,960.00 | — |
| Aetna | OONPPO | $72,960.00 | — |
| Aetna | OONHMO | $72,960.00 | — |
| Aetna | ASAPPO | $78,888.00 | — |
| Aetna | ASAPOS | $78,888.00 | — |
| Aetna | ASAHMO | $78,888.00 | — |
| Humana | PPO | $129,840.00 | — |
| Humana | HMO | $129,840.00 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Exome sequence analysis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $587.08 | $12.00 – $28,800.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $587.08 | $12.00 – $28,800.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $587.08 | $12.00 – $28,800.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $587.08 | $8.00 – $28,800.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $587.08 | $12.00 – $28,800.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $587.08 | $117.42 – $28,800.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $587.08 | $12.00 – $28,800.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $587.08 | $12.00 – $62,040.00 |