Fda ide #g240020 carry bag 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.
$202.48 with Oscar vs $6,043.69 with Coventry National First Health — 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 | $202.48 | — |
| Cigna HealthSpring | MCRPPO | $206.61 | — |
| Cigna HealthSpring | MCRHMO | $206.61 | — |
| Cigna HealthSpring | PFFS | $206.61 | — |
| TriWest Health Alliance | TRCR | $206.61 | — |
| Cigna HealthSpring | MMP | $206.61 | — |
| Cigna HealthSpring | MCRSNP | $206.61 | — |
| Humana | MedicareAdvantagePPOPFFS | $206.61 | — |
| BCBS | MedicareAdvantageHMO | $206.61 | — |
| Devoted Health | MGMCR | $206.61 | — |
| TriWest Healthcare Alliance | FED | $206.61 | — |
| Christus (USFHP) | TRICARE | $206.61 | — |
| Humana | MedicareAdvantageHMO | $206.61 | — |
| BCBS | MCRPPO | $206.61 | — |
| WellMed | MGMCR | $207.64 | — |
| Van Lang IPA | MCR | $208.68 | — |
| United | MCR | $210.74 | — |
| WellCare | PPO | $212.81 | — |
| WellCare | SNP | $212.81 | — |
| WellCare | POS | $212.81 | — |
| WellCare | MCRHMO | $212.81 | — |
| WellCare | PFFS | $212.81 | — |
| Integranet Amerigroup IPA | MCR | $212.81 | — |
| American Health Plan | MGMCR | $216.94 | — |
| Superior Health Plan | PFFS | $216.94 | — |
| Superior Health Plan | MCRSNP | $216.94 | — |
| Superior Health Plan | MCRPPO | $216.94 | — |
| Shared Health | MGMCR | $216.94 | — |
| Superior Health Plan | MCRPOS | $216.94 | — |
| ProCare Advantage | MGMCR | $216.94 | — |
| Superior Health Plan | DualEligible | $216.94 | — |
| Superior Health Plan | MCRHMO | $216.94 | — |
| Provider Partners Health Plan of Texas | PPO | $219.01 | — |
| Provider Partners Health Plan of Texas | PFFS | $219.01 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $219.01 | — |
| Provider Partners Health Plan of Texas | POS | $219.01 | — |
| Provider Partners Health Plan of Texas | SNP | $219.01 | — |
| Molina | MGMCR | $225.20 | — |
| Verda Health Plan | MCR | $268.59 | — |
| Superior | ValueHMO | $299.58 | — |
| Community Health Choice | HIX | $299.58 | — |
| Superior | HMO | $320.25 | — |
| Superior | EPO | $320.25 | — |
| Molina Healthcare | HIX | $444.21 | — |
| Superior Health Plan | STARKids | $680.34 | — |
| Superior Health Plan | STAR | $680.34 | — |
| Superior Health Plan | CHPFC | $680.34 | — |
| Superior Health Plan | CHIP | $680.34 | — |
| Superior Health Plan | STARPLUS | $680.34 | — |
| Community Health Choice MCD | STAR+PLUS | $1,474.07 | — |
| Community Health Choice MCD | CHIP | $1,474.07 | — |
| Community Health Choice MCD | CHIPPerinatal | $1,474.07 | — |
| Community Health Choice MCD | STAR | $1,474.07 | — |
| Humana | HMO | $1,589.28 | — |
| Humana | PPO | $1,589.28 | — |
| Cigna | CSN | $1,678.17 | — |
| Cigna | OpenAccessPlus | $1,814.24 | — |
| BCBS | MyBlueHealth | $1,848.26 | — |
| United | OptionsPPO | $1,904.95 | — |
| BCBS | BAV | $2,041.02 | — |
| Cigna | PPO | $2,154.41 | — |
| BCBS | HMO | $2,551.28 | — |
| BCBS | EPOSOA | $2,607.97 | — |
| BCBS | PPO | $2,653.33 | — |
| BCBS | Traditional | $3,968.65 | — |
| United | GlobalAppendix | $5,102.55 | — |
| Coventry National First Health | COMM | $6,043.69 | — |
Visitor-reported prices
Comments
Fda ide #g240020 carry bag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,696.10 | $330.12 – $1,572.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,696.10 | $330.12 – $1,572.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $202.48 – $444.21 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $202.48 – $444.21 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,461.90 | $165.75 – $907.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,076.40 | $146.35 – $1,066.50 |
| Covenant Children's Hospital | Lubbock | $1,143.98 | not published |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,696.10 | $330.12 – $1,572.00 |