Ghs community re-entry 15 minutes 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.
$31.57 with Oscar vs $318.60 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 | $31.57 | — |
| Devoted Health | MGMCR | $32.21 | — |
| TriWest Healthcare Alliance | FED | $32.21 | — |
| Humana | MedicareAdvantageHMO | $32.21 | — |
| Humana | MedicareAdvantagePPOPFFS | $32.21 | — |
| BCBS | MedicareAdvantageHMO | $32.21 | — |
| Cigna HealthSpring | MMP | $32.21 | — |
| BCBS | MCRPPO | $32.21 | — |
| Cigna HealthSpring | MCRHMO | $32.21 | — |
| Cigna HealthSpring | MCRPPO | $32.21 | — |
| Cigna HealthSpring | MCRSNP | $32.21 | — |
| Cigna HealthSpring | PFFS | $32.21 | — |
| WellMed | MGMCR | $32.37 | — |
| Van Lang IPA | MCR | $32.53 | — |
| United | MCR | $32.85 | — |
| WellCare | PFFS | $33.18 | — |
| WellCare | MCRHMO | $33.18 | — |
| WellCare | POS | $33.18 | — |
| WellCare | SNP | $33.18 | — |
| WellCare | PPO | $33.18 | — |
| Integranet Amerigroup IPA | MCR | $33.18 | — |
| Superior Health Plan | PFFS | $33.82 | — |
| American Health Plan | MGMCR | $33.82 | — |
| Superior Health Plan | DualEligible | $33.82 | — |
| Superior Health Plan | MCRHMO | $33.82 | — |
| Superior Health Plan | MCRPOS | $33.82 | — |
| Superior Health Plan | MCRPPO | $33.82 | — |
| Superior Health Plan | MCRSNP | $33.82 | — |
| ProCare Advantage | MGMCR | $33.82 | — |
| Shared Health | MGMCR | $33.82 | — |
| Provider Partners Health Plan of Texas | SNP | $34.14 | — |
| Provider Partners Health Plan of Texas | PPO | $34.14 | — |
| Provider Partners Health Plan of Texas | PFFS | $34.14 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $34.14 | — |
| Provider Partners Health Plan of Texas | POS | $34.14 | — |
| Molina | MGMCR | $35.11 | — |
| Verda Health Plan | MCR | $41.87 | — |
| Superior | ValueHMO | $46.70 | — |
| Community Health Choice | HIX | $46.70 | — |
| Superior | EPO | $49.93 | — |
| Superior | HMO | $49.93 | — |
| Molina Healthcare | HIX | $69.25 | — |
| BCBS | MyBlueHealth | $78.44 | — |
| BCBS | BAV | $86.48 | — |
| Aetna | QHPExchange | $94.68 | — |
| BCBS | HMO | $108.27 | — |
| BCBS | EPOSOA | $108.27 | — |
| BCBS | PPO | $108.27 | — |
| Aetna | NBHMO | $125.78 | — |
| Aetna | NBPOS | $125.78 | — |
| Aetna | NBPPO | $125.78 | — |
| Aetna | COMMPPO | $133.40 | — |
| Aetna | COMMHMO | $133.40 | — |
| Aetna | COMMPOS | $133.40 | — |
| Aetna | OONHMO | $157.27 | — |
| Aetna | OONPOS | $157.27 | — |
| Aetna | OONPPO | $157.27 | — |
| Aetna | ASAPOS | $169.71 | — |
| Aetna | ASAPPO | $169.71 | — |
| Aetna | ASAHMO | $169.71 | — |
| Humana | HMO | $318.60 | — |
| Humana | PPO | $318.60 | — |
Visitor-reported prices
Comments
Ghs community re-entry 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON TOMBALL | HOUSTON | $213.97 | $31.57 – $69.25 |
| HCA HOUSTON WEST | HOUSTON | not published | $31.57 – $69.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $103.27 | $29.26 – $146.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $104.88 | $21.59 – $157.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $97.36 | $19.47 – $149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $103.27 | $27.54 – $146.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $104.88 | $33.67 – $157.32 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $104.88 | $54.19 – $253.00 |