Immunoassay tumor qual 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$21.48 with Community Health Choice MCD vs $276.67 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Community Health Choice MCD | STAR | $21.48 | — |
| Community Health Choice MCD | STAR+PLUS | $21.48 | — |
| Community Health Choice MCD | CHIP | $21.48 | — |
| Community Health Choice MCD | CHIPPerinatal | $21.48 | — |
| United | MGMCD | $21.91 | — |
| Aetna Better Health | MGMCD | $23.20 | — |
| Molina Healthcare | STARPLUS | $23.63 | — |
| Molina Healthcare | STARKIDS | $23.63 | — |
| Molina Healthcare | STAR | $23.63 | — |
| Molina Healthcare | CHIP | $23.63 | — |
| Oscar | MGMCR | $25.06 | — |
| Devoted Health | MGMCR | $25.57 | — |
| Humana | MedicareAdvantageHMO | $25.57 | — |
| Humana | MedicareAdvantagePPOPFFS | $25.57 | — |
| United | AllPayerAppendix | $25.57 | — |
| United | NarrowNetworkIndivExchange | $25.57 | — |
| United | SmallGroup | $25.57 | — |
| Cigna HealthSpring | MCRHMO | $25.57 | — |
| Cigna HealthSpring | MCRPPO | $25.57 | — |
| Cigna HealthSpring | MCRSNP | $25.57 | — |
| Cigna HealthSpring | PFFS | $25.57 | — |
| Cigna HealthSpring | MMP | $25.57 | — |
| BCBS | MCRPPO | $25.57 | — |
| BCBS | MedicareAdvantageHMO | $25.57 | — |
| TriWest Healthcare Alliance | FED | $25.57 | — |
| WellMed | MGMCR | $25.70 | — |
| Van Lang IPA | MCR | $25.83 | — |
| United | MCR | $26.08 | — |
| WellCare | SNP | $26.34 | — |
| WellCare | PPO | $26.34 | — |
| WellCare | PFFS | $26.34 | — |
| WellCare | MCRHMO | $26.34 | — |
| WellCare | POS | $26.34 | — |
| Integranet Amerigroup IPA | MCR | $26.34 | — |
| Superior Health Plan | MCRHMO | $26.85 | — |
| Superior Health Plan | MCRPOS | $26.85 | — |
| Superior Health Plan | MCRPPO | $26.85 | — |
| Superior Health Plan | MCRSNP | $26.85 | — |
| Superior Health Plan | PFFS | $26.85 | — |
| ProCare Advantage | MGMCR | $26.85 | — |
| Shared Health | MGMCR | $26.85 | — |
| Humana | MCD | $26.85 | — |
| American Health Plan | MGMCR | $26.85 | — |
| Superior Health Plan | DualEligible | $26.85 | — |
| Provider Partners Health Plan of Texas | SNP | $27.10 | — |
| Provider Partners Health Plan of Texas | PPO | $27.10 | — |
| Provider Partners Health Plan of Texas | PFFS | $27.10 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $27.10 | — |
| Provider Partners Health Plan of Texas | POS | $27.10 | — |
| Christus (USFHP) | TRICARE | $27.67 | — |
| TriWest Health Alliance | TRCR | $27.67 | — |
| Molina | MGMCR | $27.87 | — |
| Verda Health Plan | MCR | $33.24 | — |
| Superior | ValueHMO | $37.08 | — |
| Community Health Choice | HIX | $37.08 | — |
| Superior | EPO | $39.63 | — |
| Superior | HMO | $39.63 | — |
| BCBS | MyBlueHealth | $51.65 | — |
| Molina Healthcare | HIX | $54.98 | — |
| BCBS | BAV | $57.02 | — |
| Healthcare Highways | NarrowNetwork | $62.13 | — |
| BCBS | HMO | $71.34 | — |
| Oscar | HIX | $73.90 | — |
| BCBS | EPOSOA | $76.45 | — |
| BCBS | PPO | $81.57 | — |
| Aetna | QHPExchange | $93.65 | — |
| Cigna | CSN | $104.53 | — |
| Cigna | OpenAccessPlus | $113.22 | — |
| Aetna | NBHMO | $124.55 | — |
| Aetna | NBPOS | $124.55 | — |
| Aetna | NBPPO | $124.55 | — |
| Aetna | COMMPPO | $132.32 | — |
| Aetna | COMMHMO | $132.32 | — |
| Aetna | COMMPOS | $132.32 | — |
| Cigna | PPO | $134.70 | — |
| Aetna | OONHMO | $155.44 | — |
| Aetna | OONPOS | $155.44 | — |
| Aetna | OONPPO | $155.44 | — |
| Aetna | ASAHMO | $168.07 | — |
| Aetna | ASAPOS | $168.07 | — |
| Aetna | ASAPPO | $168.07 | — |
| Humana | HMO | $276.67 | — |
| Humana | PPO | $276.67 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Immunoassay tumor qual at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $21.05 – $104.53 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $21.48 – $104.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $86.69 | $12.00 – $130.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $86.69 | $12.00 – $108.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $86.69 | $12.00 – $130.03 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $86.69 | $8.00 – $130.03 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $86.69 | $12.00 – $130.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $86.69 | $21.48 – $108.36 |