Inj, micafungin (par pharm) at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$408.67
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.
$408.67
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.
$0.31 with Christus (USFHP) vs $326.94 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 |
|---|---|---|---|
| Christus (USFHP) | TRICARE | $0.31 | ↓ -100% |
| TriWest Health Alliance | TRCR | $0.31 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $0.36 | ↓ -100% |
| United | AllPayerAppendix | $0.36 | ↓ -100% |
| United | SmallGroup | $0.36 | ↓ -100% |
| BCBS | MyBlueHealth | $0.53 | ↓ -100% |
| BCBS | BAV | $0.58 | ↓ -100% |
| BCBS | EPOSOA | $0.73 | ↓ -100% |
| BCBS | HMO | $0.73 | ↓ -100% |
| BCBS | PPO | $0.73 | ↓ -100% |
| Cigna | CSN | $0.87 | ↓ -100% |
| Cigna | OpenAccessPlus | $0.94 | ↓ -100% |
| Cigna | PPO | $1.12 | ↓ -100% |
| Superior Health Plan | CHPFC | $24.52 | ↓ -94% |
| Superior Health Plan | STARKids | $24.52 | ↓ -94% |
| Superior Health Plan | STARPLUS | $24.52 | ↓ -94% |
| Superior Health Plan | CHIP | $24.52 | ↓ -94% |
| Superior Health Plan | STAR | $24.52 | ↓ -94% |
| Community Health Choice MCD | CHIPPerinatal | $53.13 | ↓ -87% |
| Community Health Choice MCD | CHIP | $53.13 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $53.13 | ↓ -87% |
| Community Health Choice MCD | STAR | $53.13 | ↓ -87% |
| United | OptionsPPO | $68.66 | ↓ -83% |
| Molina Healthcare | HIX | $110.34 | ↓ -73% |
| Humana | HMO | $130.41 | ↓ -68% |
| Humana | PPO | $130.41 | ↓ -68% |
| BCBS | Traditional | $143.03 | ↓ -65% |
| United | GlobalAppendix | $183.90 | ↓ -55% |
| Coventry National First Health | COMM | $217.82 | ↓ -47% |
| TriWest Healthcare Alliance | FED | $326.94 | ↓ -20% |
Visitor-reported prices
Comments
Inj, micafungin (par pharm) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $42.05 | $26.43 – $120.12 |
| St. Luke's Health - The Vintage Hospital | Houston | $42.05 | $26.43 – $120.12 |
| HCA HOUSTON WEST | HOUSTON | not published | $0.22 – $0.87 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $0.31 – $0.87 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $252.43 | $0.31 – $0.87 |
| Covenant Children's Hospital | Lubbock | $337.52 | $1.01 – $1.29 |
| HCA HOUSTON KINGWOOD | HUMBLE | $491.59 | $0.22 – $0.87 |
| HCA HOUSTON NORTHWEST | SPRING | $511.16 | $0.31 – $0.87 |