Ins icd gen exist sgl lead at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$6,593.22
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.
$6,593.22
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.
$395.59 with Superior Health Plan vs $95,000.00 with United — 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 |
|---|---|---|---|
| Superior Health Plan | STAR | $395.59 | ↓ -94% |
| Superior Health Plan | CHIP | $395.59 | ↓ -94% |
| Superior Health Plan | STARPLUS | $395.59 | ↓ -94% |
| Superior Health Plan | STARKids | $395.59 | ↓ -94% |
| Superior Health Plan | CHPFC | $395.59 | ↓ -94% |
| BCBS | MyBlueHealth | $1,074.69 | ↓ -84% |
| United | OptionsPPO | $1,107.66 | ↓ -83% |
| BCBS | BAV | $1,186.78 | ↓ -82% |
| BCBS | HMO | $1,483.47 | ↓ -78% |
| BCBS | EPOSOA | $1,516.44 | ↓ -77% |
| BCBS | Traditional | $2,307.63 | ↓ -65% |
| Christus (USFHP) | TRICARE | $2,637.29 | ↓ -60% |
| Aetna | QHPExchange | $2,643.00 | ↓ -60% |
| United | GlobalAppendix | $2,966.95 | ↓ -55% |
| Aetna | NBHMO | $3,511.00 | ↓ -47% |
| Aetna | NBPOS | $3,511.00 | ↓ -47% |
| Coventry National First Health | COMM | $3,514.19 | ↓ -47% |
| Aetna | COMMPOS | $3,730.00 | ↓ -43% |
| Aetna | COMMHMO | $3,730.00 | ↓ -43% |
| Aetna | NBPPO | $3,792.00 | ↓ -42% |
| Aetna | COMMPPO | $4,028.00 | ↓ -39% |
| Aetna | OONHMO | $4,390.00 | ↓ -33% |
| Aetna | OONPOS | $4,390.00 | ↓ -33% |
| Humana | HMO | $4,690.00 | ↓ -29% |
| Humana | PPO | $4,690.00 | ↓ -29% |
| Aetna | OONPPO | $4,740.00 | ↓ -28% |
| Aetna | ASAPOS | $4,742.00 | ↓ -28% |
| Aetna | ASAHMO | $4,742.00 | ↓ -28% |
| Aetna | ASAPPO | $5,120.00 | ↓ -22% |
| Cigna | CSN | $10,740.00 | ↑ +63% |
| Cigna | OpenAccessPlus | $11,636.00 | ↑ +76% |
| Healthcare Highways | NarrowNetwork | $12,167.00 | ↑ +85% |
| Evry Health | BroadNetwork | $12,193.00 | ↑ +85% |
| Cigna | PPO | $13,835.00 | ↑ +110% |
| Oscar | HIX | $17,551.00 | ↑ +166% |
| United | MGMCD | $17,870.61 | ↑ +171% |
| Molina Healthcare | CHIP | $18,319.61 | ↑ +178% |
| Molina Healthcare | STARPLUS | $18,319.61 | ↑ +178% |
| Molina Healthcare | STARKIDS | $18,319.61 | ↑ +178% |
| Molina Healthcare | STAR | $18,319.61 | ↑ +178% |
| Community Health Choice MCD | CHIPPerinatal | $18,652.69 | ↑ +183% |
| Community Health Choice MCD | STAR+PLUS | $18,652.69 | ↑ +183% |
| Community Health Choice MCD | STAR | $18,652.69 | ↑ +183% |
| Community Health Choice MCD | CHIP | $18,652.69 | ↑ +183% |
| Humana | MCD | $20,817.74 | ↑ +216% |
| Aetna Better Health | MGMCD | $21,024.25 | ↑ +219% |
| Curative Administrators | COMM | $24,035.00 | ↑ +265% |
| BCBS | PPO | $62,006.19 | ↑ +840% |
| United | NarrowNetworkIndivExchange | $64,880.00 | ↑ +884% |
| United | SmallGroup | $66,500.00 | ↑ +909% |
| United | AllPayerAppendix | $95,000.00 | ↑ +1341% |
Visitor-reported prices
Comments
Ins icd gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | $35,665.00 | $16,321.11 – $39,520.43 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $16,654.19 – $39,520.43 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $31,662.03 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $26,532.62 | $5,461.30 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $27,661.55 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $31,662.03 | $16,654.19 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $26,532.62 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $26,532.62 | $13,462.00 – $58,392.49 |