Ins/rpl ldless pm right vent w img & eval at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$66,779.56
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.
$66,779.56
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.
$948.00 with Superior Health Plan vs $43,516.12 with BCBS — 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 | STARKids | $948.00 | ↓ -99% |
| Superior Health Plan | STARPLUS | $948.00 | ↓ -99% |
| Superior Health Plan | CHIP | $948.00 | ↓ -99% |
| Superior Health Plan | CHPFC | $948.00 | ↓ -99% |
| Superior Health Plan | STAR | $948.00 | ↓ -99% |
| Aetna | QHPExchange | $2,156.00 | ↓ -97% |
| Aetna | NBPOS | $2,864.00 | ↓ -96% |
| Aetna | NBHMO | $2,864.00 | ↓ -96% |
| Aetna | COMMHMO | $3,044.00 | ↓ -95% |
| Aetna | COMMPOS | $3,044.00 | ↓ -95% |
| Aetna | NBPPO | $3,108.00 | ↓ -95% |
| Aetna | COMMPPO | $3,303.00 | ↓ -95% |
| Oscar | HIX | $3,390.00 | ↓ -95% |
| Aetna | OONHMO | $3,582.00 | ↓ -95% |
| Aetna | OONPOS | $3,582.00 | ↓ -95% |
| Aetna | ASAPOS | $3,870.00 | ↓ -94% |
| Aetna | ASAHMO | $3,870.00 | ↓ -94% |
| Aetna | OONPPO | $3,886.00 | ↓ -94% |
| Aetna | ASAPPO | $4,197.00 | ↓ -94% |
| Humana | PPO | $4,690.00 | ↓ -93% |
| Humana | HMO | $4,690.00 | ↓ -93% |
| Healthcare Highways | NarrowNetwork | $5,841.00 | ↓ -91% |
| Community Health Choice MCD | STAR+PLUS | $8,681.34 | ↓ -87% |
| Community Health Choice MCD | STAR | $8,681.34 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $8,681.34 | ↓ -87% |
| Community Health Choice MCD | CHIP | $8,681.34 | ↓ -87% |
| Cigna | CSN | $10,740.00 | ↓ -84% |
| BCBS | MyBlueHealth | $10,885.07 | ↓ -84% |
| United | OptionsPPO | $11,218.97 | ↓ -83% |
| Cigna | OpenAccessPlus | $11,636.00 | ↓ -83% |
| BCBS | BAV | $12,020.32 | ↓ -82% |
| Cigna | PPO | $13,835.00 | ↓ -79% |
| BCBS | HMO | $15,025.40 | ↓ -78% |
| BCBS | EPOSOA | $15,359.30 | ↓ -77% |
| United | SmallGroup | $16,100.00 | ↓ -76% |
| Evry Health | BroadNetwork | $18,230.82 | ↓ -73% |
| United | NarrowNetworkIndivExchange | $20,444.00 | ↓ -69% |
| United | AllPayerAppendix | $23,000.00 | ↓ -66% |
| BCBS | Traditional | $23,372.85 | ↓ -65% |
| Christus (USFHP) | TRICARE | $26,711.82 | ↓ -60% |
| United | GlobalAppendix | $30,050.80 | ↓ -55% |
| Coventry National First Health | COMM | $35,593.51 | ↓ -47% |
| BCBS | PPO | $43,516.12 | ↓ -35% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
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Ins/rpl ldless pm right vent w img & eval at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $14,670.25 | $4,610.65 – $41,915.00 |
| HCA HOUSTON WEST | HOUSTON | $66,882.00 | $19,446.21 – $27,735.55 |
| St. Luke's Health - The Vintage Hospital | Houston | $14,670.25 | $3,353.20 – $41,915.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $48,747.68 | $27,735.55 – $27,735.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $29,327.76 | $6,299.00 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $29,327.76 | $6,036.63 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $26,661.60 | $5,332.32 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $29,327.76 | $7,820.74 – $48,269.91 |