Ins/rpl pm gen exist dual lead at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$10,861.39
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.
$10,861.39
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.
$651.68 with Superior Health Plan vs $40,000.00 with United — 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $651.68 | ↓ -94% |
| Superior Health Plan | CHIP | $651.68 | ↓ -94% |
| Superior Health Plan | CHPFC | $651.68 | ↓ -94% |
| Superior Health Plan | STAR | $651.68 | ↓ -94% |
| Superior Health Plan | STARKids | $651.68 | ↓ -94% |
| BCBS | MyBlueHealth | $1,770.41 | ↓ -84% |
| United | OptionsPPO | $1,824.71 | ↓ -83% |
| Aetna | QHPExchange | $1,944.00 | ↓ -82% |
| BCBS | BAV | $1,955.05 | ↓ -82% |
| BCBS | HMO | $2,443.81 | ↓ -78% |
| BCBS | EPOSOA | $2,498.12 | ↓ -77% |
| Aetna | NBPOS | $2,580.00 | ↓ -76% |
| Aetna | NBHMO | $2,580.00 | ↓ -76% |
| Aetna | COMMPOS | $2,742.00 | ↓ -75% |
| Aetna | COMMHMO | $2,742.00 | ↓ -75% |
| Aetna | NBPPO | $2,986.00 | ↓ -73% |
| Aetna | COMMPPO | $3,174.00 | ↓ -71% |
| Aetna | OONHMO | $3,228.00 | ↓ -70% |
| Aetna | OONPOS | $3,228.00 | ↓ -70% |
| Aetna | ASAHMO | $3,486.00 | ↓ -68% |
| Aetna | ASAPOS | $3,486.00 | ↓ -68% |
| Aetna | OONPPO | $3,732.00 | ↓ -66% |
| BCBS | Traditional | $3,801.49 | ↓ -65% |
| Aetna | ASAPPO | $4,034.00 | ↓ -63% |
| Christus (USFHP) | TRICARE | $4,344.56 | ↓ -60% |
| Humana | PPO | $4,690.00 | ↓ -57% |
| Humana | HMO | $4,690.00 | ↓ -57% |
| United | GlobalAppendix | $4,887.63 | ↓ -55% |
| Coventry National First Health | COMM | $5,789.12 | ↓ -47% |
| United | MGMCD | $6,907.69 | ↓ -36% |
| Molina Healthcare | CHIP | $7,081.25 | ↓ -35% |
| Molina Healthcare | STAR | $7,081.25 | ↓ -35% |
| Molina Healthcare | STARKIDS | $7,081.25 | ↓ -35% |
| Molina Healthcare | STARPLUS | $7,081.25 | ↓ -35% |
| Community Health Choice MCD | STAR+PLUS | $7,210.00 | ↓ -34% |
| Community Health Choice MCD | STAR | $7,210.00 | ↓ -34% |
| Community Health Choice MCD | CHIPPerinatal | $7,210.00 | ↓ -34% |
| Community Health Choice MCD | CHIP | $7,210.00 | ↓ -34% |
| Humana | MCD | $8,046.88 | ↓ -26% |
| Aetna Better Health | MGMCD | $8,126.70 | ↓ -25% |
| Cigna | CSN | $9,751.00 | ↓ -10% |
| Cigna | OpenAccessPlus | $10,565.00 | ↓ -3% |
| Healthcare Highways | NarrowNetwork | $10,949.00 | ↑ +1% |
| Evry Health | BroadNetwork | $12,193.00 | ↑ +12% |
| Cigna | PPO | $12,562.00 | ↑ +16% |
| Oscar | HIX | $17,551.00 | ↑ +62% |
| Curative Administrators | COMM | $24,035.00 | ↑ +121% |
| United | NarrowNetworkIndivExchange | $27,575.00 | ↑ +154% |
| BCBS | PPO | $27,987.80 | ↑ +158% |
| United | SmallGroup | $28,000.00 | ↑ +158% |
| United | AllPayerAppendix | $40,000.00 | ↑ +268% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $9,112.95 | $1,609.00 – $26,037.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $9,112.95 | $1,609.00 – $26,037.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $6,308.75 – $17,838.38 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $6,437.50 – $17,838.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $11,936.76 | $2,763.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $9,089.75 | $1,870.97 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,930.91 | $6,022.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $11,936.76 | $2,763.00 – $26,452.82 |