Ins/rpl pm w/tv ld atrl at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$7,049.72
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.
$7,049.72
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.
$422.98 with Superior Health Plan vs $40,000.00 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 | STARPLUS | $422.98 | ↓ -94% |
| Superior Health Plan | CHIP | $422.98 | ↓ -94% |
| Superior Health Plan | CHPFC | $422.98 | ↓ -94% |
| Superior Health Plan | STAR | $422.98 | ↓ -94% |
| Superior Health Plan | STARKids | $422.98 | ↓ -94% |
| BCBS | MyBlueHealth | $1,149.10 | ↓ -84% |
| United | OptionsPPO | $1,184.35 | ↓ -83% |
| BCBS | BAV | $1,268.95 | ↓ -82% |
| BCBS | HMO | $1,586.19 | ↓ -77% |
| BCBS | EPOSOA | $1,621.44 | ↓ -77% |
| BCBS | Traditional | $2,467.40 | ↓ -65% |
| Aetna | QHPExchange | $2,643.00 | ↓ -63% |
| Christus (USFHP) | TRICARE | $2,819.89 | ↓ -60% |
| United | GlobalAppendix | $3,172.37 | ↓ -55% |
| Aetna | NBHMO | $3,511.00 | ↓ -50% |
| Aetna | NBPOS | $3,511.00 | ↓ -50% |
| Aetna | COMMHMO | $3,730.00 | ↓ -47% |
| Aetna | COMMPOS | $3,730.00 | ↓ -47% |
| Coventry National First Health | COMM | $3,757.50 | ↓ -47% |
| Aetna | NBPPO | $3,792.00 | ↓ -46% |
| Aetna | COMMPPO | $4,028.00 | ↓ -43% |
| Aetna | OONPOS | $4,390.00 | ↓ -38% |
| Aetna | OONHMO | $4,390.00 | ↓ -38% |
| Humana | HMO | $4,690.00 | ↓ -33% |
| Humana | PPO | $4,690.00 | ↓ -33% |
| Aetna | OONPPO | $4,740.00 | ↓ -33% |
| Aetna | ASAHMO | $4,742.00 | ↓ -33% |
| Aetna | ASAPOS | $4,742.00 | ↓ -33% |
| Aetna | ASAPPO | $5,120.00 | ↓ -27% |
| United | MGMCD | $6,691.11 | ↓ -5% |
| Molina Healthcare | CHIP | $6,859.23 | ↓ -3% |
| Molina Healthcare | STAR | $6,859.23 | ↓ -3% |
| Molina Healthcare | STARKIDS | $6,859.23 | ↓ -3% |
| Molina Healthcare | STARPLUS | $6,859.23 | ↓ -3% |
| Community Health Choice MCD | STAR+PLUS | $6,983.94 | ↓ -1% |
| Community Health Choice MCD | STAR | $6,983.94 | ↓ -1% |
| Community Health Choice MCD | CHIPPerinatal | $6,983.94 | ↓ -1% |
| Community Health Choice MCD | CHIP | $6,983.94 | ↓ -1% |
| Humana | MCD | $7,794.57 | ↑ +11% |
| Aetna Better Health | MGMCD | $7,871.89 | ↑ +12% |
| Cigna | CSN | $10,740.00 | ↑ +52% |
| Healthcare Highways | NarrowNetwork | $10,949.00 | ↑ +55% |
| Cigna | OpenAccessPlus | $11,636.00 | ↑ +65% |
| Evry Health | BroadNetwork | $12,193.00 | ↑ +73% |
| Cigna | PPO | $13,835.00 | ↑ +96% |
| Oscar | HIX | $17,551.00 | ↑ +149% |
| Curative Administrators | COMM | $24,035.00 | ↑ +241% |
| United | NarrowNetworkIndivExchange | $27,575.00 | ↑ +291% |
| BCBS | PPO | $27,987.80 | ↑ +297% |
| United | SmallGroup | $28,000.00 | ↑ +297% |
| United | AllPayerAppendix | $40,000.00 | ↑ +467% |
Visitor-reported prices
Comments
Ins/rpl pm w/tv ld atrl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $3,658.20 | $2,822.04 – $10,452.00 |
| HCA HOUSTON WEST | HOUSTON | $40,267.00 | $6,110.95 – $17,838.38 |
| St. Luke's Health - The Vintage Hospital | Houston | $3,658.20 | $2,822.04 – $10,452.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $64,123.86 | $6,235.66 – $17,838.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $17,237.01 | $6,235.66 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $18,367.31 | $71.00 – $27,550.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,874.40 | $71.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $17,237.01 | $6,235.66 – $26,452.82 |