Insertion single tranvenous electrode/ppm/implantable defibrillator 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 $24,035.00 with Curative Administrators — 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 | $395.59 | ↓ -94% |
| Superior Health Plan | CHIP | $395.59 | ↓ -94% |
| Superior Health Plan | CHPFC | $395.59 | ↓ -94% |
| Superior Health Plan | STAR | $395.59 | ↓ -94% |
| Superior Health Plan | STARKids | $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% |
| Aetna | QHPExchange | $2,156.00 | ↓ -67% |
| BCBS | Traditional | $2,307.63 | ↓ -65% |
| Christus (USFHP) | TRICARE | $2,637.29 | ↓ -60% |
| Aetna | NBPOS | $2,864.00 | ↓ -57% |
| Aetna | NBHMO | $2,864.00 | ↓ -57% |
| United | GlobalAppendix | $2,966.95 | ↓ -55% |
| Aetna | COMMHMO | $3,044.00 | ↓ -54% |
| Aetna | COMMPOS | $3,044.00 | ↓ -54% |
| Aetna | NBPPO | $3,108.00 | ↓ -53% |
| Aetna | COMMPPO | $3,303.00 | ↓ -50% |
| Coventry National First Health | COMM | $3,514.19 | ↓ -47% |
| Aetna | OONPOS | $3,582.00 | ↓ -46% |
| Aetna | OONHMO | $3,582.00 | ↓ -46% |
| Aetna | ASAHMO | $3,870.00 | ↓ -41% |
| Aetna | ASAPOS | $3,870.00 | ↓ -41% |
| Aetna | OONPPO | $3,886.00 | ↓ -41% |
| Aetna | ASAPPO | $4,197.00 | ↓ -36% |
| Humana | HMO | $4,690.00 | ↓ -29% |
| Humana | PPO | $4,690.00 | ↓ -29% |
| United | MGMCD | $4,869.78 | ↓ -26% |
| Molina Healthcare | CHIP | $4,992.13 | ↓ -24% |
| Molina Healthcare | STAR | $4,992.13 | ↓ -24% |
| Molina Healthcare | STARKIDS | $4,992.13 | ↓ -24% |
| Molina Healthcare | STARPLUS | $4,992.13 | ↓ -24% |
| Community Health Choice MCD | CHIP | $5,082.90 | ↓ -23% |
| Community Health Choice MCD | STAR+PLUS | $5,082.90 | ↓ -23% |
| Community Health Choice MCD | STAR | $5,082.90 | ↓ -23% |
| Community Health Choice MCD | CHIPPerinatal | $5,082.90 | ↓ -23% |
| Humana | MCD | $5,672.88 | ↓ -14% |
| Aetna Better Health | MGMCD | $5,729.15 | ↓ -13% |
| United | SmallGroup | $6,300.00 | ↓ -4% |
| United | NarrowNetworkIndivExchange | $8,987.00 | ↑ +36% |
| United | AllPayerAppendix | $9,000.00 | ↑ +37% |
| Healthcare Highways | NarrowNetwork | $9,124.00 | ↑ +38% |
| Cigna | CSN | $10,740.00 | ↑ +63% |
| Cigna | OpenAccessPlus | $11,636.00 | ↑ +76% |
| Evry Health | BroadNetwork | $12,193.00 | ↑ +85% |
| Cigna | PPO | $13,835.00 | ↑ +110% |
| Oscar | HIX | $17,551.00 | ↑ +166% |
| BCBS | PPO | $20,862.25 | ↑ +216% |
| Curative Administrators | COMM | $24,035.00 | ↑ +265% |
Visitor-reported prices
Comments
Insertion single tranvenous electrode/ppm/implantable defibrillator at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $5,136.60 | $3,962.52 – $14,676.00 |
| HCA HOUSTON WEST | HOUSTON | $26,435.00 | $4,447.53 – $13,296.82 |
| St. Luke's Health - The Vintage Hospital | Houston | $5,136.60 | $3,962.52 – $14,676.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $40,154.02 | $4,538.30 – $13,296.82 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,799.55 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $11,687.71 | $2,405.72 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $9,465.05 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,799.55 | $4,538.30 – $21,045.99 |