M.avium-intra dna dir prob at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
not published by hospital
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.
not published by hospital
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.
$22.92 with Community Health Choice MCD vs $295.28 with Humana — 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 |
|---|---|---|---|
| Community Health Choice MCD | STAR | $22.92 | — |
| Community Health Choice MCD | STAR+PLUS | $22.92 | — |
| Community Health Choice MCD | CHIP | $22.92 | — |
| Community Health Choice MCD | CHIPPerinatal | $22.92 | — |
| United | MGMCD | $23.38 | — |
| Aetna Better Health | MGMCD | $24.75 | — |
| Molina Healthcare | STARPLUS | $25.21 | — |
| Molina Healthcare | STARKIDS | $25.21 | — |
| Molina Healthcare | STAR | $25.21 | — |
| Molina Healthcare | CHIP | $25.21 | — |
| Oscar | MGMCR | $26.74 | — |
| Devoted Health | MGMCR | $27.29 | — |
| Humana | MedicareAdvantageHMO | $27.29 | — |
| Humana | MedicareAdvantagePPOPFFS | $27.29 | — |
| United | AllPayerAppendix | $27.29 | — |
| United | NarrowNetworkIndivExchange | $27.29 | — |
| United | SmallGroup | $27.29 | — |
| Cigna HealthSpring | MCRHMO | $27.29 | — |
| Cigna HealthSpring | MCRPPO | $27.29 | — |
| Cigna HealthSpring | MCRSNP | $27.29 | — |
| Cigna HealthSpring | PFFS | $27.29 | — |
| Cigna HealthSpring | MMP | $27.29 | — |
| BCBS | MCRPPO | $27.29 | — |
| BCBS | MedicareAdvantageHMO | $27.29 | — |
| TriWest Healthcare Alliance | FED | $27.29 | — |
| WellMed | MGMCR | $27.43 | — |
| Van Lang IPA | MCR | $27.56 | — |
| United | MCR | $27.84 | — |
| WellCare | SNP | $28.11 | — |
| WellCare | PPO | $28.11 | — |
| WellCare | PFFS | $28.11 | — |
| WellCare | MCRHMO | $28.11 | — |
| WellCare | POS | $28.11 | — |
| Integranet Amerigroup IPA | MCR | $28.11 | — |
| Superior Health Plan | MCRHMO | $28.65 | — |
| Superior Health Plan | MCRPOS | $28.65 | — |
| Superior Health Plan | MCRPPO | $28.65 | — |
| Superior Health Plan | MCRSNP | $28.65 | — |
| Superior Health Plan | PFFS | $28.65 | — |
| ProCare Advantage | MGMCR | $28.65 | — |
| Shared Health | MGMCR | $28.65 | — |
| Humana | MCD | $28.65 | — |
| American Health Plan | MGMCR | $28.65 | — |
| Superior Health Plan | DualEligible | $28.65 | — |
| Provider Partners Health Plan of Texas | SNP | $28.93 | — |
| Provider Partners Health Plan of Texas | PPO | $28.93 | — |
| Provider Partners Health Plan of Texas | PFFS | $28.93 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $28.93 | — |
| Provider Partners Health Plan of Texas | POS | $28.93 | — |
| Christus (USFHP) | TRICARE | $29.54 | — |
| TriWest Health Alliance | TRCR | $29.54 | — |
| Molina | MGMCR | $29.75 | — |
| Verda Health Plan | MCR | $35.48 | — |
| Superior | ValueHMO | $39.57 | — |
| Community Health Choice | HIX | $39.57 | — |
| Superior | EPO | $42.30 | — |
| Superior | HMO | $42.30 | — |
| BCBS | MyBlueHealth | $55.13 | — |
| Molina Healthcare | HIX | $58.67 | — |
| BCBS | BAV | $60.86 | — |
| Healthcare Highways | NarrowNetwork | $66.32 | — |
| BCBS | HMO | $76.14 | — |
| Oscar | HIX | $78.87 | — |
| BCBS | EPOSOA | $81.60 | — |
| BCBS | PPO | $87.06 | — |
| Aetna | QHPExchange | $99.97 | — |
| Cigna | CSN | $112.93 | — |
| Cigna | OpenAccessPlus | $122.32 | — |
| Aetna | NBHMO | $132.94 | — |
| Aetna | NBPOS | $132.94 | — |
| Aetna | NBPPO | $132.94 | — |
| Aetna | COMMPPO | $141.24 | — |
| Aetna | COMMHMO | $141.24 | — |
| Aetna | COMMPOS | $141.24 | — |
| Cigna | PPO | $145.53 | — |
| Aetna | OONHMO | $165.92 | — |
| Aetna | OONPOS | $165.92 | — |
| Aetna | OONPPO | $165.92 | — |
| Aetna | ASAHMO | $179.40 | — |
| Aetna | ASAPOS | $179.40 | — |
| Aetna | ASAPPO | $179.40 | — |
| Humana | HMO | $295.28 | — |
| Humana | PPO | $295.28 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
M.avium-intra dna dir prob at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $22.46 – $112.93 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $22.92 – $112.93 |
| Texas Health Hospital Mansfield | Mansfield | $219.02 | $27.29 – $80.56 |
| Adventhealth Rollins Brook | Lampasas | not published | $24.56 – $105.07 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $22.46 – $112.93 |
| Covenant Children's Hospital | Lubbock | not published | $59.61 – $118.98 |
| HCA HOUSTON CONROE | CONROE | not published | $22.46 – $112.93 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $22.46 – $112.93 |