M/phmtrc alys ishquant/semiq 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.
$47.95 with Superior Health Plan vs $3,557.51 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $47.95 | — |
| Superior Health Plan | STARPLUS | $47.95 | — |
| Superior Health Plan | STARKids | $47.95 | — |
| Superior Health Plan | STAR | $47.95 | — |
| Superior Health Plan | CHPFC | $47.95 | — |
| Community Health Choice MCD | CHIP | $103.89 | — |
| Community Health Choice MCD | STAR+PLUS | $103.89 | — |
| Community Health Choice MCD | STAR | $103.89 | — |
| Community Health Choice MCD | CHIPPerinatal | $103.89 | — |
| United | OptionsPPO | $134.26 | — |
| United | AllPayerAppendix | $149.16 | — |
| United | SmallGroup | $149.16 | — |
| United | NarrowNetworkIndivExchange | $149.16 | — |
| Oscar | HIX | $155.84 | — |
| Healthcare Highways | NarrowNetwork | $203.79 | — |
| Evry Health | BroadNetwork | $218.18 | — |
| BCBS | Traditional | $279.72 | — |
| BCBS | MyBlueHealth | $289.87 | — |
| Christus (USFHP) | TRICARE | $319.68 | — |
| BCBS | BAV | $320.00 | — |
| United | GlobalAppendix | $359.64 | — |
| BCBS | HMO | $400.37 | — |
| Coventry National First Health | COMM | $425.97 | — |
| BCBS | EPOSOA | $429.07 | — |
| BCBS | PPO | $457.76 | — |
| Aetna | QHPExchange | $1,311.96 | — |
| Cigna | CSN | $1,387.81 | — |
| Cigna | OpenAccessPlus | $1,503.19 | — |
| Aetna | NBHMO | $1,744.74 | — |
| Aetna | NBPPO | $1,744.74 | — |
| Aetna | NBPOS | $1,744.74 | — |
| Cigna | PPO | $1,788.45 | — |
| Aetna | COMMPPO | $1,853.61 | — |
| Aetna | COMMPOS | $1,853.61 | — |
| Aetna | COMMHMO | $1,853.61 | — |
| Aetna | OONHMO | $2,177.52 | — |
| Aetna | OONPOS | $2,177.52 | — |
| Aetna | OONPPO | $2,177.52 | — |
| Aetna | ASAPOS | $2,354.44 | — |
| Aetna | ASAHMO | $2,354.44 | — |
| Aetna | ASAPPO | $2,354.44 | — |
| Humana | HMO | $3,557.51 | — |
| Humana | PPO | $3,557.51 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $303.80 | $172.20 – $868.00 |
| HCA HOUSTON WEST | HOUSTON | $1,112.00 | $149.16 – $3,557.51 |
| St. Luke's Health - The Vintage Hospital | Houston | $303.80 | $193.77 – $868.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $259.20 | $149.16 – $3,557.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,194.59 | $35.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,137.71 | $36.00 – $450.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,137.71 | $36.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,194.59 | $35.00 – $423.12 |