MRI without fol w/cont, breast at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$26,151.46
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.
$26,151.46
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.
$672.06 with BCBS vs $13,938.73 with Coventry National First Health — 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $672.06 | ↓ -97% |
| United | NarrowNetworkIndivExchange | $699.43 | ↓ -97% |
| United | SmallGroup | $828.27 | ↓ -97% |
| United | AllPayerAppendix | $828.27 | ↓ -97% |
| BCBS | BAV | $851.53 | ↓ -97% |
| BCBS | HMO | $1,298.29 | ↓ -95% |
| BCBS | EPOSOA | $1,389.93 | ↓ -95% |
| BCBS | PPO | $1,477.76 | ↓ -94% |
| Superior Health Plan | STARKids | $1,569.09 | ↓ -94% |
| Superior Health Plan | STARPLUS | $1,569.09 | ↓ -94% |
| Superior Health Plan | CHIP | $1,569.09 | ↓ -94% |
| Superior Health Plan | CHPFC | $1,569.09 | ↓ -94% |
| Superior Health Plan | STAR | $1,569.09 | ↓ -94% |
| Cigna | CSN | $2,127.00 | ↓ -92% |
| Cigna | OpenAccessPlus | $2,304.00 | ↓ -91% |
| Cigna | PPO | $2,739.00 | ↓ -90% |
| Community Health Choice MCD | CHIP | $3,399.69 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $3,399.69 | ↓ -87% |
| Community Health Choice MCD | STAR | $3,399.69 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $3,399.69 | ↓ -87% |
| United | OptionsPPO | $4,393.45 | ↓ -83% |
| Aetna | QHPExchange | $6,930.14 | ↓ -73% |
| Aetna | NBPOS | $8,394.62 | ↓ -68% |
| Aetna | NBPPO | $8,394.62 | ↓ -68% |
| Aetna | NBHMO | $8,394.62 | ↓ -68% |
| Aetna | COMMHMO | $8,943.80 | ↓ -66% |
| Aetna | COMMPPO | $8,943.80 | ↓ -66% |
| Aetna | COMMPOS | $8,943.80 | ↓ -66% |
| BCBS | Traditional | $9,153.01 | ↓ -65% |
| Christus (USFHP) | TRICARE | $10,460.58 | ↓ -60% |
| Aetna | OONPOS | $10,486.74 | ↓ -60% |
| Aetna | OONHMO | $10,486.74 | ↓ -60% |
| Aetna | OONPPO | $10,486.74 | ↓ -60% |
| Aetna | ASAHMO | $11,323.58 | ↓ -57% |
| Aetna | ASAPOS | $11,323.58 | ↓ -57% |
| Aetna | ASAPPO | $11,323.58 | ↓ -57% |
| United | GlobalAppendix | $11,768.16 | ↓ -55% |
| Coventry National First Health | COMM | $13,938.73 | ↓ -47% |
Visitor-reported prices
Comments
MRI without fol w/cont, breast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,885.45 | $458.22 – $5,387.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,885.45 | $538.41 – $5,387.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $672.06 – $699.43 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,056.69 | $332.94 – $2,570.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,221.52 | $457.26 – $3,332.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,049.50 | $332.94 – $2,561.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,056.69 | $332.94 – $2,570.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,221.52 | $332.94 – $3,332.28 |