Noninv pace analysis at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$1,721.83
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.
$1,721.83
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.
$79.28 with BCBS vs $917.74 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 | $79.28 | ↓ -95% |
| BCBS | BAV | $87.41 | ↓ -95% |
| Superior Health Plan | CHIP | $103.31 | ↓ -94% |
| Superior Health Plan | STARPLUS | $103.31 | ↓ -94% |
| Superior Health Plan | STARKids | $103.31 | ↓ -94% |
| Superior Health Plan | STAR | $103.31 | ↓ -94% |
| Superior Health Plan | CHPFC | $103.31 | ↓ -94% |
| BCBS | PPO | $109.43 | ↓ -94% |
| BCBS | EPOSOA | $109.43 | ↓ -94% |
| BCBS | HMO | $109.43 | ↓ -94% |
| Community Health Choice MCD | STAR+PLUS | $223.84 | ↓ -87% |
| Community Health Choice MCD | STAR | $223.84 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $223.84 | ↓ -87% |
| Community Health Choice MCD | CHIP | $223.84 | ↓ -87% |
| Cigna | CSN | $254.83 | ↓ -85% |
| Humana | PPO | $269.12 | ↓ -84% |
| Humana | HMO | $269.12 | ↓ -84% |
| Cigna | OpenAccessPlus | $275.49 | ↓ -84% |
| United | OptionsPPO | $289.27 | ↓ -83% |
| Cigna | PPO | $327.15 | ↓ -81% |
| Oscar | HIX | $335.76 | ↓ -80% |
| Healthcare Highways | NarrowNetwork | $439.07 | ↓ -74% |
| Aetna | QHPExchange | $456.28 | ↓ -74% |
| Evry Health | BroadNetwork | $470.06 | ↓ -73% |
| Aetna | NBPOS | $552.71 | ↓ -68% |
| Aetna | NBPPO | $552.71 | ↓ -68% |
| Aetna | NBHMO | $552.71 | ↓ -68% |
| Aetna | COMMHMO | $588.87 | ↓ -66% |
| Aetna | COMMPPO | $588.87 | ↓ -66% |
| Aetna | COMMPOS | $588.87 | ↓ -66% |
| BCBS | Traditional | $602.64 | ↓ -65% |
| Christus (USFHP) | TRICARE | $688.73 | ↓ -60% |
| Curative Administrators | COMM | $688.73 | ↓ -60% |
| Aetna | OONPPO | $690.45 | ↓ -60% |
| Aetna | OONPOS | $690.45 | ↓ -60% |
| Aetna | OONHMO | $690.45 | ↓ -60% |
| Aetna | ASAHMO | $745.55 | ↓ -57% |
| Aetna | ASAPPO | $745.55 | ↓ -57% |
| Aetna | ASAPOS | $745.55 | ↓ -57% |
| United | GlobalAppendix | $774.82 | ↓ -55% |
| Coventry National First Health | COMM | $917.74 | ↓ -47% |
Visitor-reported prices
Comments
Noninv pace analysis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $416.85 | $39.98 – $1,191.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $416.85 | $49.46 – $1,191.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $79.28 – $269.12 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $79.28 – $269.12 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,108.14 | $104.01 – $1,385.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,504.51 | $102.32 – $2,256.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,074.43 | $102.32 – $1,343.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,108.14 | $79.28 – $1,385.17 |