Nuclear exam of tear flow 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.
$158.41 with Molina Healthcare vs $2,817.96 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 |
|---|---|---|---|
| Molina Healthcare | STAR | $158.41 | — |
| Molina Healthcare | STARKIDS | $158.41 | — |
| Molina Healthcare | STARPLUS | $158.41 | — |
| Molina Healthcare | CHIP | $158.41 | — |
| Humana | MCD | $180.01 | — |
| Community Health Choice MCD | STAR+PLUS | $186.78 | — |
| Community Health Choice MCD | CHIP | $186.78 | — |
| Community Health Choice MCD | CHIPPerinatal | $186.78 | — |
| Community Health Choice MCD | STAR | $186.78 | — |
| United | MGMCD | $190.52 | — |
| Aetna Better Health | MGMCD | $201.72 | — |
| BCBS | MyBlueHealth | $286.07 | — |
| BCBS | BAV | $362.46 | — |
| BCBS | HMO | $552.64 | — |
| BCBS | EPOSOA | $591.65 | — |
| BCBS | PPO | $629.03 | — |
| United | NarrowNetworkIndivExchange | $716.53 | — |
| United | AllPayerAppendix | $848.52 | — |
| United | SmallGroup | $848.52 | — |
| Aetna | QHPExchange | $903.27 | — |
| Aetna | NBPPO | $1,200.53 | — |
| Aetna | NBPOS | $1,200.53 | — |
| Aetna | NBHMO | $1,200.53 | — |
| Aetna | COMMPPO | $1,277.08 | — |
| Aetna | COMMPOS | $1,277.08 | — |
| Aetna | COMMHMO | $1,277.08 | — |
| Aetna | OONPPO | $1,501.62 | — |
| Aetna | OONPOS | $1,501.62 | — |
| Aetna | OONHMO | $1,501.62 | — |
| Aetna | ASAPOS | $1,622.82 | — |
| Aetna | ASAHMO | $1,622.82 | — |
| Aetna | ASAPPO | $1,622.82 | — |
| Humana | PPO | $2,817.96 | — |
| Humana | HMO | $2,817.96 | — |
Visitor-reported prices
Comments
Nuclear exam of tear flow at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $356.65 | $112.09 – $1,019.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $356.65 | $81.52 – $1,019.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $141.13 – $903.27 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $144.01 – $903.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $555.89 | $114.42 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $583.70 | $131.65 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $555.89 | $140.87 – $1,021.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $555.89 | $131.65 – $1,021.72 |