Ot re-evaluation patient/family at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$741.21
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.
$741.21
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.
$44.47 with Superior Health Plan vs $590.34 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 | $44.47 | ↓ -94% |
| Superior Health Plan | STARPLUS | $44.47 | ↓ -94% |
| Superior Health Plan | STARKids | $44.47 | ↓ -94% |
| Superior Health Plan | STAR | $44.47 | ↓ -94% |
| Superior Health Plan | CHPFC | $44.47 | ↓ -94% |
| Oscar | MGMCR | $59.16 | ↓ -92% |
| Humana | MedicareAdvantageHMO | $60.37 | ↓ -92% |
| Humana | MedicareAdvantagePPOPFFS | $60.37 | ↓ -92% |
| Cigna HealthSpring | MMP | $60.37 | ↓ -92% |
| Cigna HealthSpring | PFFS | $60.37 | ↓ -92% |
| Cigna HealthSpring | MCRPPO | $60.37 | ↓ -92% |
| Cigna HealthSpring | MCRSNP | $60.37 | ↓ -92% |
| BCBS | MedicareAdvantageHMO | $60.37 | ↓ -92% |
| BCBS | MCRPPO | $60.37 | ↓ -92% |
| Cigna HealthSpring | MCRHMO | $60.37 | ↓ -92% |
| TriWest Healthcare Alliance | FED | $60.37 | ↓ -92% |
| Devoted Health | MGMCR | $60.37 | ↓ -92% |
| WellMed | MGMCR | $60.67 | ↓ -92% |
| Van Lang IPA | MCR | $60.97 | ↓ -92% |
| United | MCR | $61.58 | ↓ -92% |
| Integranet Amerigroup IPA | MCR | $62.18 | ↓ -92% |
| WellCare | PPO | $62.18 | ↓ -92% |
| WellCare | SNP | $62.18 | ↓ -92% |
| WellCare | POS | $62.18 | ↓ -92% |
| WellCare | MCRHMO | $62.18 | ↓ -92% |
| WellCare | PFFS | $62.18 | ↓ -92% |
| Shared Health | MGMCR | $63.39 | ↓ -91% |
| Superior Health Plan | DualEligible | $63.39 | ↓ -91% |
| Superior Health Plan | MCRHMO | $63.39 | ↓ -91% |
| American Health Plan | MGMCR | $63.39 | ↓ -91% |
| Superior Health Plan | MCRPOS | $63.39 | ↓ -91% |
| Superior Health Plan | MCRPPO | $63.39 | ↓ -91% |
| Superior Health Plan | MCRSNP | $63.39 | ↓ -91% |
| Superior Health Plan | PFFS | $63.39 | ↓ -91% |
| ProCare Advantage | MGMCR | $63.39 | ↓ -91% |
| Provider Partners Health Plan of Texas | PFFS | $63.99 | ↓ -91% |
| Provider Partners Health Plan of Texas | MCRHMO | $63.99 | ↓ -91% |
| Provider Partners Health Plan of Texas | POS | $63.99 | ↓ -91% |
| Provider Partners Health Plan of Texas | SNP | $63.99 | ↓ -91% |
| Provider Partners Health Plan of Texas | PPO | $63.99 | ↓ -91% |
| Molina | MGMCR | $65.80 | ↓ -91% |
| Christus (USFHP) | TRICARE | $70.48 | ↓ -90% |
| TriWest Health Alliance | TRCR | $70.48 | ↓ -90% |
| Verda Health Plan | MCR | $78.48 | ↓ -89% |
| Superior | ValueHMO | $87.53 | ↓ -88% |
| Community Health Choice | HIX | $87.53 | ↓ -88% |
| Superior | HMO | $93.57 | ↓ -87% |
| Superior | EPO | $93.57 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $96.36 | ↓ -87% |
| Community Health Choice MCD | CHIP | $96.36 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $96.36 | ↓ -87% |
| Community Health Choice MCD | STAR | $96.36 | ↓ -87% |
| United | OptionsPPO | $124.52 | ↓ -83% |
| Molina Healthcare | HIX | $129.79 | ↓ -82% |
| Oscar | HIX | $144.54 | ↓ -80% |
| BCBS | MyBlueHealth | $149.27 | ↓ -80% |
| BCBS | BAV | $164.58 | ↓ -78% |
| BCBS | HMO | $206.04 | ↓ -72% |
| BCBS | PPO | $206.04 | ↓ -72% |
| BCBS | EPOSOA | $206.04 | ↓ -72% |
| Aetna | QHPExchange | $206.50 | ↓ -72% |
| BCBS | Traditional | $259.42 | ↓ -65% |
| Aetna | NBPOS | $274.31 | ↓ -63% |
| Aetna | NBHMO | $274.31 | ↓ -63% |
| Aetna | NBPPO | $274.31 | ↓ -63% |
| Aetna | COMMPOS | $290.94 | ↓ -61% |
| Aetna | COMMPPO | $290.94 | ↓ -61% |
| Aetna | COMMHMO | $290.94 | ↓ -61% |
| United | GlobalAppendix | $333.54 | ↓ -55% |
| Aetna | OONHMO | $343.00 | ↓ -54% |
| Aetna | OONPOS | $343.00 | ↓ -54% |
| Aetna | OONPPO | $343.00 | ↓ -54% |
| Aetna | ASAHMO | $370.13 | ↓ -50% |
| Aetna | ASAPPO | $370.13 | ↓ -50% |
| Aetna | ASAPOS | $370.13 | ↓ -50% |
| Coventry National First Health | COMM | $395.06 | ↓ -47% |
| Humana | PPO | $590.34 | ↓ -20% |
| Humana | HMO | $590.34 | ↓ -20% |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON TOMBALL | HOUSTON | $762.73 | $59.16 – $129.79 |
| HCA HOUSTON WEST | HOUSTON | not published | $59.16 – $129.79 |
| Adventhealth Rollins Brook | Lampasas | $333.87 | $245.59 – $245.59 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $227.06 | $64.33 – $321.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $229.21 | $47.18 – $343.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $245.25 | $49.05 – $306.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $227.06 | $60.55 – $321.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $229.21 | $73.58 – $343.82 |