Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes 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.
$18.61 with Superior Health Plan vs $294.93 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 | $18.61 | — |
| Superior Health Plan | STARPLUS | $18.61 | — |
| Superior Health Plan | STARKids | $18.61 | — |
| Superior Health Plan | STAR | $18.61 | — |
| Superior Health Plan | CHPFC | $18.61 | — |
| Oscar | MGMCR | $25.19 | — |
| Humana | MedicareAdvantageHMO | $25.70 | — |
| Humana | MedicareAdvantagePPOPFFS | $25.70 | — |
| Cigna HealthSpring | MMP | $25.70 | — |
| Cigna HealthSpring | PFFS | $25.70 | — |
| Cigna HealthSpring | MCRPPO | $25.70 | — |
| Cigna HealthSpring | MCRSNP | $25.70 | — |
| BCBS | MedicareAdvantageHMO | $25.70 | — |
| BCBS | MCRPPO | $25.70 | — |
| Cigna HealthSpring | MCRHMO | $25.70 | — |
| TriWest Healthcare Alliance | FED | $25.70 | — |
| Devoted Health | MGMCR | $25.70 | — |
| WellMed | MGMCR | $25.83 | — |
| Van Lang IPA | MCR | $25.96 | — |
| United | MCR | $26.22 | — |
| Integranet Amerigroup IPA | MCR | $26.48 | — |
| WellCare | PPO | $26.48 | — |
| WellCare | SNP | $26.48 | — |
| WellCare | POS | $26.48 | — |
| WellCare | MCRHMO | $26.48 | — |
| WellCare | PFFS | $26.48 | — |
| Shared Health | MGMCR | $26.99 | — |
| Superior Health Plan | DualEligible | $26.99 | — |
| Superior Health Plan | MCRHMO | $26.99 | — |
| American Health Plan | MGMCR | $26.99 | — |
| Superior Health Plan | MCRPOS | $26.99 | — |
| Superior Health Plan | MCRPPO | $26.99 | — |
| Superior Health Plan | MCRSNP | $26.99 | — |
| Superior Health Plan | PFFS | $26.99 | — |
| ProCare Advantage | MGMCR | $26.99 | — |
| Provider Partners Health Plan of Texas | PFFS | $27.25 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $27.25 | — |
| Provider Partners Health Plan of Texas | POS | $27.25 | — |
| Provider Partners Health Plan of Texas | SNP | $27.25 | — |
| Provider Partners Health Plan of Texas | PPO | $27.25 | — |
| Molina | MGMCR | $28.02 | — |
| Christus (USFHP) | TRICARE | $29.17 | — |
| TriWest Health Alliance | TRCR | $29.17 | — |
| Verda Health Plan | MCR | $33.42 | — |
| Community Health Choice | HIX | $37.27 | — |
| Superior | ValueHMO | $37.27 | — |
| Superior | EPO | $39.84 | — |
| Superior | HMO | $39.84 | — |
| Community Health Choice MCD | CHIP | $40.33 | — |
| Community Health Choice MCD | STAR+PLUS | $40.33 | — |
| Community Health Choice MCD | STAR | $40.33 | — |
| Community Health Choice MCD | CHIPPerinatal | $40.33 | — |
| United | OptionsPPO | $52.12 | — |
| Molina Healthcare | HIX | $55.27 | — |
| Oscar | HIX | $60.49 | — |
| BCBS | MyBlueHealth | $73.36 | — |
| BCBS | BAV | $80.88 | — |
| Aetna | QHPExchange | $87.60 | — |
| BCBS | HMO | $101.26 | — |
| BCBS | PPO | $101.26 | — |
| BCBS | EPOSOA | $101.26 | — |
| BCBS | Traditional | $108.58 | — |
| Aetna | NBPOS | $116.37 | — |
| Aetna | NBPPO | $116.37 | — |
| Aetna | NBHMO | $116.37 | — |
| Aetna | COMMPOS | $123.42 | — |
| Aetna | COMMPPO | $123.42 | — |
| Aetna | COMMHMO | $123.42 | — |
| United | GlobalAppendix | $139.60 | — |
| Aetna | OONHMO | $145.51 | — |
| Aetna | OONPOS | $145.51 | — |
| Aetna | OONPPO | $145.51 | — |
| Aetna | ASAHMO | $157.02 | — |
| Aetna | ASAPPO | $157.02 | — |
| Aetna | ASAPOS | $157.02 | — |
| Coventry National First Health | COMM | $165.35 | — |
| Humana | PPO | $294.93 | — |
| Humana | HMO | $294.93 | — |
Visitor-reported prices
Comments
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $122.50 | $36.99 – $350.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $122.50 | $45.77 – $350.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $25.19 – $55.27 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $25.19 – $55.27 |
| Adventhealth Rollins Brook | Lampasas | $274.83 | $120.70 – $120.70 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $125.24 | $35.48 – $177.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $149.57 | $30.79 – $224.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $143.44 | $28.69 – $179.29 |