Passy muir valve metal trach 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.
$17.10 with Superior Health Plan vs $1,137.53 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 | $17.10 | — |
| Superior Health Plan | STARPLUS | $17.10 | — |
| Superior Health Plan | STAR | $17.10 | — |
| Superior Health Plan | STARKids | $17.10 | — |
| Superior Health Plan | CHPFC | $17.10 | — |
| Community Health Choice MCD | STAR | $37.04 | — |
| Community Health Choice MCD | STAR+PLUS | $37.04 | — |
| Community Health Choice MCD | CHIP | $37.04 | — |
| Community Health Choice MCD | CHIPPerinatal | $37.04 | — |
| Cigna | CSN | $42.17 | — |
| Cigna | OpenAccessPlus | $45.59 | — |
| BCBS | MyBlueHealth | $46.45 | — |
| United | OptionsPPO | $47.87 | — |
| BCBS | BAV | $51.29 | — |
| Cigna | PPO | $54.14 | — |
| BCBS | HMO | $64.12 | — |
| BCBS | EPOSOA | $65.54 | — |
| BCBS | PPO | $66.68 | — |
| BCBS | Traditional | $99.74 | — |
| United | GlobalAppendix | $128.23 | — |
| Oscar | MGMCR | $144.92 | — |
| Humana | MedicareAdvantageHMO | $147.88 | — |
| Cigna HealthSpring | PFFS | $147.88 | — |
| Cigna HealthSpring | MMP | $147.88 | — |
| TriWest Health Alliance | TRCR | $147.88 | — |
| BCBS | MCRPPO | $147.88 | — |
| BCBS | MedicareAdvantageHMO | $147.88 | — |
| Christus (USFHP) | TRICARE | $147.88 | — |
| Cigna HealthSpring | MCRPPO | $147.88 | — |
| TriWest Healthcare Alliance | FED | $147.88 | — |
| Devoted Health | MGMCR | $147.88 | — |
| Cigna HealthSpring | MCRHMO | $147.88 | — |
| Humana | MedicareAdvantagePPOPFFS | $147.88 | — |
| Cigna HealthSpring | MCRSNP | $147.88 | — |
| WellMed | MGMCR | $148.62 | — |
| Van Lang IPA | MCR | $149.36 | — |
| United | MCR | $150.84 | — |
| Coventry National First Health | COMM | $151.88 | — |
| WellCare | POS | $152.32 | — |
| WellCare | PPO | $152.32 | — |
| Integranet Amerigroup IPA | MCR | $152.32 | — |
| WellCare | MCRHMO | $152.32 | — |
| WellCare | PFFS | $152.32 | — |
| WellCare | SNP | $152.32 | — |
| Superior Health Plan | MCRPOS | $155.27 | — |
| Shared Health | MGMCR | $155.27 | — |
| American Health Plan | MGMCR | $155.27 | — |
| Superior Health Plan | DualEligible | $155.27 | — |
| Superior Health Plan | MCRHMO | $155.27 | — |
| Superior Health Plan | MCRPPO | $155.27 | — |
| Superior Health Plan | MCRSNP | $155.27 | — |
| Superior Health Plan | PFFS | $155.27 | — |
| ProCare Advantage | MGMCR | $155.27 | — |
| Provider Partners Health Plan of Texas | PFFS | $156.75 | — |
| Provider Partners Health Plan of Texas | PPO | $156.75 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $156.75 | — |
| Provider Partners Health Plan of Texas | POS | $156.75 | — |
| Provider Partners Health Plan of Texas | SNP | $156.75 | — |
| Molina | MGMCR | $161.19 | — |
| Verda Health Plan | MCR | $192.24 | — |
| Superior | ValueHMO | $214.43 | — |
| Community Health Choice | HIX | $214.43 | — |
| Superior | HMO | $229.21 | — |
| Superior | EPO | $229.21 | — |
| Molina Healthcare | HIX | $317.94 | — |
| Humana | PPO | $1,137.53 | — |
| Humana | HMO | $1,137.53 | — |
Visitor-reported prices
Comments
Passy muir valve metal trach at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $274.40 | $164.64 – $784.00 |
| HCA HOUSTON WEST | HOUSTON | $1,192.00 | $144.92 – $317.94 |
| St. Luke's Health - The Vintage Hospital | Houston | $274.40 | $164.64 – $784.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $144.92 – $317.94 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $339.37 | $74.63 – $351.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $339.37 | $54.22 – $395.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $263.40 | $52.68 – $351.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $339.37 | $70.24 – $351.20 |