Phlebotomy therapeutic at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$1,019.81
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.
$1,019.81
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.
$61.19 with Superior Health Plan vs $947.51 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 | $61.19 | ↓ -94% |
| Superior Health Plan | STARPLUS | $61.19 | ↓ -94% |
| Superior Health Plan | STARKids | $61.19 | ↓ -94% |
| Superior Health Plan | STAR | $61.19 | ↓ -94% |
| Superior Health Plan | CHPFC | $61.19 | ↓ -94% |
| Community Health Choice MCD | CHIP | $132.58 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $132.58 | ↓ -87% |
| Community Health Choice MCD | STAR | $132.58 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $132.58 | ↓ -87% |
| Cigna | CSN | $150.93 | ↓ -85% |
| Cigna | OpenAccessPlus | $163.17 | ↓ -84% |
| BCBS | MyBlueHealth | $166.23 | ↓ -84% |
| United | OptionsPPO | $171.33 | ↓ -83% |
| BCBS | BAV | $183.57 | ↓ -82% |
| Cigna | PPO | $193.76 | ↓ -81% |
| Oscar | HIX | $198.86 | ↓ -81% |
| BCBS | HMO | $225.69 | ↓ -78% |
| BCBS | EPOSOA | $234.56 | ↓ -77% |
| BCBS | PPO | $238.64 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $260.05 | ↓ -75% |
| Aetna | QHPExchange | $270.25 | ↓ -73% |
| Evry Health | BroadNetwork | $278.41 | ↓ -73% |
| Aetna | NBPPO | $327.36 | ↓ -68% |
| Aetna | NBHMO | $327.36 | ↓ -68% |
| Aetna | NBPOS | $327.36 | ↓ -68% |
| Aetna | COMMPPO | $348.78 | ↓ -66% |
| Aetna | COMMPOS | $348.78 | ↓ -66% |
| Aetna | COMMHMO | $348.78 | ↓ -66% |
| BCBS | Traditional | $356.93 | ↓ -65% |
| Christus (USFHP) | TRICARE | $407.92 | ↓ -60% |
| Curative Administrators | COMM | $407.92 | ↓ -60% |
| Aetna | OONPPO | $408.94 | ↓ -60% |
| Aetna | OONHMO | $408.94 | ↓ -60% |
| Aetna | OONPOS | $408.94 | ↓ -60% |
| Aetna | ASAHMO | $441.58 | ↓ -57% |
| Aetna | ASAPPO | $441.58 | ↓ -57% |
| Aetna | ASAPOS | $441.58 | ↓ -57% |
| United | GlobalAppendix | $458.91 | ↓ -55% |
| Coventry National First Health | COMM | $543.56 | ↓ -47% |
| Humana | HMO | $947.51 | ↓ -7% |
| Humana | PPO | $947.51 | ↓ -7% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $198.10 | $100.00 – $566.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $198.10 | $100.00 – $566.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $189.71 – $947.51 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $189.71 – $947.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $275.15 | $77.96 – $343.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $238.04 | $49.00 – $357.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $275.15 | $55.03 – $343.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $275.15 | $73.37 – $343.94 |