#pnh-flow cytometry interp at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$642.25
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.
$642.25
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.
$36.64 with United vs $513.80 with TriWest Healthcare Alliance — 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 |
|---|---|---|---|
| United | SmallGroup | $36.64 | ↓ -94% |
| United | AllPayerAppendix | $36.64 | ↓ -94% |
| United | NarrowNetworkIndivExchange | $36.64 | ↓ -94% |
| Superior Health Plan | CHPFC | $38.53 | ↓ -94% |
| Superior Health Plan | STARPLUS | $38.53 | ↓ -94% |
| Superior Health Plan | STARKids | $38.53 | ↓ -94% |
| Superior Health Plan | STAR | $38.53 | ↓ -94% |
| Superior Health Plan | CHIP | $38.53 | ↓ -94% |
| BCBS | MyBlueHealth | $78.62 | ↓ -88% |
| Community Health Choice MCD | CHIPPerinatal | $83.49 | ↓ -87% |
| Community Health Choice MCD | STAR | $83.49 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $83.49 | ↓ -87% |
| Community Health Choice MCD | CHIP | $83.49 | ↓ -87% |
| BCBS | BAV | $86.79 | ↓ -86% |
| Cigna | CSN | $99.20 | ↓ -85% |
| Cigna | OpenAccessPlus | $107.45 | ↓ -83% |
| United | OptionsPPO | $107.90 | ↓ -83% |
| BCBS | HMO | $108.59 | ↓ -83% |
| BCBS | EPOSOA | $116.37 | ↓ -82% |
| BCBS | PPO | $124.15 | ↓ -81% |
| Oscar | HIX | $125.24 | ↓ -80% |
| Cigna | PPO | $127.84 | ↓ -80% |
| Aetna | QHPExchange | $135.30 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $163.77 | ↓ -75% |
| Molina Healthcare | HIX | $173.41 | ↓ -73% |
| Evry Health | BroadNetwork | $175.33 | ↓ -73% |
| Aetna | NBPPO | $179.93 | ↓ -72% |
| Aetna | NBPOS | $179.93 | ↓ -72% |
| Aetna | NBHMO | $179.93 | ↓ -72% |
| Aetna | COMMHMO | $191.16 | ↓ -70% |
| Aetna | COMMPPO | $191.16 | ↓ -70% |
| Aetna | COMMPOS | $191.16 | ↓ -70% |
| Aetna | OONPPO | $224.56 | ↓ -65% |
| Aetna | OONHMO | $224.56 | ↓ -65% |
| Aetna | OONPOS | $224.56 | ↓ -65% |
| BCBS | Traditional | $224.79 | ↓ -65% |
| Aetna | ASAHMO | $242.81 | ↓ -62% |
| Aetna | ASAPOS | $242.81 | ↓ -62% |
| Aetna | ASAPPO | $242.81 | ↓ -62% |
| Christus (USFHP) | TRICARE | $256.90 | ↓ -60% |
| United | GlobalAppendix | $289.01 | ↓ -55% |
| Coventry National First Health | COMM | $342.32 | ↓ -47% |
| Humana | PPO | $505.29 | ↓ -21% |
| Humana | HMO | $505.29 | ↓ -21% |
| TriWest Healthcare Alliance | FED | $513.80 | ↓ -20% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
#pnh-flow cytometry interp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $36.64 – $505.29 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $36.64 – $505.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $154.14 | $18.18 – $94.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $154.14 | $31.44 – $229.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $154.14 | $30.55 – $201.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $154.14 | $17.11 – $141.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $154.14 | $36.00 – $245.59 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $154.14 | $26.00 – $229.12 |