Pq biliary strict dil s&i at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$227.35
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.
$227.35
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.
$13.64 with Superior Health Plan vs $1,582.22 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 | CHPFC | $13.64 | ↓ -94% |
| Superior Health Plan | STAR | $13.64 | ↓ -94% |
| Superior Health Plan | STARPLUS | $13.64 | ↓ -94% |
| Superior Health Plan | STARKids | $13.64 | ↓ -94% |
| Superior Health Plan | CHIP | $13.64 | ↓ -94% |
| Community Health Choice MCD | CHIPPerinatal | $29.56 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $29.56 | ↓ -87% |
| Community Health Choice MCD | STAR | $29.56 | ↓ -87% |
| Community Health Choice MCD | CHIP | $29.56 | ↓ -87% |
| Cigna | CSN | $33.65 | ↓ -85% |
| Cigna | OpenAccessPlus | $36.38 | ↓ -84% |
| United | OptionsPPO | $38.19 | ↓ -83% |
| Cigna | PPO | $43.20 | ↓ -81% |
| Healthcare Highways | NarrowNetwork | $57.97 | ↓ -75% |
| Molina Healthcare | HIX | $61.38 | ↓ -73% |
| Evry Health | BroadNetwork | $62.07 | ↓ -73% |
| BCBS | MyBlueHealth | $77.39 | ↓ -66% |
| BCBS | Traditional | $79.57 | ↓ -65% |
| Christus (USFHP) | TRICARE | $90.94 | ↓ -60% |
| Curative Administrators | COMM | $90.94 | ↓ -60% |
| BCBS | BAV | $98.05 | ↓ -57% |
| United | GlobalAppendix | $102.31 | ↓ -55% |
| Coventry National First Health | COMM | $121.18 | ↓ -47% |
| BCBS | HMO | $149.50 | ↓ -34% |
| BCBS | EPOSOA | $160.05 | ↓ -30% |
| BCBS | PPO | $170.16 | ↓ -25% |
| TriWest Healthcare Alliance | FED | $181.88 | ↓ -20% |
| Aetna | QHPExchange | $451.35 | ↑ +99% |
| Aetna | NBPPO | $599.89 | ↑ +164% |
| Aetna | NBPOS | $599.89 | ↑ +164% |
| Aetna | NBHMO | $599.89 | ↑ +164% |
| Aetna | COMMPOS | $638.14 | ↑ +181% |
| Aetna | COMMHMO | $638.14 | ↑ +181% |
| Aetna | COMMPPO | $638.14 | ↑ +181% |
| Aetna | OONPPO | $750.34 | ↑ +230% |
| Aetna | OONHMO | $750.34 | ↑ +230% |
| Aetna | OONPOS | $750.34 | ↑ +230% |
| Aetna | ASAPOS | $810.90 | ↑ +257% |
| Aetna | ASAHMO | $810.90 | ↑ +257% |
| Aetna | ASAPPO | $810.90 | ↑ +257% |
| Humana | HMO | $1,582.22 | ↑ +596% |
| Humana | PPO | $1,582.22 | ↑ +596% |
Visitor-reported prices
Comments
Pq biliary strict dil s&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $679.35 | $52.76 – $1,941.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $679.35 | $62.00 – $1,941.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $77.39 – $1,582.22 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $77.39 – $1,582.22 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $707.71 | $87.94 – $1,002.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $861.43 | $147.74 – $1,292.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $861.43 | $147.74 – $1,076.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $707.71 | $100.69 – $1,002.58 |