Pr moderate sedation same physician >= 5 years initial 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.
$29.51 with BCBS vs $2,063.53 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $29.51 | — |
| BCBS | BAV | $32.53 | — |
| BCBS | PPO | $40.73 | — |
| BCBS | HMO | $40.73 | — |
| BCBS | EPOSOA | $40.73 | — |
| Superior Health Plan | CHPFC | $154.76 | — |
| Superior Health Plan | STARPLUS | $154.76 | — |
| Superior Health Plan | STARKids | $154.76 | — |
| Superior Health Plan | STAR | $154.76 | — |
| Superior Health Plan | CHIP | $154.76 | — |
| Community Health Choice MCD | CHIP | $335.32 | — |
| Community Health Choice MCD | CHIPPerinatal | $335.32 | — |
| Community Health Choice MCD | STAR | $335.32 | — |
| Community Health Choice MCD | STAR+PLUS | $335.32 | — |
| Cigna | CSN | $381.75 | — |
| Cigna | OpenAccessPlus | $412.71 | — |
| United | OptionsPPO | $433.34 | — |
| Cigna | PPO | $490.09 | — |
| Oscar | HIX | $502.98 | — |
| Healthcare Highways | NarrowNetwork | $657.75 | — |
| Aetna | QHPExchange | $683.54 | — |
| Molina Healthcare | HIX | $696.44 | — |
| Evry Health | BroadNetwork | $704.18 | — |
| Humana | PPO | $823.09 | — |
| Humana | HMO | $823.09 | — |
| Aetna | NBHMO | $827.99 | — |
| Aetna | NBPOS | $827.99 | — |
| Aetna | NBPPO | $827.99 | — |
| Aetna | COMMPOS | $882.16 | — |
| Aetna | COMMPPO | $882.16 | — |
| Aetna | COMMHMO | $882.16 | — |
| BCBS | Traditional | $902.79 | — |
| Christus (USFHP) | TRICARE | $1,031.76 | — |
| Curative Administrators | COMM | $1,031.76 | — |
| Aetna | OONHMO | $1,034.34 | — |
| Aetna | OONPOS | $1,034.34 | — |
| Aetna | OONPPO | $1,034.34 | — |
| Aetna | ASAPPO | $1,116.88 | — |
| Aetna | ASAPOS | $1,116.88 | — |
| Aetna | ASAHMO | $1,116.88 | — |
| United | GlobalAppendix | $1,160.73 | — |
| Coventry National First Health | COMM | $1,374.83 | — |
| TriWest Healthcare Alliance | FED | $2,063.53 | — |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $788.55 | $14.88 – $2,253.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $788.55 | $18.41 – $2,253.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $29.51 – $29.51 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $29.51 – $29.51 |
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $48.55 – $48.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $232.42 | $38.71 – $329.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $232.42 | $38.08 – $348.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $232.42 | $38.08 – $290.53 |