Prcrd drg 0-5yr or w/anomly at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$6,962.06
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.
$6,962.06
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.
$905.07 with Community Health Choice MCD vs $13,835.00 with Cigna — 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 |
|---|---|---|---|
| Community Health Choice MCD | CHIP | $905.07 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $905.07 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $905.07 | ↓ -87% |
| Community Health Choice MCD | STAR | $905.07 | ↓ -87% |
| Superior Health Plan | STARPLUS | $948.00 | ↓ -86% |
| Superior Health Plan | STAR | $948.00 | ↓ -86% |
| Superior Health Plan | CHIP | $948.00 | ↓ -86% |
| Superior Health Plan | CHPFC | $948.00 | ↓ -86% |
| Superior Health Plan | STARKids | $948.00 | ↓ -86% |
| United | OptionsPPO | $1,169.63 | ↓ -83% |
| Molina Healthcare | HIX | $1,879.76 | ↓ -73% |
| Evry Health | BroadNetwork | $1,900.64 | ↓ -73% |
| BCBS | Traditional | $2,436.72 | ↓ -65% |
| BCBS | MyBlueHealth | $2,673.61 | ↓ -62% |
| Christus (USFHP) | TRICARE | $2,784.82 | ↓ -60% |
| BCBS | BAV | $2,944.76 | ↓ -58% |
| United | GlobalAppendix | $3,132.93 | ↓ -55% |
| BCBS | PPO | $3,335.45 | ↓ -52% |
| BCBS | EPOSOA | $3,382.10 | ↓ -51% |
| Oscar | HIX | $3,390.00 | ↓ -51% |
| BCBS | HMO | $3,428.75 | ↓ -51% |
| Coventry National First Health | COMM | $3,710.78 | ↓ -47% |
| Humana | PPO | $4,690.00 | ↓ -33% |
| Humana | HMO | $4,690.00 | ↓ -33% |
| TriWest Healthcare Alliance | FED | $5,569.65 | ↓ -20% |
| Healthcare Highways | NarrowNetwork | $5,841.00 | ↓ -16% |
| United | SmallGroup | $6,300.00 | ↓ -10% |
| United | NarrowNetworkIndivExchange | $8,757.00 | ↑ +26% |
| United | AllPayerAppendix | $9,000.00 | ↑ +29% |
| Cigna | CSN | $10,740.00 | ↑ +54% |
| Cigna | OpenAccessPlus | $11,636.00 | ↑ +67% |
| Curative Administrators | COMM | $12,018.00 | ↑ +73% |
| Cigna | PPO | $13,835.00 | ↑ +99% |
Visitor-reported prices
Comments
Prcrd drg 0-5yr or w/anomly at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $2,673.61 – $2,673.61 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $2,673.61 – $2,673.61 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,769.84 | $501.46 – $2,507.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,609.03 | $71.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,943.97 | $71.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,769.84 | $471.96 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,609.03 | $85.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,609.03 | $831.33 – $2,413.55 |