Pretreat rbc w chem/drugs reference at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$422.02
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.
$422.02
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.
$25.32 with Superior Health Plan vs $314.21 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 | $25.32 | ↓ -94% |
| Superior Health Plan | STARPLUS | $25.32 | ↓ -94% |
| Superior Health Plan | STARKids | $25.32 | ↓ -94% |
| Superior Health Plan | STAR | $25.32 | ↓ -94% |
| Superior Health Plan | CHPFC | $25.32 | ↓ -94% |
| United | AllPayerAppendix | $33.84 | ↓ -92% |
| United | SmallGroup | $33.84 | ↓ -92% |
| United | NarrowNetworkIndivExchange | $33.84 | ↓ -92% |
| Community Health Choice MCD | CHIP | $54.86 | ↓ -87% |
| Community Health Choice MCD | STAR | $54.86 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $54.86 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $54.86 | ↓ -87% |
| BCBS | MyBlueHealth | $67.53 | ↓ -84% |
| United | OptionsPPO | $70.90 | ↓ -83% |
| BCBS | BAV | $74.55 | ↓ -82% |
| Oscar | HIX | $82.29 | ↓ -81% |
| BCBS | HMO | $93.27 | ↓ -78% |
| BCBS | EPOSOA | $99.96 | ↓ -76% |
| BCBS | PPO | $106.64 | ↓ -75% |
| Healthcare Highways | NarrowNetwork | $107.62 | ↓ -74% |
| Aetna | QHPExchange | $110.86 | ↓ -74% |
| Evry Health | BroadNetwork | $115.21 | ↓ -73% |
| Cigna | CSN | $117.08 | ↓ -72% |
| Cigna | OpenAccessPlus | $126.82 | ↓ -70% |
| Aetna | NBHMO | $147.43 | ↓ -65% |
| Aetna | NBPOS | $147.43 | ↓ -65% |
| Aetna | NBPPO | $147.43 | ↓ -65% |
| BCBS | Traditional | $147.71 | ↓ -65% |
| Cigna | PPO | $150.88 | ↓ -64% |
| Aetna | COMMPOS | $156.63 | ↓ -63% |
| Aetna | COMMPPO | $156.63 | ↓ -63% |
| Aetna | COMMHMO | $156.63 | ↓ -63% |
| Christus (USFHP) | TRICARE | $168.81 | ↓ -60% |
| Aetna | OONPOS | $184.00 | ↓ -56% |
| Aetna | OONPPO | $184.00 | ↓ -56% |
| Aetna | OONHMO | $184.00 | ↓ -56% |
| United | GlobalAppendix | $189.91 | ↓ -55% |
| Aetna | ASAHMO | $198.95 | ↓ -53% |
| Aetna | ASAPPO | $198.95 | ↓ -53% |
| Aetna | ASAPOS | $198.95 | ↓ -53% |
| Coventry National First Health | COMM | $224.94 | ↓ -47% |
| Humana | HMO | $314.21 | ↓ -26% |
| Humana | PPO | $314.21 | ↓ -26% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Pretreat rbc w chem/drugs reference at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $53.55 | $36.95 – $153.00 |
| HCA HOUSTON WEST | HOUSTON | $246.00 | $33.84 – $314.21 |
| St. Luke's Health - The Vintage Hospital | Houston | $53.55 | $41.31 – $153.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $137.70 | $33.84 – $314.21 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $132.48 | $10.00 – $165.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $106.00 | $12.00 – $159.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $80.03 | $12.00 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $132.48 | $10.00 – $165.60 |