Prgrmg eval implantable dfb at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$189.38
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.
$189.38
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.
$11.36 with Superior Health Plan vs $187.01 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 | STAR | $11.36 | ↓ -94% |
| Superior Health Plan | STARKids | $11.36 | ↓ -94% |
| Superior Health Plan | STARPLUS | $11.36 | ↓ -94% |
| Superior Health Plan | CHIP | $11.36 | ↓ -94% |
| Superior Health Plan | CHPFC | $11.36 | ↓ -94% |
| Community Health Choice MCD | STAR | $24.62 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $24.62 | ↓ -87% |
| Community Health Choice MCD | CHIP | $24.62 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $24.62 | ↓ -87% |
| United | OptionsPPO | $31.82 | ↓ -83% |
| Oscar | HIX | $36.93 | ↓ -80% |
| Healthcare Highways | NarrowNetwork | $48.29 | ↓ -75% |
| Evry Health | BroadNetwork | $51.70 | ↓ -73% |
| BCBS | Traditional | $66.28 | ↓ -65% |
| Christus (USFHP) | TRICARE | $75.75 | ↓ -60% |
| Curative Administrators | COMM | $75.75 | ↓ -60% |
| BCBS | MyBlueHealth | $84.82 | ↓ -55% |
| United | GlobalAppendix | $85.22 | ↓ -55% |
| BCBS | BAV | $93.53 | ↓ -51% |
| Coventry National First Health | COMM | $100.94 | ↓ -47% |
| BCBS | HMO | $117.09 | ↓ -38% |
| BCBS | PPO | $117.09 | ↓ -38% |
| BCBS | EPOSOA | $117.09 | ↓ -38% |
| Humana | PPO | $187.01 | ↓ -1% |
| Humana | HMO | $187.01 | ↓ -1% |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $375.20 | $42.78 – $1,072.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $375.20 | $52.93 – $1,072.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $84.82 – $187.01 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $84.82 – $187.01 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $218.79 | $35.62 – $273.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $341.53 | $70.30 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $318.07 | $35.62 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $218.79 | $35.62 – $917.00 |