Rbc count only automated 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.
$2.29 with Superior Health Plan vs $40.36 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 | STARPLUS | $2.29 | — |
| Superior Health Plan | CHIP | $2.29 | — |
| Superior Health Plan | CHPFC | $2.29 | — |
| Superior Health Plan | STAR | $2.29 | — |
| Superior Health Plan | STARKids | $2.29 | — |
| Community Health Choice MCD | CHIP | $2.54 | — |
| Community Health Choice MCD | STAR+PLUS | $2.54 | — |
| Community Health Choice MCD | STAR | $2.54 | — |
| Community Health Choice MCD | CHIPPerinatal | $2.54 | — |
| United | MGMCD | $2.59 | — |
| Aetna Better Health | MGMCD | $2.74 | — |
| Molina Healthcare | STAR | $2.79 | — |
| Molina Healthcare | STARPLUS | $2.79 | — |
| Molina Healthcare | CHIP | $2.79 | — |
| Molina Healthcare | STARKIDS | $2.79 | — |
| Oscar | MGMCR | $2.96 | — |
| TriWest Healthcare Alliance | FED | $3.02 | — |
| United | AllPayerAppendix | $3.02 | — |
| Humana | MedicareAdvantageHMO | $3.02 | — |
| Humana | MedicareAdvantagePPOPFFS | $3.02 | — |
| Devoted Health | MGMCR | $3.02 | — |
| BCBS | MedicareAdvantageHMO | $3.02 | — |
| BCBS | MCRPPO | $3.02 | — |
| Cigna HealthSpring | MMP | $3.02 | — |
| Cigna HealthSpring | PFFS | $3.02 | — |
| Cigna HealthSpring | MCRSNP | $3.02 | — |
| Cigna HealthSpring | MCRPPO | $3.02 | — |
| Cigna HealthSpring | MCRHMO | $3.02 | — |
| United | SmallGroup | $3.02 | — |
| United | NarrowNetworkIndivExchange | $3.02 | — |
| WellMed | MGMCR | $3.04 | — |
| Van Lang IPA | MCR | $3.05 | — |
| United | MCR | $3.08 | — |
| WellCare | PFFS | $3.11 | — |
| WellCare | SNP | $3.11 | — |
| WellCare | PPO | $3.11 | — |
| WellCare | POS | $3.11 | — |
| Integranet Amerigroup IPA | MCR | $3.11 | — |
| WellCare | MCRHMO | $3.11 | — |
| American Health Plan | MGMCR | $3.17 | — |
| Humana | MCD | $3.17 | — |
| Superior Health Plan | DualEligible | $3.17 | — |
| Superior Health Plan | MCRHMO | $3.17 | — |
| Superior Health Plan | MCRPOS | $3.17 | — |
| Superior Health Plan | MCRPPO | $3.17 | — |
| Superior Health Plan | MCRSNP | $3.17 | — |
| Superior Health Plan | PFFS | $3.17 | — |
| ProCare Advantage | MGMCR | $3.17 | — |
| Shared Health | MGMCR | $3.17 | — |
| Provider Partners Health Plan of Texas | POS | $3.20 | — |
| Provider Partners Health Plan of Texas | PPO | $3.20 | — |
| Provider Partners Health Plan of Texas | SNP | $3.20 | — |
| Provider Partners Health Plan of Texas | PFFS | $3.20 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $3.20 | — |
| TriWest Health Alliance | TRCR | $3.27 | — |
| Christus (USFHP) | TRICARE | $3.27 | — |
| Molina | MGMCR | $3.29 | — |
| Verda Health Plan | MCR | $3.93 | — |
| Community Health Choice | HIX | $4.38 | — |
| Superior | ValueHMO | $4.38 | — |
| Superior | EPO | $4.68 | — |
| Superior | HMO | $4.68 | — |
| BCBS | MyBlueHealth | $6.10 | — |
| United | OptionsPPO | $6.43 | — |
| Molina Healthcare | HIX | $6.49 | — |
| BCBS | BAV | $6.73 | — |
| BCBS | HMO | $8.43 | — |
| Oscar | HIX | $8.73 | — |
| BCBS | EPOSOA | $9.03 | — |
| Healthcare Highways | NarrowNetwork | $9.07 | — |
| BCBS | PPO | $9.63 | — |
| Evry Health | BroadNetwork | $10.44 | — |
| Aetna | QHPExchange | $11.09 | — |
| Cigna | CSN | $12.56 | — |
| BCBS | Traditional | $13.39 | — |
| Cigna | OpenAccessPlus | $13.60 | — |
| Aetna | NBHMO | $14.74 | — |
| Aetna | NBPPO | $14.74 | — |
| Aetna | NBPOS | $14.74 | — |
| Aetna | COMMHMO | $15.66 | — |
| Aetna | COMMPPO | $15.66 | — |
| Aetna | COMMPOS | $15.66 | — |
| Cigna | PPO | $16.18 | — |
| United | GlobalAppendix | $17.21 | — |
| Aetna | OONHMO | $18.40 | — |
| Aetna | OONPOS | $18.40 | — |
| Aetna | OONPPO | $18.40 | — |
| Aetna | ASAPOS | $19.89 | — |
| Aetna | ASAPPO | $19.89 | — |
| Aetna | ASAHMO | $19.89 | — |
| Coventry National First Health | COMM | $20.39 | — |
| Humana | HMO | $40.36 | — |
| Humana | PPO | $40.36 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Rbc count only automated at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $11.20 | $2.17 – $32.00 |
| HCA HOUSTON WEST | HOUSTON | $127.00 | $2.49 – $12.56 |
| St. Luke's Health - The Vintage Hospital | Houston | $11.20 | $2.17 – $32.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $37.41 | $2.54 – $12.56 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $11.85 | $2.54 – $14.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $28.98 | $4.43 – $43.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $27.60 | $2.54 – $34.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $11.85 | $2.54 – $14.81 |