Revision tips at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$18,679.16
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.
$18,679.16
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.
$948.00 with Superior Health Plan vs $16,000.00 with United — 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 | CHPFC | $948.00 | ↓ -95% |
| Superior Health Plan | STAR | $948.00 | ↓ -95% |
| Superior Health Plan | STARPLUS | $948.00 | ↓ -95% |
| Superior Health Plan | STARKids | $948.00 | ↓ -95% |
| Superior Health Plan | CHIP | $948.00 | ↓ -95% |
| Community Health Choice MCD | CHIP | $2,428.29 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $2,428.29 | ↓ -87% |
| Community Health Choice MCD | STAR | $2,428.29 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $2,428.29 | ↓ -87% |
| Aetna | QHPExchange | $2,854.00 | ↓ -85% |
| United | OptionsPPO | $3,138.10 | ↓ -83% |
| Aetna | NBHMO | $3,791.00 | ↓ -80% |
| Aetna | NBPOS | $3,791.00 | ↓ -80% |
| Aetna | COMMHMO | $4,027.00 | ↓ -78% |
| Aetna | COMMPOS | $4,027.00 | ↓ -78% |
| Aetna | NBPPO | $4,278.00 | ↓ -77% |
| Aetna | COMMPPO | $4,546.00 | ↓ -76% |
| Humana | PPO | $4,690.00 | ↓ -75% |
| Humana | HMO | $4,690.00 | ↓ -75% |
| Aetna | OONPOS | $4,739.00 | ↓ -75% |
| Aetna | OONHMO | $4,739.00 | ↓ -75% |
| Aetna | ASAHMO | $5,119.00 | ↓ -73% |
| Aetna | ASAPOS | $5,119.00 | ↓ -73% |
| Aetna | OONPPO | $5,347.00 | ↓ -71% |
| Aetna | ASAPPO | $5,777.00 | ↓ -69% |
| BCBS | Traditional | $6,537.71 | ↓ -65% |
| Christus (USFHP) | TRICARE | $7,471.66 | ↓ -60% |
| United | GlobalAppendix | $8,405.62 | ↓ -55% |
| Curative Administrators | COMM | $9,875.00 | ↓ -47% |
| Coventry National First Health | COMM | $9,955.99 | ↓ -47% |
| BCBS | MyBlueHealth | $10,155.52 | ↓ -46% |
| BCBS | HMO | $10,254.59 | ↓ -45% |
| BCBS | BAV | $10,254.59 | ↓ -45% |
| Oscar | HIX | $10,586.00 | ↓ -43% |
| Cigna | CSN | $10,740.00 | ↓ -43% |
| Healthcare Highways | NarrowNetwork | $10,949.00 | ↓ -41% |
| Evry Health | BroadNetwork | $11,113.00 | ↓ -41% |
| United | SmallGroup | $11,200.00 | ↓ -40% |
| Cigna | OpenAccessPlus | $11,636.00 | ↓ -38% |
| BCBS | EPOSOA | $11,889.38 | ↓ -36% |
| BCBS | PPO | $13,524.17 | ↓ -28% |
| Cigna | PPO | $13,835.00 | ↓ -26% |
| United | NarrowNetworkIndivExchange | $15,678.00 | ↓ -16% |
| United | AllPayerAppendix | $16,000.00 | ↓ -14% |
Visitor-reported prices
Comments
Revision tips at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $3,603.25 | $2,779.65 – $10,295.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $3,603.25 | $2,779.65 – $10,295.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $5,746.09 – $8,619.80 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $8,619.80 – $8,619.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $11,218.30 | $3,178.52 – $14,159.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,711.04 | $71.00 – $22,066.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,111.45 | $71.00 – $16,389.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $11,218.30 | $2,991.55 – $14,159.18 |