Sarscov coronavirus ag ia 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.
$2.22 with Superior Health Plan vs $144.28 with BCBS — 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 | STARKids | $2.22 | — |
| Superior Health Plan | CHIP | $2.22 | — |
| Superior Health Plan | CHPFC | $2.22 | — |
| Superior Health Plan | STAR | $2.22 | — |
| Superior Health Plan | STARPLUS | $2.22 | — |
| Cigna | CSN | $5.47 | — |
| Cigna | OpenAccessPlus | $5.91 | — |
| United | OptionsPPO | $6.20 | — |
| Cigna | PPO | $7.02 | — |
| Healthcare Highways | NarrowNetwork | $9.42 | — |
| Aetna | QHPExchange | $9.79 | — |
| Evry Health | BroadNetwork | $10.08 | — |
| Humana | HMO | $11.78 | — |
| Humana | PPO | $11.78 | — |
| Aetna | NBPOS | $11.85 | — |
| Aetna | NBPPO | $11.85 | — |
| Aetna | NBHMO | $11.85 | — |
| Aetna | COMMPPO | $12.63 | — |
| Aetna | COMMHMO | $12.63 | — |
| Aetna | COMMPOS | $12.63 | — |
| BCBS | Traditional | $12.93 | — |
| Aetna | OONHMO | $14.81 | — |
| Aetna | OONPPO | $14.81 | — |
| Aetna | OONPOS | $14.81 | — |
| Aetna | ASAPOS | $15.99 | — |
| Aetna | ASAHMO | $15.99 | — |
| Aetna | ASAPPO | $15.99 | — |
| United | GlobalAppendix | $16.62 | — |
| Coventry National First Health | COMM | $19.68 | — |
| Molina Healthcare | CHIP | $32.65 | — |
| Molina Healthcare | STAR | $32.65 | — |
| Molina Healthcare | STARKIDS | $32.65 | — |
| Molina Healthcare | STARPLUS | $32.65 | — |
| Oscar | MGMCR | $34.62 | — |
| Cigna HealthSpring | MCRSNP | $35.33 | — |
| BCBS | MCRPPO | $35.33 | — |
| Devoted Health | MGMCR | $35.33 | — |
| Cigna HealthSpring | MCRHMO | $35.33 | — |
| Cigna HealthSpring | MCRPPO | $35.33 | — |
| TriWest Healthcare Alliance | FED | $35.33 | — |
| BCBS | MedicareAdvantageHMO | $35.33 | — |
| Humana | MedicareAdvantageHMO | $35.33 | — |
| Cigna HealthSpring | MMP | $35.33 | — |
| Cigna HealthSpring | PFFS | $35.33 | — |
| Humana | MedicareAdvantagePPOPFFS | $35.33 | — |
| WellMed | MGMCR | $35.51 | — |
| Van Lang IPA | MCR | $35.68 | — |
| United | MCR | $36.04 | — |
| Integranet Amerigroup IPA | MCR | $36.39 | — |
| WellCare | SNP | $36.39 | — |
| WellCare | PPO | $36.39 | — |
| WellCare | PFFS | $36.39 | — |
| WellCare | MCRHMO | $36.39 | — |
| WellCare | POS | $36.39 | — |
| Superior Health Plan | MCRPOS | $37.10 | — |
| Humana | MCD | $37.10 | — |
| American Health Plan | MGMCR | $37.10 | — |
| Superior Health Plan | DualEligible | $37.10 | — |
| Superior Health Plan | MCRHMO | $37.10 | — |
| Superior Health Plan | MCRPPO | $37.10 | — |
| Superior Health Plan | MCRSNP | $37.10 | — |
| Superior Health Plan | PFFS | $37.10 | — |
| ProCare Advantage | MGMCR | $37.10 | — |
| Shared Health | MGMCR | $37.10 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $37.45 | — |
| Provider Partners Health Plan of Texas | PPO | $37.45 | — |
| Provider Partners Health Plan of Texas | SNP | $37.45 | — |
| Provider Partners Health Plan of Texas | PFFS | $37.45 | — |
| Provider Partners Health Plan of Texas | POS | $37.45 | — |
| Molina | MGMCR | $38.51 | — |
| Community Health Choice MCD | CHIP | $45.23 | — |
| Community Health Choice MCD | STAR+PLUS | $45.23 | — |
| Community Health Choice MCD | STAR | $45.23 | — |
| Community Health Choice MCD | CHIPPerinatal | $45.23 | — |
| United | NarrowNetworkIndivExchange | $45.36 | — |
| United | SmallGroup | $45.36 | — |
| United | AllPayerAppendix | $45.36 | — |
| Verda Health Plan | MCR | $45.93 | — |
| United | MGMCD | $46.13 | — |
| Aetna Better Health | MGMCD | $48.85 | — |
| Community Health Choice | HIX | $51.23 | — |
| Superior | ValueHMO | $51.23 | — |
| Superior | EPO | $54.76 | — |
| Superior | HMO | $54.76 | — |
| Molina Healthcare | HIX | $75.96 | — |
| Christus (USFHP) | TRICARE | $79.76 | — |
| TriWest Health Alliance | TRCR | $79.76 | — |
| BCBS | MyBlueHealth | $91.36 | — |
| BCBS | BAV | $100.86 | — |
| Oscar | HIX | $102.10 | — |
| BCBS | HMO | $126.19 | — |
| BCBS | EPOSOA | $135.24 | — |
| BCBS | PPO | $144.28 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Sarscov coronavirus ag ia at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $73.85 | $25.44 – $211.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $73.85 | $25.44 – $211.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $29.09 – $74.19 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $29.68 – $79.76 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $60.40 | $10.00 – $84.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $60.40 | $12.00 – $90.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $53.26 | $12.00 – $84.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $60.40 | $10.00 – $84.79 |