Screening hepatitis c antibody high risk 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.
$45.42 with Oscar vs $451.45 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 |
|---|---|---|---|
| Oscar | MGMCR | $45.42 | — |
| United | SmallGroup | $46.35 | — |
| United | NarrowNetworkIndivExchange | $46.35 | — |
| United | AllPayerAppendix | $46.35 | — |
| Humana | MedicareAdvantagePPOPFFS | $46.35 | — |
| BCBS | MCRPPO | $46.35 | — |
| Cigna HealthSpring | MCRHMO | $46.35 | — |
| Cigna HealthSpring | PFFS | $46.35 | — |
| Cigna HealthSpring | MCRSNP | $46.35 | — |
| Cigna HealthSpring | MCRPPO | $46.35 | — |
| Cigna HealthSpring | MMP | $46.35 | — |
| Devoted Health | MGMCR | $46.35 | — |
| TriWest Healthcare Alliance | FED | $46.35 | — |
| BCBS | MedicareAdvantageHMO | $46.35 | — |
| Humana | MedicareAdvantageHMO | $46.35 | — |
| WellMed | MGMCR | $46.58 | — |
| Van Lang IPA | MCR | $46.81 | — |
| United | MCR | $47.28 | — |
| WellCare | PPO | $47.74 | — |
| WellCare | SNP | $47.74 | — |
| WellCare | POS | $47.74 | — |
| WellCare | MCRHMO | $47.74 | — |
| WellCare | PFFS | $47.74 | — |
| Integranet Amerigroup IPA | MCR | $47.74 | — |
| American Health Plan | MGMCR | $48.67 | — |
| ProCare Advantage | MGMCR | $48.67 | — |
| Shared Health | MGMCR | $48.67 | — |
| Superior Health Plan | DualEligible | $48.67 | — |
| Superior Health Plan | MCRHMO | $48.67 | — |
| Superior Health Plan | MCRPOS | $48.67 | — |
| Superior Health Plan | MCRPPO | $48.67 | — |
| Superior Health Plan | MCRSNP | $48.67 | — |
| Superior Health Plan | PFFS | $48.67 | — |
| Provider Partners Health Plan of Texas | PFFS | $49.13 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $49.13 | — |
| Provider Partners Health Plan of Texas | POS | $49.13 | — |
| Provider Partners Health Plan of Texas | SNP | $49.13 | — |
| Provider Partners Health Plan of Texas | PPO | $49.13 | — |
| TriWest Health Alliance | TRCR | $50.16 | — |
| Christus (USFHP) | TRICARE | $50.16 | — |
| Molina | MGMCR | $50.52 | — |
| Verda Health Plan | MCR | $60.26 | — |
| Superior | ValueHMO | $67.21 | — |
| Community Health Choice | HIX | $67.21 | — |
| Superior | EPO | $71.84 | — |
| Superior | HMO | $71.84 | — |
| BCBS | MyBlueHealth | $93.63 | — |
| Molina Healthcare | HIX | $99.65 | — |
| BCBS | BAV | $103.36 | — |
| Healthcare Highways | NarrowNetwork | $112.63 | — |
| BCBS | HMO | $129.32 | — |
| Oscar | HIX | $133.95 | — |
| BCBS | EPOSOA | $138.59 | — |
| BCBS | PPO | $147.86 | — |
| Aetna | QHPExchange | $169.81 | — |
| Cigna | CSN | $190.95 | — |
| Cigna | OpenAccessPlus | $206.83 | — |
| Aetna | NBPOS | $225.82 | — |
| Aetna | NBHMO | $225.82 | — |
| Aetna | NBPPO | $225.82 | — |
| Aetna | COMMPOS | $239.92 | — |
| Aetna | COMMHMO | $239.92 | — |
| Aetna | COMMPPO | $239.92 | — |
| Cigna | PPO | $246.08 | — |
| Aetna | OONHMO | $281.84 | — |
| Aetna | OONPPO | $281.84 | — |
| Aetna | OONPOS | $281.84 | — |
| Aetna | ASAPOS | $304.74 | — |
| Aetna | ASAHMO | $304.74 | — |
| Aetna | ASAPPO | $304.74 | — |
| Humana | PPO | $451.45 | — |
| Humana | HMO | $451.45 | — |
Visitor-reported prices
Comments
Screening hepatitis c antibody high risk at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $45.42 – $190.95 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $45.42 – $190.95 |
| Texas Health Presbyterian Hospital Allen | Allen | $225.45 | $46.35 – $139.05 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $225.45 | $46.35 – $139.05 |
| Texas Health Arlington Memorial Hospital | Arlington | $225.45 | $46.35 – $139.05 |
| Texas Health Presbyterian Hospital Denton | Denton | $225.45 | $46.35 – $139.05 |
| Texas Health Presbyterian Hospital Plano | Plano | $225.45 | $46.35 – $139.05 |
| Texas Health Hospital Mansfield | Mansfield | $557.73 | $46.35 – $126.81 |