St analysis behavior qualitative voice/resonance 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.
$60.87 with Superior Health Plan vs $848.06 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 | CHPFC | $60.87 | — |
| Superior Health Plan | CHIP | $60.87 | — |
| Superior Health Plan | STARPLUS | $60.87 | — |
| Superior Health Plan | STARKids | $60.87 | — |
| Superior Health Plan | STAR | $60.87 | — |
| Oscar | MGMCR | $107.93 | — |
| Christus (USFHP) | TRICARE | $108.40 | — |
| TriWest Health Alliance | TRCR | $108.40 | — |
| Cigna HealthSpring | MMP | $110.13 | — |
| Cigna HealthSpring | PFFS | $110.13 | — |
| Cigna HealthSpring | MCRPPO | $110.13 | — |
| Cigna HealthSpring | MCRSNP | $110.13 | — |
| BCBS | MedicareAdvantageHMO | $110.13 | — |
| Cigna HealthSpring | MCRHMO | $110.13 | — |
| TriWest Healthcare Alliance | FED | $110.13 | — |
| Devoted Health | MGMCR | $110.13 | — |
| Humana | MedicareAdvantageHMO | $110.13 | — |
| Humana | MedicareAdvantagePPOPFFS | $110.13 | — |
| BCBS | MCRPPO | $110.13 | — |
| WellMed | MGMCR | $110.68 | — |
| Van Lang IPA | MCR | $111.23 | — |
| United | MCR | $112.33 | — |
| Integranet Amerigroup IPA | MCR | $113.43 | — |
| WellCare | PPO | $113.43 | — |
| WellCare | SNP | $113.43 | — |
| WellCare | POS | $113.43 | — |
| WellCare | MCRHMO | $113.43 | — |
| WellCare | PFFS | $113.43 | — |
| Superior Health Plan | MCRPOS | $115.64 | — |
| ProCare Advantage | MGMCR | $115.64 | — |
| Superior Health Plan | DualEligible | $115.64 | — |
| Superior Health Plan | MCRPPO | $115.64 | — |
| Superior Health Plan | MCRSNP | $115.64 | — |
| Superior Health Plan | PFFS | $115.64 | — |
| American Health Plan | MGMCR | $115.64 | — |
| Shared Health | MGMCR | $115.64 | — |
| Superior Health Plan | MCRHMO | $115.64 | — |
| Provider Partners Health Plan of Texas | POS | $116.74 | — |
| Provider Partners Health Plan of Texas | PFFS | $116.74 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $116.74 | — |
| Provider Partners Health Plan of Texas | SNP | $116.74 | — |
| Provider Partners Health Plan of Texas | PPO | $116.74 | — |
| Molina | MGMCR | $120.04 | — |
| Community Health Choice MCD | CHIP | $131.89 | — |
| Community Health Choice MCD | STAR+PLUS | $131.89 | — |
| Community Health Choice MCD | STAR | $131.89 | — |
| Community Health Choice MCD | CHIPPerinatal | $131.89 | — |
| Verda Health Plan | MCR | $143.17 | — |
| Superior | ValueHMO | $159.69 | — |
| Community Health Choice | HIX | $159.69 | — |
| United | OptionsPPO | $170.45 | — |
| Superior | HMO | $170.70 | — |
| Superior | EPO | $170.70 | — |
| Oscar | HIX | $197.84 | — |
| BCBS | MyBlueHealth | $211.68 | — |
| BCBS | BAV | $233.39 | — |
| Molina Healthcare | HIX | $236.78 | — |
| BCBS | HMO | $292.19 | — |
| BCBS | PPO | $292.19 | — |
| BCBS | EPOSOA | $292.19 | — |
| Aetna | QHPExchange | $347.91 | — |
| BCBS | Traditional | $355.10 | — |
| United | GlobalAppendix | $456.55 | — |
| Aetna | NBPOS | $462.16 | — |
| Aetna | NBHMO | $462.16 | — |
| Aetna | NBPPO | $462.16 | — |
| Aetna | COMMHMO | $490.17 | — |
| Aetna | COMMPPO | $490.17 | — |
| Aetna | COMMPOS | $490.17 | — |
| Coventry National First Health | COMM | $540.76 | — |
| Aetna | OONHMO | $577.89 | — |
| Aetna | OONPOS | $577.89 | — |
| Aetna | OONPPO | $577.89 | — |
| Aetna | ASAPOS | $623.59 | — |
| Aetna | ASAPPO | $623.59 | — |
| Aetna | ASAHMO | $623.59 | — |
| Humana | HMO | $848.06 | — |
| Humana | PPO | $848.06 | — |
Visitor-reported prices
Comments
St analysis behavior qualitative voice/resonance at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $372.05 | $100.00 – $1,063.00 |
| HCA HOUSTON WEST | HOUSTON | $1,935.00 | $107.93 – $236.78 |
| St. Luke's Health - The Vintage Hospital | Houston | $372.05 | $100.00 – $1,063.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $1,180.49 | $107.93 – $236.78 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $382.60 | $108.00 – $542.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $376.38 | $77.47 – $564.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $401.71 | $80.34 – $502.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $382.60 | $102.03 – $542.02 |