Stent/tib/peroneal/unilat/initial 37230 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.
$2,156.00 with Aetna vs $43,516.12 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 |
|---|---|---|---|
| Aetna | QHPExchange | $2,156.00 | — |
| Aetna | NBPOS | $2,864.00 | — |
| Aetna | NBHMO | $2,864.00 | — |
| Aetna | COMMHMO | $3,044.00 | — |
| Aetna | COMMPOS | $3,044.00 | — |
| Aetna | NBPPO | $3,108.00 | — |
| Aetna | COMMPPO | $3,303.00 | — |
| Aetna | OONPOS | $3,582.00 | — |
| Aetna | OONHMO | $3,582.00 | — |
| Aetna | ASAHMO | $3,870.00 | — |
| Aetna | ASAPOS | $3,870.00 | — |
| Aetna | OONPPO | $3,886.00 | — |
| Aetna | ASAPPO | $4,197.00 | — |
| Superior Health Plan | STARKids | $4,411.73 | — |
| Superior Health Plan | STARPLUS | $4,411.73 | — |
| Superior Health Plan | STAR | $4,411.73 | — |
| Superior Health Plan | CHPFC | $4,411.73 | — |
| Superior Health Plan | CHIP | $4,411.73 | — |
| Humana | HMO | $4,690.00 | — |
| Humana | PPO | $4,690.00 | — |
| United | MGMCD | $9,117.98 | — |
| Molina Healthcare | CHIP | $9,347.07 | — |
| Molina Healthcare | STAR | $9,347.07 | — |
| Molina Healthcare | STARKIDS | $9,347.07 | — |
| Molina Healthcare | STARPLUS | $9,347.07 | — |
| Community Health Choice MCD | CHIP | $9,517.02 | — |
| Community Health Choice MCD | STAR+PLUS | $9,517.02 | — |
| Community Health Choice MCD | STAR | $9,517.02 | — |
| Community Health Choice MCD | CHIPPerinatal | $9,517.02 | — |
| Oscar | HIX | $10,586.00 | — |
| Humana | MCD | $10,621.67 | — |
| Aetna Better Health | MGMCD | $10,727.04 | — |
| Cigna | CSN | $10,882.27 | — |
| Healthcare Highways | NarrowNetwork | $10,949.00 | — |
| Evry Health | BroadNetwork | $11,113.00 | — |
| Cigna | OpenAccessPlus | $11,764.62 | — |
| United | OptionsPPO | $12,352.85 | — |
| Cigna | PPO | $13,970.48 | — |
| BCBS | Traditional | $25,735.10 | — |
| Christus (USFHP) | TRICARE | $29,411.54 | — |
| Curative Administrators | COMM | $29,411.54 | — |
| BCBS | MyBlueHealth | $32,676.94 | — |
| BCBS | HMO | $32,995.74 | — |
| BCBS | BAV | $32,995.74 | — |
| United | GlobalAppendix | $33,087.99 | — |
| BCBS | EPOSOA | $38,255.93 | — |
| Coventry National First Health | COMM | $39,190.88 | — |
| BCBS | PPO | $43,516.12 | — |
Visitor-reported prices
Comments
Stent/tib/peroneal/unilat/initial 37230 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $7,073.15 | $5,456.43 – $20,209.00 |
| HCA HOUSTON WEST | HOUSTON | $43,358.00 | $8,327.39 – $10,727.04 |
| St. Luke's Health - The Vintage Hospital | Houston | $7,073.15 | $5,456.43 – $20,209.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $8,497.34 – $27,735.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,840.56 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $29,957.43 | $71.00 – $44,936.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28,036.28 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,840.56 | $7,038.00 – $43,439.01 |