Surgical pathology level 3 gross & microscopic examination 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.
$49.76 with United vs $716.27 with Coventry National First Health — 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 |
|---|---|---|---|
| United | NarrowNetworkIndivExchange | $49.76 | — |
| United | AllPayerAppendix | $49.76 | — |
| United | SmallGroup | $49.76 | — |
| Superior Health Plan | CHIP | $80.63 | — |
| Superior Health Plan | STARPLUS | $80.63 | — |
| Superior Health Plan | STARKids | $80.63 | — |
| Superior Health Plan | STAR | $80.63 | — |
| Superior Health Plan | CHPFC | $80.63 | — |
| BCBS | MyBlueHealth | $99.93 | — |
| BCBS | BAV | $110.32 | — |
| Aetna | QHPExchange | $115.92 | — |
| Cigna | CSN | $130.77 | — |
| BCBS | HMO | $138.02 | — |
| Cigna | OpenAccessPlus | $141.64 | — |
| BCBS | EPOSOA | $147.92 | — |
| Aetna | NBPOS | $154.16 | — |
| Aetna | NBHMO | $154.16 | — |
| Aetna | NBPPO | $154.16 | — |
| BCBS | PPO | $157.81 | — |
| Aetna | COMMPOS | $163.78 | — |
| Aetna | COMMHMO | $163.78 | — |
| Aetna | COMMPPO | $163.78 | — |
| Cigna | PPO | $168.52 | — |
| Community Health Choice MCD | CHIPPerinatal | $174.70 | — |
| Community Health Choice MCD | CHIP | $174.70 | — |
| Community Health Choice MCD | STAR | $174.70 | — |
| Community Health Choice MCD | STAR+PLUS | $174.70 | — |
| Aetna | OONPOS | $192.40 | — |
| Aetna | OONHMO | $192.40 | — |
| Aetna | OONPPO | $192.40 | — |
| Aetna | ASAHMO | $208.03 | — |
| Aetna | ASAPOS | $208.03 | — |
| Aetna | ASAPPO | $208.03 | — |
| United | OptionsPPO | $225.77 | — |
| Oscar | HIX | $262.05 | — |
| Humana | PPO | $299.06 | — |
| Humana | HMO | $299.06 | — |
| Healthcare Highways | NarrowNetwork | $342.68 | — |
| Evry Health | BroadNetwork | $366.87 | — |
| BCBS | Traditional | $470.35 | — |
| Christus (USFHP) | TRICARE | $537.54 | — |
| United | GlobalAppendix | $604.73 | — |
| Coventry National First Health | COMM | $716.27 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 3 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $322.70 | $59.36 – $922.00 |
| HCA HOUSTON WEST | HOUSTON | $1,167.00 | $49.76 – $299.06 |
| St. Luke's Health - The Vintage Hospital | Houston | $322.70 | $67.05 – $922.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $49.76 – $299.06 |
| Adventhealth Rollins Brook | Lampasas | $659.75 | $190.46 – $190.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $239.50 | $35.00 – $299.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $266.74 | $36.00 – $400.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $217.32 | $36.00 – $271.65 |