Ther nma rdctj intus/obstrcj at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$3,259.57
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.
$3,259.57
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.
$180.34 with Community Health Choice MCD vs $1,869.26 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 |
|---|---|---|---|
| Community Health Choice MCD | STAR+PLUS | $180.34 | ↓ -94% |
| Community Health Choice MCD | CHIP | $180.34 | ↓ -94% |
| Community Health Choice MCD | CHIPPerinatal | $180.34 | ↓ -94% |
| Community Health Choice MCD | STAR | $180.34 | ↓ -94% |
| United | MGMCD | $183.95 | ↓ -94% |
| Molina Healthcare | STARPLUS | $192.57 | ↓ -94% |
| Molina Healthcare | STARKIDS | $192.57 | ↓ -94% |
| Molina Healthcare | STAR | $192.57 | ↓ -94% |
| Molina Healthcare | CHIP | $192.57 | ↓ -94% |
| Aetna Better Health | MGMCD | $194.77 | ↓ -94% |
| Superior Health Plan | CHIP | $195.57 | ↓ -94% |
| Superior Health Plan | STARPLUS | $195.57 | ↓ -94% |
| Superior Health Plan | STARKids | $195.57 | ↓ -94% |
| Superior Health Plan | STAR | $195.57 | ↓ -94% |
| Superior Health Plan | CHPFC | $195.57 | ↓ -94% |
| Humana | MCD | $218.82 | ↓ -93% |
| BCBS | MyBlueHealth | $232.78 | ↓ -93% |
| BCBS | BAV | $294.94 | ↓ -91% |
| United | NarrowNetworkIndivExchange | $339.25 | ↓ -90% |
| United | SmallGroup | $401.74 | ↓ -88% |
| United | AllPayerAppendix | $401.74 | ↓ -88% |
| BCBS | HMO | $449.68 | ↓ -86% |
| BCBS | EPOSOA | $481.43 | ↓ -85% |
| BCBS | PPO | $511.85 | ↓ -84% |
| United | OptionsPPO | $547.61 | ↓ -83% |
| Cigna | CSN | $575.04 | ↓ -82% |
| Cigna | OpenAccessPlus | $622.32 | ↓ -81% |
| Cigna | PPO | $739.77 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $831.19 | ↓ -75% |
| Evry Health | BroadNetwork | $889.86 | ↓ -73% |
| Aetna | QHPExchange | $965.71 | ↓ -70% |
| BCBS | Traditional | $1,140.85 | ↓ -65% |
| Aetna | NBHMO | $1,283.52 | ↓ -61% |
| Aetna | NBPOS | $1,283.52 | ↓ -61% |
| Aetna | NBPPO | $1,283.52 | ↓ -61% |
| Christus (USFHP) | TRICARE | $1,303.83 | ↓ -60% |
| Curative Administrators | COMM | $1,303.83 | ↓ -60% |
| Aetna | COMMPOS | $1,365.36 | ↓ -58% |
| Aetna | COMMPPO | $1,365.36 | ↓ -58% |
| Aetna | COMMHMO | $1,365.36 | ↓ -58% |
| United | GlobalAppendix | $1,466.81 | ↓ -55% |
| Aetna | OONPPO | $1,605.43 | ↓ -51% |
| Aetna | OONHMO | $1,605.43 | ↓ -51% |
| Aetna | OONPOS | $1,605.43 | ↓ -51% |
| Aetna | ASAHMO | $1,735.01 | ↓ -47% |
| Aetna | ASAPOS | $1,735.01 | ↓ -47% |
| Aetna | ASAPPO | $1,735.01 | ↓ -47% |
| Coventry National First Health | COMM | $1,737.35 | ↓ -47% |
| Humana | HMO | $1,869.26 | ↓ -43% |
| Humana | PPO | $1,869.26 | ↓ -43% |
Visitor-reported prices
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Ther nma rdctj intus/obstrcj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $171.56 – $965.71 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $175.06 – $965.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $232.32 | $139.39 – $455.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $635.54 | $130.81 – $953.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $538.88 | $167.39 – $673.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $232.32 | $167.39 – $455.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $635.54 | $167.39 – $953.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $635.54 | $175.06 – $953.31 |