Tx atrial fib pulm vein isol at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$44,953.56
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.
$44,953.56
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.
$5,591.00 with Superior Health Plan vs $55,788.29 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $5,591.00 | ↓ -88% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -88% |
| Superior Health Plan | STAR | $5,591.00 | ↓ -88% |
| Superior Health Plan | CHPFC | $5,591.00 | ↓ -88% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -88% |
| Community Health Choice MCD | STAR | $5,843.96 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $5,843.96 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $5,843.96 | ↓ -87% |
| Community Health Choice MCD | CHIP | $5,843.96 | ↓ -87% |
| BCBS | MyBlueHealth | $7,327.43 | ↓ -84% |
| United | OptionsPPO | $7,552.20 | ↓ -83% |
| BCBS | BAV | $8,091.64 | ↓ -82% |
| Oscar | HIX | $8,579.00 | ↓ -81% |
| Humana | HMO | $10,106.00 | ↓ -78% |
| Humana | PPO | $10,106.00 | ↓ -78% |
| BCBS | HMO | $10,114.55 | ↓ -78% |
| BCBS | EPOSOA | $10,339.32 | ↓ -77% |
| BCBS | Traditional | $15,733.75 | ↓ -65% |
| Christus (USFHP) | TRICARE | $17,981.42 | ↓ -60% |
| United | GlobalAppendix | $20,229.10 | ↓ -55% |
| Healthcare Highways | NarrowNetwork | $21,231.00 | ↓ -53% |
| Coventry National First Health | COMM | $23,960.25 | ↓ -47% |
| United | SmallGroup | $24,500.00 | ↓ -45% |
| Evry Health | BroadNetwork | $29,288.00 | ↓ -35% |
| United | NarrowNetworkIndivExchange | $30,035.00 | ↓ -33% |
| United | AllPayerAppendix | $35,000.00 | ↓ -22% |
| Curative Administrators | COMM | $43,890.00 | ↓ -2% |
| BCBS | PPO | $55,788.29 | ↑ +24% |
| Aetna | OONHMO | not published by hospital | — |
| Aetna | NBPPO | not published by hospital | — |
| Aetna | NBPOS | not published by hospital | — |
| Aetna | NBHMO | not published by hospital | — |
| Aetna | COMMPPO | not published by hospital | — |
| Aetna | COMMPOS | not published by hospital | — |
| Aetna | COMMHMO | not published by hospital | — |
| Aetna | ASAPPO | not published by hospital | — |
| Aetna | ASAPOS | not published by hospital | — |
| Aetna | ASAHMO | not published by hospital | — |
| Aetna | OONPPO | not published by hospital | — |
| Aetna | QHPExchange | not published by hospital | — |
| Aetna | OONPOS | not published by hospital | — |
Visitor-reported prices
Comments
Tx atrial fib pulm vein isol at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $26,592.65 | $8,357.69 – $75,979.00 |
| HCA HOUSTON WEST | HOUSTON | $76,636.00 | $35,557.37 – $35,557.37 |
| St. Luke's Health - The Vintage Hospital | Houston | $26,592.65 | $6,078.32 – $75,979.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $92,418.99 | $35,557.37 – $35,557.37 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $36,478.99 | $6,299.00 – $58,835.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $36,478.99 | $7,508.59 – $58,835.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $36,478.99 | $7,295.80 – $58,835.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $36,478.99 | $9,727.73 – $58,835.89 |