Ultrasound joint complete left 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.
$73.38 with Superior Health Plan vs $651.89 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 |
|---|---|---|---|
| Superior Health Plan | CHPFC | $73.38 | — |
| Superior Health Plan | CHIP | $73.38 | — |
| Superior Health Plan | STARPLUS | $73.38 | — |
| Superior Health Plan | STARKids | $73.38 | — |
| Superior Health Plan | STAR | $73.38 | — |
| Community Health Choice MCD | STAR | $96.28 | — |
| Community Health Choice MCD | CHIPPerinatal | $96.28 | — |
| Community Health Choice MCD | CHIP | $96.28 | — |
| Community Health Choice MCD | STAR+PLUS | $96.28 | — |
| United | MGMCD | $98.21 | — |
| BCBS | MyBlueHealth | $102.12 | — |
| Aetna Better Health | MGMCD | $103.98 | — |
| Molina Healthcare | STARKIDS | $105.91 | — |
| Molina Healthcare | STARPLUS | $105.91 | — |
| Molina Healthcare | CHIP | $105.91 | — |
| Molina Healthcare | STAR | $105.91 | — |
| Humana | MCD | $120.35 | — |
| BCBS | BAV | $129.38 | — |
| Aetna | QHPExchange | $169.07 | — |
| BCBS | HMO | $197.27 | — |
| United | OptionsPPO | $205.47 | — |
| United | NarrowNetworkIndivExchange | $207.04 | — |
| BCBS | EPOSOA | $211.19 | — |
| Healthcare Highways | NarrowNetwork | $213.00 | — |
| BCBS | PPO | $224.54 | — |
| Aetna | NBPOS | $224.71 | — |
| Aetna | NBHMO | $224.71 | — |
| Aetna | NBPPO | $224.71 | — |
| Aetna | COMMPPO | $239.04 | — |
| Aetna | COMMPOS | $239.04 | — |
| Aetna | COMMHMO | $239.04 | — |
| United | AllPayerAppendix | $245.18 | — |
| United | SmallGroup | $245.18 | — |
| Aetna | OONPPO | $281.07 | — |
| Aetna | OONPOS | $281.07 | — |
| Aetna | OONHMO | $281.07 | — |
| Aetna | ASAPOS | $303.75 | — |
| Aetna | ASAHMO | $303.75 | — |
| Aetna | ASAPPO | $303.75 | — |
| Evry Health | BroadNetwork | $333.90 | — |
| Humana | PPO | $390.28 | — |
| Humana | HMO | $390.28 | — |
| BCBS | Traditional | $428.07 | — |
| Christus (USFHP) | TRICARE | $489.22 | — |
| Curative Administrators | COMM | $489.22 | — |
| United | GlobalAppendix | $550.38 | — |
| Coventry National First Health | COMM | $651.89 | — |
Visitor-reported prices
Comments
Ultrasound joint complete left at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $616.00 | $69.62 – $1,760.00 |
| HCA HOUSTON WEST | HOUSTON | $4,279.00 | $94.35 – $169.07 |
| St. Luke's Health - The Vintage Hospital | Houston | $616.00 | $81.81 – $1,760.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $96.28 – $169.07 |
| Adventhealth Rollins Brook | Lampasas | $1,399.39 | $223.38 – $223.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $623.67 | $96.28 – $779.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $544.62 | $112.10 – $816.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $499.95 | $96.28 – $624.94 |