Ureteral reflux study at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$3,753.71
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.
$3,753.71
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.
$216.85 with Community Health Choice MCD vs $2,000.73 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 |
|---|---|---|---|
| Community Health Choice MCD | CHIP | $216.85 | ↓ -94% |
| Community Health Choice MCD | STAR+PLUS | $216.85 | ↓ -94% |
| Community Health Choice MCD | STAR | $216.85 | ↓ -94% |
| Community Health Choice MCD | CHIPPerinatal | $216.85 | ↓ -94% |
| United | MGMCD | $221.19 | ↓ -94% |
| Molina Healthcare | STAR | $224.21 | ↓ -94% |
| Molina Healthcare | STARKIDS | $224.21 | ↓ -94% |
| Molina Healthcare | STARPLUS | $224.21 | ↓ -94% |
| Molina Healthcare | CHIP | $224.21 | ↓ -94% |
| Superior Health Plan | STARPLUS | $225.22 | ↓ -94% |
| Superior Health Plan | CHIP | $225.22 | ↓ -94% |
| Superior Health Plan | CHPFC | $225.22 | ↓ -94% |
| Superior Health Plan | STAR | $225.22 | ↓ -94% |
| Superior Health Plan | STARKids | $225.22 | ↓ -94% |
| Aetna Better Health | MGMCD | $234.20 | ↓ -94% |
| Humana | MCD | $254.79 | ↓ -93% |
| BCBS | MyBlueHealth | $349.50 | ↓ -91% |
| BCBS | BAV | $442.83 | ↓ -88% |
| United | OptionsPPO | $630.62 | ↓ -83% |
| BCBS | HMO | $675.17 | ↓ -82% |
| United | NarrowNetworkIndivExchange | $716.53 | ↓ -81% |
| BCBS | EPOSOA | $722.83 | ↓ -81% |
| BCBS | PPO | $768.50 | ↓ -80% |
| United | SmallGroup | $848.52 | ↓ -77% |
| United | AllPayerAppendix | $848.52 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $957.20 | ↓ -74% |
| Evry Health | BroadNetwork | $1,024.76 | ↓ -73% |
| Aetna | QHPExchange | $1,076.51 | ↓ -71% |
| Humana | PPO | $1,197.81 | ↓ -68% |
| Humana | HMO | $1,197.81 | ↓ -68% |
| BCBS | Traditional | $1,313.80 | ↓ -65% |
| Aetna | NBPOS | $1,430.79 | ↓ -62% |
| Aetna | NBPPO | $1,430.79 | ↓ -62% |
| Aetna | NBHMO | $1,430.79 | ↓ -62% |
| Curative Administrators | COMM | $1,501.48 | ↓ -60% |
| Christus (USFHP) | TRICARE | $1,501.48 | ↓ -60% |
| Aetna | COMMPPO | $1,522.02 | ↓ -59% |
| Aetna | COMMPOS | $1,522.02 | ↓ -59% |
| Aetna | COMMHMO | $1,522.02 | ↓ -59% |
| United | GlobalAppendix | $1,689.17 | ↓ -55% |
| Aetna | OONPOS | $1,789.63 | ↓ -52% |
| Aetna | OONPPO | $1,789.63 | ↓ -52% |
| Aetna | OONHMO | $1,789.63 | ↓ -52% |
| Aetna | ASAPPO | $1,934.08 | ↓ -48% |
| Aetna | ASAHMO | $1,934.08 | ↓ -48% |
| Aetna | ASAPOS | $1,934.08 | ↓ -48% |
| Coventry National First Health | COMM | $2,000.73 | ↓ -47% |
Visitor-reported prices
Comments
Ureteral reflux study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $199.75 – $1,076.51 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $203.83 – $1,076.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $432.89 | $209.50 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,298.73 | $267.32 – $1,948.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,200.74 | $209.50 – $1,500.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $432.89 | $209.50 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,298.73 | $224.16 – $1,948.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,298.73 | $209.50 – $1,948.10 |