Venous sampling s&i at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$6,560.02
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.
$6,560.02
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.
$103.91 with Community Health Choice MCD vs $17,787.26 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 |
|---|---|---|---|
| Community Health Choice MCD | CHIPPerinatal | $103.91 | ↓ -98% |
| Community Health Choice MCD | CHIP | $103.91 | ↓ -98% |
| Community Health Choice MCD | STAR+PLUS | $103.91 | ↓ -98% |
| Community Health Choice MCD | STAR | $103.91 | ↓ -98% |
| United | MGMCD | $105.99 | ↓ -98% |
| Aetna Better Health | MGMCD | $112.22 | ↓ -98% |
| Molina Healthcare | CHIP | $115.78 | ↓ -98% |
| Molina Healthcare | STAR | $115.78 | ↓ -98% |
| Molina Healthcare | STARKIDS | $115.78 | ↓ -98% |
| Molina Healthcare | STARPLUS | $115.78 | ↓ -98% |
| Humana | MCD | $131.56 | ↓ -98% |
| Cigna | CSN | $287.16 | ↓ -96% |
| Cigna | OpenAccessPlus | $310.77 | ↓ -95% |
| Cigna | PPO | $369.42 | ↓ -94% |
| Superior Health Plan | STARKids | $393.60 | ↓ -94% |
| Superior Health Plan | CHPFC | $393.60 | ↓ -94% |
| Superior Health Plan | CHIP | $393.60 | ↓ -94% |
| Superior Health Plan | STAR | $393.60 | ↓ -94% |
| Superior Health Plan | STARPLUS | $393.60 | ↓ -94% |
| Aetna | QHPExchange | $465.79 | ↓ -93% |
| Aetna | NBPPO | $619.08 | ↓ -91% |
| Aetna | NBPOS | $619.08 | ↓ -91% |
| Aetna | NBHMO | $619.08 | ↓ -91% |
| Aetna | COMMHMO | $658.56 | ↓ -90% |
| Aetna | COMMPPO | $658.56 | ↓ -90% |
| Aetna | COMMPOS | $658.56 | ↓ -90% |
| Aetna | OONPPO | $774.35 | ↓ -88% |
| Aetna | OONPOS | $774.35 | ↓ -88% |
| Aetna | OONHMO | $774.35 | ↓ -88% |
| Aetna | ASAHMO | $836.85 | ↓ -87% |
| Aetna | ASAPOS | $836.85 | ↓ -87% |
| Aetna | ASAPPO | $836.85 | ↓ -87% |
| United | OptionsPPO | $1,102.08 | ↓ -83% |
| Humana | HMO | $1,633.18 | ↓ -75% |
| Humana | PPO | $1,633.18 | ↓ -75% |
| Healthcare Highways | NarrowNetwork | $1,672.81 | ↓ -74% |
| Evry Health | BroadNetwork | $1,790.89 | ↓ -73% |
| BCBS | Traditional | $2,296.01 | ↓ -65% |
| Curative Administrators | COMM | $2,624.01 | ↓ -60% |
| Christus (USFHP) | TRICARE | $2,624.01 | ↓ -60% |
| United | GlobalAppendix | $2,952.01 | ↓ -55% |
| Coventry National First Health | COMM | $3,496.49 | ↓ -47% |
| BCBS | MyBlueHealth | $8,089.29 | ↑ +23% |
| United | NarrowNetworkIndivExchange | $9,063.70 | ↑ +38% |
| BCBS | BAV | $10,249.50 | ↑ +56% |
| United | SmallGroup | $10,733.33 | ↑ +64% |
| United | AllPayerAppendix | $10,733.33 | ↑ +64% |
| BCBS | HMO | $15,627.05 | ↑ +138% |
| BCBS | EPOSOA | $16,730.13 | ↑ +155% |
| BCBS | PPO | $17,787.26 | ↑ +171% |
Visitor-reported prices
Comments
Venous sampling s&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $5,580.40 | $103.91 – $15,944.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $5,580.40 | $103.91 – $15,944.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $103.14 – $8,089.29 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $103.91 – $8,089.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,762.80 | $105.25 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,762.80 | $980.34 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,200.00 | $105.25 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,762.80 | $105.25 – $13,613.39 |