X-ray exam of arm infant 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.
$87.12 with Cigna vs $1,012.32 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 |
|---|---|---|---|
| Cigna | CSN | $87.12 | — |
| Cigna | OpenAccessPlus | $94.29 | — |
| Community Health Choice MCD | CHIP | $106.88 | — |
| Community Health Choice MCD | STAR+PLUS | $106.88 | — |
| Community Health Choice MCD | CHIPPerinatal | $106.88 | — |
| Community Health Choice MCD | STAR | $106.88 | — |
| United | MGMCD | $109.02 | — |
| Cigna | PPO | $112.08 | — |
| Superior Health Plan | CHIP | $113.96 | — |
| Superior Health Plan | STARKids | $113.96 | — |
| Superior Health Plan | STAR | $113.96 | — |
| Superior Health Plan | CHPFC | $113.96 | — |
| Superior Health Plan | STARPLUS | $113.96 | — |
| Molina Healthcare | CHIP | $115.23 | — |
| Molina Healthcare | STAR | $115.23 | — |
| Molina Healthcare | STARKIDS | $115.23 | — |
| Molina Healthcare | STARPLUS | $115.23 | — |
| Aetna Better Health | MGMCD | $115.43 | — |
| Humana | MCD | $130.94 | — |
| Aetna | QHPExchange | $143.16 | — |
| Aetna | NBPOS | $190.27 | — |
| Aetna | NBHMO | $190.27 | — |
| Aetna | NBPPO | $190.27 | — |
| BCBS | MyBlueHealth | $197.26 | — |
| Aetna | COMMHMO | $202.40 | — |
| Aetna | COMMPPO | $202.40 | — |
| Aetna | COMMPOS | $202.40 | — |
| United | NarrowNetworkIndivExchange | $207.04 | — |
| Aetna | OONPPO | $237.99 | — |
| Aetna | OONPOS | $237.99 | — |
| Aetna | OONHMO | $237.99 | — |
| United | SmallGroup | $245.18 | — |
| United | AllPayerAppendix | $245.18 | — |
| BCBS | BAV | $249.94 | — |
| Aetna | ASAHMO | $257.20 | — |
| Aetna | ASAPPO | $257.20 | — |
| Aetna | ASAPOS | $257.20 | — |
| United | OptionsPPO | $319.08 | — |
| Humana | HMO | $334.70 | — |
| Humana | PPO | $334.70 | — |
| BCBS | HMO | $381.07 | — |
| BCBS | EPOSOA | $407.97 | — |
| BCBS | PPO | $433.75 | — |
| Healthcare Highways | NarrowNetwork | $484.32 | — |
| Evry Health | BroadNetwork | $518.51 | — |
| BCBS | Traditional | $664.75 | — |
| Christus (USFHP) | TRICARE | $759.72 | — |
| Curative Administrators | COMM | $759.72 | — |
| United | GlobalAppendix | $854.68 | — |
| Coventry National First Health | COMM | $1,012.32 | — |
Visitor-reported prices
Comments
X-ray exam of arm infant at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $110.60 | $34.76 – $316.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $110.60 | $25.28 – $316.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $87.12 – $197.26 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $87.12 – $197.26 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $113.43 | $68.06 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $248.44 | $51.14 – $372.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $253.40 | $99.77 – $316.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $113.43 | $88.85 – $272.35 |