2019-ncov diagnostic p at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
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.
$30.17 with Texas Childrens Healthplans vs $114.58 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 |
|---|---|---|---|
| Texas Childrens Healthplans | CHIP | $30.17 | — |
| Texas Childrens Healthplans | MEDICAID | $30.17 | — |
| Molina Healthcare | STARKIDS | $33.19 | — |
| Molina Healthcare | STARPLUS | $33.19 | — |
| Molina Healthcare | STAR | $33.19 | — |
| Molina Healthcare | CHIP | $33.19 | — |
| Oscar | MGMCR | $35.20 | — |
| Devoted Health | MGMCR | $35.92 | — |
| Humana | MedicareAdvantageHMO | $35.92 | — |
| Humana | MedicareAdvantagePPOPFFS | $35.92 | — |
| United | AllPayerAppendix | $35.92 | — |
| United | NarrowNetworkIndivExchange | $35.92 | — |
| United | SmallGroup | $35.92 | — |
| Cigna HealthSpring | MCRHMO | $35.92 | — |
| Cigna HealthSpring | MCRPPO | $35.92 | — |
| Cigna HealthSpring | MCRSNP | $35.92 | — |
| Cigna HealthSpring | PFFS | $35.92 | — |
| Cigna HealthSpring | MMP | $35.92 | — |
| BCBS | MCRPPO | $35.92 | — |
| BCBS | MedicareAdvantageHMO | $35.92 | — |
| CHC Harris Health | Indigent | $35.92 | — |
| Community Health Choice MCD | CHIP | $35.92 | — |
| Community Health Choice MCD | CHIPPerinatal | $35.92 | — |
| Community Health Choice MCD | STAR | $35.92 | — |
| Community Health Choice MCD | STAR+PLUS | $35.92 | — |
| TriWest Healthcare Alliance | Veterans | $35.92 | — |
| WellMed | MGMCR | $36.10 | — |
| Aetna | MCR | $36.23 | — |
| Van Lang IPA | MCR | $36.28 | — |
| United | MGMCD | $36.64 | — |
| United | MCR | $36.64 | — |
| WellCare | MCRHMO | $37.00 | — |
| WellCare | SNP | $37.00 | — |
| WellCare | PPO | $37.00 | — |
| Integranet Amerigroup IPA | MCR | $37.00 | — |
| WellCare | PFFS | $37.00 | — |
| WellCare | POS | $37.00 | — |
| Humana | MCD | $37.71 | — |
| Superior Health Plan | MCRSNP | $37.72 | — |
| Superior Health Plan | MCRPPO | $37.72 | — |
| Superior Health Plan | MCRPOS | $37.72 | — |
| Superior Health Plan | MCRHMO | $37.72 | — |
| Superior Health Plan | DualEligible | $37.72 | — |
| Shared Health | MGMCR | $37.72 | — |
| Superior Health Plan | PFFS | $37.72 | — |
| American Health Plan | MGMCR | $37.72 | — |
| ProCare Advantage | MGMCR | $37.72 | — |
| Provider Partners Health Plan of Texas | PFFS | $38.08 | — |
| Provider Partners Health Plan of Texas | PPO | $38.08 | — |
| Provider Partners Health Plan of Texas | SNP | $38.08 | — |
| Provider Partners Health Plan of Texas | POS | $38.08 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $38.08 | — |
| Aetna Better Health | MGMCD | $38.79 | — |
| TriWest Health Alliance | TRCR | $38.88 | — |
| Christus (USFHP) | TRICARE | $38.88 | — |
| Molina | MGMCR | $39.15 | — |
| Verda Health Plan | MCR | $46.70 | — |
| Community Health Choice | HIX | $52.08 | — |
| Superior | ValueHMO | $52.08 | — |
| Superior | HMO | $55.68 | — |
| Superior | EPO | $55.68 | — |
| BCBS | MyBlueHealth | $72.56 | — |
| Molina Healthcare | HIX | $77.23 | — |
| BCBS | BAV | $80.10 | — |
| BCBS | HMO | $100.22 | — |
| Oscar | HIX | $103.81 | — |
| BCBS | EPOSOA | $107.40 | — |
| BCBS | PPO | $114.58 | — |
Visitor-reported prices
Comments
2019-ncov diagnostic p at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $33.19 – $52.08 |
| HCA HOUSTON WEST | HOUSTON | not published | $29.57 – $75.43 |
| St. Luke's Health - Patients Medical Center | Pasadena | $85.40 | $28.66 – $183.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $12.95 | $5.55 – $93.39 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $49.37 | $35.92 – $68.25 |
| Adventhealth Rollins Brook | Lampasas | not published | $32.33 – $138.29 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $29.57 – $75.43 |
| HCA HOUSTON CONROE | CONROE | not published | $29.57 – $75.43 |