Abdominal X-ray (2 views) 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.
$36.75 with Amerigroup vs $1,594.60 with Multiplan — 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 |
|---|---|---|---|
| Amerigroup | MGMCD | $36.75 | — |
| Amerigroup | MCDCHIPBH | $36.75 | — |
| Community Health Choice MCD | STAR | $37.09 | — |
| Community Health Choice MCD | STAR+PLUS | $37.09 | — |
| Community Health Choice MCD | CHIPPerinatal | $37.09 | — |
| Community Health Choice MCD | CHIP | $37.09 | — |
| United | MGMCD | $37.83 | — |
| Aetna Better Health | MGMCD | $40.06 | — |
| Molina Healthcare | CHIP | $40.43 | — |
| Molina Healthcare | STAR | $40.43 | — |
| Molina Healthcare | STARKIDS | $40.43 | — |
| Molina Healthcare | STARPLUS | $40.43 | — |
| Humana | MCD | $45.94 | — |
| Texas Childrens Health Plans | STARKIDS | $55.13 | — |
| Texas Childrens Health Plans | STAR | $55.13 | — |
| Texas Childrens Health Plans | CHIP | $55.13 | — |
| Cigna | CSN | $94.44 | — |
| Cigna | OpenAccessPlus | $102.20 | — |
| Superior Health Plan | STAR | $112.56 | — |
| Superior Health Plan | CHPFC | $112.56 | — |
| Superior Health Plan | CHIP | $112.56 | — |
| Superior Health Plan | STARKids | $112.56 | — |
| Superior Health Plan | STARPLUS | $112.56 | — |
| Cigna | PPO | $121.49 | — |
| BCBS | MyBlueHealth | $197.26 | — |
| United | NarrowNetworkIndivExchange | $207.04 | — |
| Aetna | NBPOS | $212.84 | — |
| Aetna | NBHMO | $212.84 | — |
| Aetna | NBPPO | $212.84 | — |
| Aetna | COMMPPO | $226.47 | — |
| Aetna | COMMPOS | $226.47 | — |
| Aetna | COMMHMO | $226.47 | — |
| United | SmallGroup | $245.18 | — |
| United | AllPayerAppendix | $245.18 | — |
| BCBS | BAV | $249.94 | — |
| Aetna | OONPPO | $266.27 | — |
| Aetna | OONHMO | $266.27 | — |
| Aetna | OONPOS | $266.27 | — |
| Aetna | ASAHMO | $287.90 | — |
| Aetna | ASAPOS | $287.90 | — |
| Aetna | ASAPPO | $287.90 | — |
| United | OptionsPPO | $315.17 | — |
| BCBS | HMO | $381.07 | — |
| BCBS | EPOSOA | $422.54 | — |
| BCBS | PPO | $464.01 | — |
| Healthcare Highways | NarrowNetwork | $478.38 | — |
| Evry Health | BroadNetwork | $512.15 | — |
| Humana | HMO | $621.52 | — |
| Humana | PPO | $621.52 | — |
| BCBS | Traditional | $656.60 | — |
| Coventry National First Health | COMM | $664.10 | — |
| Curative Administrators | COMM | $750.40 | — |
| Christus (USFHP) | TRICARE | $750.40 | — |
| United | GlobalAppendix | $844.20 | — |
| Multiplan | PHCSPrimaryNetwork | $1,407.00 | — |
| Multiplan | ComplementaryNetwork | $1,594.60 | — |
Visitor-reported prices
Comments
Abdominal X-ray (2 views) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $552.30 | $36.75 – $1,578.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $552.30 | $36.75 – $1,578.00 |
| Houston Methodist Willowbrook Hospital | Houston | $690.50 | $100.23 – $204.79 |
| Houston Methodist Hospital | Houston | $449.00 | $105.02 – $420.09 |
| Houston Methodist West Hospital | Houston | $690.50 | $100.23 – $420.09 |
| HCA HOUSTON WEST | HOUSTON | not published | $36.02 – $212.84 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $36.75 – $212.84 |
| Adventhealth Rollins Brook | Lampasas | $850.70 | $431.51 – $431.51 |