Antibody 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.
$13.43 with Community Health Choice MCD vs $176.15 with Humana — 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 | STAR+PLUS | $13.43 | — |
| Texas Childrens Healthplans | MEDICAID | $13.43 | — |
| Community Health Choice MCD | STAR | $13.43 | — |
| Community Health Choice MCD | CHIPPerinatal | $13.43 | — |
| Community Health Choice MCD | CHIP | $13.43 | — |
| Texas Childrens Healthplans | CHIP | $13.43 | — |
| United | MGMCD | $13.70 | — |
| Aetna Better Health | MGMCD | $14.50 | — |
| Molina Healthcare | CHIP | $14.77 | — |
| Molina Healthcare | STAR | $14.77 | — |
| Molina Healthcare | STARKIDS | $14.77 | — |
| Molina Healthcare | STARPLUS | $14.77 | — |
| Oscar | MGMCR | $15.67 | — |
| United | SmallGroup | $15.99 | — |
| United | NarrowNetworkIndivExchange | $15.99 | — |
| United | AllPayerAppendix | $15.99 | — |
| TriWest Healthcare Alliance | Veterans | $15.99 | — |
| Humana | MedicareAdvantageHMO | $15.99 | — |
| Humana | MedicareAdvantagePPOPFFS | $15.99 | — |
| Devoted Health | MGMCR | $15.99 | — |
| Cigna HealthSpring | PFFS | $15.99 | — |
| Cigna HealthSpring | MCRSNP | $15.99 | — |
| Cigna HealthSpring | MCRPPO | $15.99 | — |
| Cigna HealthSpring | MCRHMO | $15.99 | — |
| CHC Harris Health | Indigent | $15.99 | — |
| BCBS | MedicareAdvantageHMO | $15.99 | — |
| BCBS | MCRPPO | $15.99 | — |
| Cigna HealthSpring | MMP | $15.99 | — |
| WellMed | MGMCR | $16.07 | — |
| Aetna | MCR | $16.13 | — |
| Van Lang IPA | MCR | $16.15 | — |
| United | MCR | $16.31 | — |
| Integranet Amerigroup IPA | MCR | $16.47 | — |
| WellCare | PPO | $16.47 | — |
| WellCare | SNP | $16.47 | — |
| WellCare | POS | $16.47 | — |
| WellCare | MCRHMO | $16.47 | — |
| WellCare | PFFS | $16.47 | — |
| American Health Plan | MGMCR | $16.79 | — |
| Superior Health Plan | PFFS | $16.79 | — |
| Humana | MCD | $16.79 | — |
| Superior Health Plan | MCRPPO | $16.79 | — |
| Superior Health Plan | MCRPOS | $16.79 | — |
| Superior Health Plan | MCRHMO | $16.79 | — |
| Superior Health Plan | DualEligible | $16.79 | — |
| Shared Health | MGMCR | $16.79 | — |
| ProCare Advantage | MGMCR | $16.79 | — |
| Superior Health Plan | MCRSNP | $16.79 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $16.95 | — |
| Provider Partners Health Plan of Texas | POS | $16.95 | — |
| Provider Partners Health Plan of Texas | SNP | $16.95 | — |
| Provider Partners Health Plan of Texas | PFFS | $16.95 | — |
| Provider Partners Health Plan of Texas | PPO | $16.95 | — |
| TriWest Health Alliance | TRCR | $17.31 | — |
| Christus (USFHP) | TRICARE | $17.31 | — |
| Molina | MGMCR | $17.43 | — |
| Verda Health Plan | MCR | $20.79 | — |
| Superior | ValueHMO | $23.19 | — |
| Community Health Choice | HIX | $23.19 | — |
| Superior | HMO | $24.78 | — |
| Superior | EPO | $24.78 | — |
| BCBS | MyBlueHealth | $32.30 | — |
| Molina Healthcare | HIX | $34.38 | — |
| BCBS | BAV | $35.66 | — |
| Healthcare Highways | NarrowNetwork | $39.57 | — |
| BCBS | HMO | $44.61 | — |
| Oscar | HIX | $46.21 | — |
| BCBS | EPOSOA | $47.81 | — |
| BCBS | PPO | $51.01 | — |
| Aetna | QHPExchange | $58.56 | — |
| Cigna | CSN | $65.51 | — |
| Cigna | OpenAccessPlus | $70.96 | — |
| Aetna | NBPOS | $77.88 | — |
| Aetna | NBHMO | $77.88 | — |
| Aetna | NBPPO | $77.88 | — |
| Aetna | COMMHMO | $82.74 | — |
| Aetna | COMMPPO | $82.74 | — |
| Aetna | COMMPOS | $82.74 | — |
| Cigna | PPO | $84.43 | — |
| Aetna | OONPOS | $97.20 | — |
| Aetna | OONHMO | $97.20 | — |
| Aetna | OONPPO | $97.20 | — |
| Aetna | ASAHMO | $105.10 | — |
| Aetna | ASAPOS | $105.10 | — |
| Aetna | ASAPPO | $105.10 | — |
| Humana | HMO | $176.15 | — |
| Humana | PPO | $176.15 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Antibody at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $13.43 – $65.51 |
| HCA HOUSTON WEST | HOUSTON | not published | $13.16 – $65.51 |
| St. Luke's Health - Patients Medical Center | Pasadena | $27.41 | $12.76 – $58.73 |
| Adventhealth Rollins Brook | Lampasas | not published | $14.39 – $61.56 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $13.16 – $65.51 |
| HCA HOUSTON CONROE | CONROE | not published | $13.16 – $65.51 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $13.16 – $65.51 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $13.43 – $65.51 |