Appl modality 1+lllt po pain at HCA HOUSTON TOMBALL

5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

$231.12

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$231.12

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$13.87 with Superior Health Plan vs $128.00 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 →

Payer
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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
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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
Superior Health Plan CHIP $13.87 ↓ -94%
Superior Health Plan STARPLUS $13.87 ↓ -94%
Superior Health Plan STARKids $13.87 ↓ -94%
Superior Health Plan STAR $13.87 ↓ -94%
Superior Health Plan CHPFC $13.87 ↓ -94%
Community Health Choice MCD STAR+PLUS $30.05 ↓ -87%
Community Health Choice MCD STAR $30.05 ↓ -87%
Community Health Choice MCD CHIPPerinatal $30.05 ↓ -87%
Community Health Choice MCD CHIP $30.05 ↓ -87%
United OptionsPPO $38.83 ↓ -83%
Oscar HIX $45.07 ↓ -80%
Aetna QHPExchange $51.77 ↓ -78%
Aetna NBPPO $63.10 ↓ -73%
Aetna NBHMO $63.10 ↓ -73%
Aetna NBPOS $63.10 ↓ -73%
Aetna COMMHMO $66.79 ↓ -71%
Aetna COMMPPO $66.79 ↓ -71%
Aetna COMMPOS $66.79 ↓ -71%
Aetna OONPOS $78.81 ↓ -66%
Aetna OONHMO $78.81 ↓ -66%
Aetna OONPPO $78.81 ↓ -66%
BCBS Traditional $80.89 ↓ -65%
Coventry National First Health COMM $84.13 ↓ -64%
Aetna ASAPOS $85.05 ↓ -63%
Aetna ASAPPO $85.05 ↓ -63%
Aetna ASAHMO $85.05 ↓ -63%
BCBS MyBlueHealth $89.41 ↓ -61%
Christus (USFHP) TRICARE $92.45 ↓ -60%
BCBS BAV $98.58 ↓ -57%
United GlobalAppendix $104.00 ↓ -55%
BCBS HMO $123.42 ↓ -47%
BCBS EPOSOA $125.71 ↓ -46%
BCBS PPO $128.00 ↓ -45%

Visitor-reported prices

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Appl modality 1+lllt po pain at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston not published $89.41 – $89.41
HCA HOUSTON WEST HOUSTON not published $89.41 – $89.41
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $45.00 $12.75 – $134.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $45.00 $9.26 – $149.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $45.00 $9.00 – $149.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $45.00 $12.00 – $134.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $45.00 $14.45 – $149.00
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $45.00 $23.25 – $253.00

All Texas hospitals for this procedure →