Appl modality 1+lllt po pain at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$231.12
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.
$231.12
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.
$13.87 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 →
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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 |
|---|---|---|---|
| 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
Comments
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 |