Artery x-rays arms/legs 75716-26 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.
$162.39 with Community Health Choice MCD vs $11,473.10 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 |
|---|---|---|---|
| Community Health Choice MCD | CHIPPerinatal | $162.39 | — |
| Community Health Choice MCD | CHIP | $162.39 | — |
| Community Health Choice MCD | STAR+PLUS | $162.39 | — |
| Community Health Choice MCD | STAR | $162.39 | — |
| Texas Childrens Healthplans | MEDICAID | $163.05 | — |
| Texas Childrens Healthplans | CHIP | $163.05 | — |
| United | MGMCD | $165.64 | — |
| Aetna Better Health | MGMCD | $175.38 | — |
| Molina Healthcare | CHIP | $179.36 | — |
| Molina Healthcare | STARPLUS | $179.36 | — |
| Molina Healthcare | STARKIDS | $179.36 | — |
| Molina Healthcare | STAR | $179.36 | — |
| Humana | MCD | $203.81 | — |
| Cigna | CSN | $260.47 | — |
| Cigna | OpenAccessPlus | $281.89 | — |
| Cigna | PPO | $335.09 | — |
| Aetna | QHPExchange | $427.70 | — |
| Aetna | NBHMO | $568.46 | — |
| Aetna | NBPOS | $568.46 | — |
| Aetna | NBPPO | $568.46 | — |
| Aetna | COMMPPO | $604.70 | — |
| Aetna | COMMHMO | $604.70 | — |
| Aetna | COMMPOS | $604.70 | — |
| Aetna | OONPOS | $711.03 | — |
| Aetna | OONPPO | $711.03 | — |
| Aetna | OONHMO | $711.03 | — |
| Aetna | ASAHMO | $768.42 | — |
| Aetna | ASAPOS | $768.42 | — |
| Aetna | ASAPPO | $768.42 | — |
| Superior Health Plan | STARKids | $979.90 | — |
| Superior Health Plan | STAR | $979.90 | — |
| Superior Health Plan | STARPLUS | $979.90 | — |
| Superior Health Plan | CHPFC | $979.90 | — |
| Superior Health Plan | CHIP | $979.90 | — |
| Humana | PPO | $1,732.54 | — |
| Humana | HMO | $1,732.54 | — |
| United | OptionsPPO | $2,743.72 | — |
| Healthcare Highways | NarrowNetwork | $4,164.57 | — |
| Evry Health | BroadNetwork | $4,458.54 | — |
| BCBS | MyBlueHealth | $4,877.45 | — |
| United | NarrowNetworkIndivExchange | $5,437.15 | — |
| BCBS | Traditional | $5,716.07 | — |
| Coventry National First Health | COMM | $5,944.72 | — |
| BCBS | BAV | $6,179.95 | — |
| United | SmallGroup | $6,438.74 | — |
| United | AllPayerAppendix | $6,438.74 | — |
| Curative Administrators | COMM | $6,532.66 | — |
| Christus (USFHP) | TRICARE | $6,532.66 | — |
| United | GlobalAppendix | $7,349.24 | — |
| BCBS | HMO | $9,422.35 | — |
| BCBS | EPOSOA | $10,447.73 | — |
| BCBS | PPO | $11,473.10 | — |
Visitor-reported prices
Comments
Artery x-rays arms/legs 75716-26 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $3,127.95 | $162.39 – $8,937.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $3,127.95 | $140.00 – $8,937.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $162.39 – $4,877.45 |
| HCA HOUSTON WEST | HOUSTON | not published | $159.79 – $4,877.45 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,570.38 | $163.05 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,442.19 | $914.35 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,479.80 | $163.05 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,570.38 | $163.05 – $7,896.23 |