Autologous blood process at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$240.96
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.
$240.96
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.
$14.46 with Superior Health Plan vs $678.85 with Aetna — 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 | $14.46 | ↓ -94% |
| Superior Health Plan | STARPLUS | $14.46 | ↓ -94% |
| Superior Health Plan | STARKids | $14.46 | ↓ -94% |
| Superior Health Plan | STAR | $14.46 | ↓ -94% |
| Superior Health Plan | CHPFC | $14.46 | ↓ -94% |
| Community Health Choice MCD | CHIP | $31.32 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $31.32 | ↓ -87% |
| Community Health Choice MCD | STAR | $31.32 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $31.32 | ↓ -87% |
| Cigna | CSN | $35.66 | ↓ -85% |
| Cigna | OpenAccessPlus | $38.55 | ↓ -84% |
| United | OptionsPPO | $40.48 | ↓ -83% |
| Cigna | PPO | $45.78 | ↓ -81% |
| Oscar | HIX | $46.99 | ↓ -80% |
| Healthcare Highways | NarrowNetwork | $61.44 | ↓ -75% |
| Evry Health | BroadNetwork | $65.78 | ↓ -73% |
| Humana | PPO | $76.89 | ↓ -68% |
| Humana | HMO | $76.89 | ↓ -68% |
| BCBS | Traditional | $84.34 | ↓ -65% |
| Coventry National First Health | COMM | $87.71 | ↓ -64% |
| Christus (USFHP) | TRICARE | $96.38 | ↓ -60% |
| United | GlobalAppendix | $108.43 | ↓ -55% |
| United | AllPayerAppendix | $149.16 | ↓ -38% |
| United | NarrowNetworkIndivExchange | $149.16 | ↓ -38% |
| United | SmallGroup | $149.16 | ↓ -38% |
| BCBS | MyBlueHealth | $289.87 | ↑ +20% |
| BCBS | BAV | $320.00 | ↑ +33% |
| Aetna | QHPExchange | $378.27 | ↑ +57% |
| BCBS | HMO | $400.37 | ↑ +66% |
| BCBS | EPOSOA | $429.07 | ↑ +78% |
| BCBS | PPO | $457.76 | ↑ +90% |
| Aetna | NBPOS | $503.06 | ↑ +109% |
| Aetna | NBPPO | $503.06 | ↑ +109% |
| Aetna | NBHMO | $503.06 | ↑ +109% |
| Aetna | COMMPOS | $534.45 | ↑ +122% |
| Aetna | COMMHMO | $534.45 | ↑ +122% |
| Aetna | COMMPPO | $534.45 | ↑ +122% |
| Aetna | OONHMO | $627.84 | ↑ +161% |
| Aetna | OONPOS | $627.84 | ↑ +161% |
| Aetna | OONPPO | $627.84 | ↑ +161% |
| Aetna | ASAPPO | $678.85 | ↑ +182% |
| Aetna | ASAPOS | $678.85 | ↑ +182% |
| Aetna | ASAHMO | $678.85 | ↑ +182% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Autologous blood process at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $204.61 | $149.16 – $1,066.85 |
| Baylor St Luke's Medical Center | Houston | $112.00 | $86.40 – $320.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $112.00 | $86.40 – $320.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $149.16 – $1,066.85 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,027.65 | $10.00 – $1,203.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $180.55 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $151.63 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,027.65 | $10.00 – $1,203.19 |