Beta-amyloid 1-42 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.
$11.86 with Texas Childrens Healthplans vs $372.58 with Oscar — 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 |
|---|---|---|---|
| Texas Childrens Healthplans | CHIP | $11.86 | — |
| Texas Childrens Healthplans | MEDICAID | $11.86 | — |
| Molina Healthcare | STARKIDS | $13.05 | — |
| Molina Healthcare | STARPLUS | $13.05 | — |
| Molina Healthcare | CHIP | $13.05 | — |
| Molina Healthcare | STAR | $13.05 | — |
| Humana | MCD | $14.82 | — |
| BCBS | MyBlueHealth | $48.66 | — |
| BCBS | BAV | $53.72 | — |
| BCBS | HMO | $67.21 | — |
| BCBS | EPOSOA | $72.03 | — |
| BCBS | PPO | $76.85 | — |
| Oscar | MGMCR | $126.34 | — |
| Devoted Health | MGMCR | $128.92 | — |
| Humana | MedicareAdvantageHMO | $128.92 | — |
| Humana | MedicareAdvantagePPOPFFS | $128.92 | — |
| United | AllPayerAppendix | $128.92 | — |
| United | NarrowNetworkIndivExchange | $128.92 | — |
| United | SmallGroup | $128.92 | — |
| Cigna HealthSpring | MCRHMO | $128.92 | — |
| Cigna HealthSpring | MCRPPO | $128.92 | — |
| Cigna HealthSpring | MCRSNP | $128.92 | — |
| Cigna HealthSpring | PFFS | $128.92 | — |
| Cigna HealthSpring | MMP | $128.92 | — |
| BCBS | MCRPPO | $128.92 | — |
| BCBS | MedicareAdvantageHMO | $128.92 | — |
| CHC Harris Health | Indigent | $128.92 | — |
| TriWest Healthcare Alliance | Veterans | $128.92 | — |
| WellMed | MGMCR | $129.56 | — |
| Aetna | MCR | $130.02 | — |
| Van Lang IPA | MCR | $130.21 | — |
| United | MCR | $131.50 | — |
| WellCare | PPO | $132.79 | — |
| Integranet Amerigroup IPA | MCR | $132.79 | — |
| WellCare | PFFS | $132.79 | — |
| WellCare | MCRHMO | $132.79 | — |
| WellCare | POS | $132.79 | — |
| WellCare | SNP | $132.79 | — |
| American Health Plan | MGMCR | $135.37 | — |
| Superior Health Plan | DualEligible | $135.37 | — |
| ProCare Advantage | MGMCR | $135.37 | — |
| Shared Health | MGMCR | $135.37 | — |
| Superior Health Plan | PFFS | $135.37 | — |
| Superior Health Plan | MCRSNP | $135.37 | — |
| Superior Health Plan | MCRPPO | $135.37 | — |
| Superior Health Plan | MCRPOS | $135.37 | — |
| Superior Health Plan | MCRHMO | $135.37 | — |
| Provider Partners Health Plan of Texas | SNP | $136.66 | — |
| Provider Partners Health Plan of Texas | POS | $136.66 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $136.66 | — |
| Provider Partners Health Plan of Texas | PFFS | $136.66 | — |
| Provider Partners Health Plan of Texas | PPO | $136.66 | — |
| Molina | MGMCR | $140.52 | — |
| Verda Health Plan | MCR | $167.60 | — |
| Community Health Choice | HIX | $186.93 | — |
| Superior | ValueHMO | $186.93 | — |
| Superior | HMO | $199.83 | — |
| Superior | EPO | $199.83 | — |
| Molina Healthcare | HIX | $277.18 | — |
| Oscar | HIX | $372.58 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Beta-amyloid 1-42 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $13.05 – $186.93 |
| HCA HOUSTON WEST | HOUSTON | not published | $11.62 – $270.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $600.00 | $10.00 – $562.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $600.00 | $12.00 – $506.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $600.00 | $11.86 – $422.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $600.00 | $10.00 – $562.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $600.00 | $12.00 – $506.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $600.00 | $8.00 – $506.70 |