Bfb train ea addl 15 min 90913 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$28.58 with Oscar vs $84.52 with BCBS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Oscar | MGMCR | $28.58 | — |
| Cigna HealthSpring | MCRPPO | $29.16 | — |
| Cigna HealthSpring | PFFS | $29.16 | — |
| BCBS | MedicareAdvantageHMO | $29.16 | — |
| BCBS | MCRPPO | $29.16 | — |
| Cigna HealthSpring | MMP | $29.16 | — |
| Cigna HealthSpring | MCRSNP | $29.16 | — |
| Cigna HealthSpring | MCRHMO | $29.16 | — |
| Devoted Health | MGMCR | $29.16 | — |
| Humana | MedicareAdvantageHMO | $29.16 | — |
| Humana | MedicareAdvantagePPOPFFS | $29.16 | — |
| TriWest Healthcare Alliance | Veterans | $29.16 | — |
| CHC Harris Health | Indigent | $29.16 | — |
| WellMed | MGMCR | $29.31 | — |
| Aetna | MCR | $29.41 | — |
| Van Lang IPA | MCR | $29.45 | — |
| United | MCR | $29.75 | — |
| WellCare | PPO | $30.04 | — |
| WellCare | SNP | $30.04 | — |
| WellCare | POS | $30.04 | — |
| WellCare | MCRHMO | $30.04 | — |
| WellCare | PFFS | $30.04 | — |
| Integranet Amerigroup IPA | MCR | $30.04 | — |
| Superior Health Plan | DualEligible | $30.62 | — |
| Superior Health Plan | PFFS | $30.62 | — |
| Superior Health Plan | MCRSNP | $30.62 | — |
| Superior Health Plan | MCRPPO | $30.62 | — |
| ProCare Advantage | MGMCR | $30.62 | — |
| American Health Plan | MGMCR | $30.62 | — |
| Shared Health | MGMCR | $30.62 | — |
| Superior Health Plan | MCRPOS | $30.62 | — |
| Superior Health Plan | MCRHMO | $30.62 | — |
| Provider Partners Health Plan of Texas | POS | $30.91 | — |
| Provider Partners Health Plan of Texas | PPO | $30.91 | — |
| Provider Partners Health Plan of Texas | SNP | $30.91 | — |
| Provider Partners Health Plan of Texas | PFFS | $30.91 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $30.91 | — |
| Molina | MGMCR | $31.79 | — |
| TriWest Health Alliance | TRCR | $32.05 | — |
| Christus (USFHP) | TRICARE | $32.05 | — |
| Verda Health Plan | MCR | $37.91 | — |
| Superior | ValueHMO | $42.29 | — |
| Community Health Choice | HIX | $42.29 | — |
| Superior | EPO | $45.20 | — |
| Superior | HMO | $45.20 | — |
| BCBS | MyBlueHealth | $59.04 | — |
| Molina Healthcare | HIX | $62.70 | — |
| BCBS | BAV | $65.09 | — |
| BCBS | HMO | $81.49 | — |
| BCBS | EPOSOA | $83.01 | — |
| BCBS | PPO | $84.52 | — |
Visitor-reported prices
Comments
Bfb train ea addl 15 min 90913 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $28.58 – $62.70 |
| HCA HOUSTON WEST | HOUSTON | not published | $28.58 – $62.70 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $272.95 | $77.34 – $386.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $150.20 | $30.92 – $225.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $157.72 | $31.54 – $197.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $272.95 | $59.04 – $386.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $150.20 | $48.22 – $225.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $150.20 | $77.61 – $225.31 |