C-1 esterase, berinert 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.
$21.53 with Superior Health Plan vs $476.68 with Humana — 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 | STARKids | $21.53 | — |
| Superior Health Plan | STARPLUS | $21.53 | — |
| Superior Health Plan | CHIP | $21.53 | — |
| Superior Health Plan | CHPFC | $21.53 | — |
| Superior Health Plan | STAR | $21.53 | — |
| Community Health Choice MCD | CHIP | $46.64 | — |
| Community Health Choice MCD | STAR+PLUS | $46.64 | — |
| Community Health Choice MCD | STAR | $46.64 | — |
| Community Health Choice MCD | CHIPPerinatal | $46.64 | — |
| United | OptionsPPO | $60.28 | — |
| TriWest Health Alliance | TRCR | $72.27 | — |
| Christus (USFHP) | TRICARE | $72.27 | — |
| BCBS | MyBlueHealth | $115.84 | — |
| United | AllPayerAppendix | $125.17 | — |
| United | NarrowNetworkIndivExchange | $125.17 | — |
| United | SmallGroup | $125.17 | — |
| BCBS | Traditional | $125.58 | — |
| BCBS | BAV | $127.66 | — |
| Coventry National First Health | COMM | $130.60 | — |
| BCBS | PPO | $159.57 | — |
| BCBS | HMO | $159.57 | — |
| BCBS | EPOSOA | $159.57 | — |
| United | GlobalAppendix | $161.46 | — |
| Cigna | CSN | $183.58 | — |
| Cigna | OpenAccessPlus | $198.75 | — |
| Cigna | PPO | $236.68 | — |
| Humana | PPO | $476.68 | — |
| Humana | HMO | $476.68 | — |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $72.27 – $476.68 |
| HCA HOUSTON WEST | HOUSTON | not published | $75.86 – $476.68 |
| HCA HOUSTON NORTHWEST | SPRING | $28,953.24 | $72.27 – $476.68 |
| St. Luke's Health Memorial Lufkin | Lufkin | $10,255.04 | $77.25 – $61,530.20 |
| HCA HOUSTON SOUTHEAST | PASADENA | $19,377.48 | $72.27 – $476.68 |
| St. Luke's Health Memorial Livingston | Livingston | $10,255.04 | $77.25 – $61,530.20 |
| St. Luke's Health Memorial San Augustine | San Augustine | $10,255.04 | $77.25 – $61,530.20 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $2,853.72 | $40.52 – $247.63 |