Cad breast MRI w/r&i at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$15,667.00
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.
$15,667.00
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.
$32.98 with BCBS vs $7,050.15 with United — 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $32.98 | ↓ -100% |
| BCBS | BAV | $41.79 | ↓ -100% |
| BCBS | HMO | $63.72 | ↓ -100% |
| BCBS | EPOSOA | $70.65 | ↓ -100% |
| BCBS | PPO | $77.58 | ↓ -100% |
| Superior Health Plan | STARPLUS | $940.02 | ↓ -94% |
| Superior Health Plan | CHIP | $940.02 | ↓ -94% |
| Superior Health Plan | CHPFC | $940.02 | ↓ -94% |
| Superior Health Plan | STAR | $940.02 | ↓ -94% |
| Superior Health Plan | STARKids | $940.02 | ↓ -94% |
| Aetna | MCR | $1,038.72 | ↓ -93% |
| Community Health Choice MCD | STAR+PLUS | $2,036.71 | ↓ -87% |
| Community Health Choice MCD | CHIP | $2,036.71 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $2,036.71 | ↓ -87% |
| Community Health Choice MCD | STAR | $2,036.71 | ↓ -87% |
| Cigna | CSN | $2,318.72 | ↓ -85% |
| Cigna | OpenAccessPlus | $2,506.72 | ↓ -84% |
| United | OptionsPPO | $2,632.06 | ↓ -83% |
| Cigna | PPO | $2,976.73 | ↓ -81% |
| Aetna | QHPExchange | $3,509.41 | ↓ -78% |
| Molina Healthcare | HIX | $4,230.09 | ↓ -73% |
| Aetna | NBPPO | $4,277.09 | ↓ -73% |
| Aetna | NBHMO | $4,277.09 | ↓ -73% |
| Aetna | NBPOS | $4,277.09 | ↓ -73% |
| Aetna | COMMHMO | $4,527.76 | ↓ -71% |
| Aetna | COMMPPO | $4,527.76 | ↓ -71% |
| Aetna | COMMPOS | $4,527.76 | ↓ -71% |
| CHC Harris Health | Indigent | $4,700.10 | ↓ -70% |
| Aetna | OONPPO | $5,342.45 | ↓ -66% |
| Aetna | OONHMO | $5,342.45 | ↓ -66% |
| Aetna | OONPOS | $5,342.45 | ↓ -66% |
| BCBS | Traditional | $5,483.45 | ↓ -65% |
| Coventry National First Health | COMM | $5,702.79 | ↓ -64% |
| Aetna | ASAPPO | $5,765.46 | ↓ -63% |
| Aetna | ASAPOS | $5,765.46 | ↓ -63% |
| Aetna | ASAHMO | $5,765.46 | ↓ -63% |
| Christus (USFHP) | TRICARE | $6,266.80 | ↓ -60% |
| United | GlobalAppendix | $7,050.15 | ↓ -55% |
Visitor-reported prices
Comments
Cad breast MRI w/r&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $78.75 | $22.49 – $1,398.60 |
| St. Luke's Health - The Vintage Hospital | Houston | $78.75 | $26.42 – $1,398.60 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $32.98 – $32.98 |
| HCA HOUSTON WEST | HOUSTON | not published | $32.98 – $32.98 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $78.75 | $26.42 – $1,398.60 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $78.75 | $26.42 – $1,398.60 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $78.75 | $26.42 – $1,398.60 |
| Covenant Hospital Plainview | Plainview | $205.80 | $62.97 – $62.97 |