Cataract surg w/iol 1 stage 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.
$849.94 with Texas Childrens Healthplans vs $5,571.00 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 | MEDICAID | $849.94 | — |
| Texas Childrens Healthplans | CHIP | $849.94 | — |
| United | MGMCD | $912.02 | — |
| Molina Healthcare | CHIP | $934.93 | — |
| Molina Healthcare | STARPLUS | $934.93 | — |
| Molina Healthcare | STAR | $934.93 | — |
| Molina Healthcare | STARKIDS | $934.93 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Superior Health Plan | STAR | $948.00 | — |
| Superior Health Plan | CHPFC | $948.00 | — |
| Community Health Choice MCD | STAR | $951.93 | — |
| Community Health Choice MCD | CHIPPerinatal | $951.93 | — |
| Community Health Choice MCD | CHIP | $951.93 | — |
| Community Health Choice MCD | STAR+PLUS | $951.93 | — |
| Humana | MCD | $1,062.43 | — |
| Aetna Better Health | MGMCD | $1,072.97 | — |
| Aetna | QHPExchange | $2,370.00 | — |
| Healthcare Highways | NarrowNetwork | $3,041.00 | — |
| Aetna | NBHMO | $3,148.00 | — |
| Aetna | NBPOS | $3,148.00 | — |
| Aetna | COMMHMO | $3,345.00 | — |
| Aetna | COMMPOS | $3,345.00 | — |
| Aetna | NBPPO | $3,388.00 | — |
| United | SmallGroup | $3,500.00 | — |
| BCBS | MyBlueHealth | $3,518.04 | — |
| Aetna | COMMPPO | $3,601.00 | — |
| Aetna | OONPOS | $3,934.00 | — |
| Aetna | OONHMO | $3,934.00 | — |
| BCBS | BAV | $3,962.85 | — |
| Evry Health | BroadNetwork | $4,052.00 | — |
| BCBS | HMO | $4,185.25 | — |
| Cigna | CSN | $4,188.00 | — |
| Aetna | OONPPO | $4,237.00 | — |
| Aetna | ASAHMO | $4,250.00 | — |
| Aetna | ASAPOS | $4,250.00 | — |
| BCBS | EPOSOA | $4,448.09 | — |
| Cigna | OpenAccessPlus | $4,537.00 | — |
| Aetna | ASAPPO | $4,577.00 | — |
| Humana | PPO | $4,690.00 | — |
| Humana | HMO | $4,690.00 | — |
| BCBS | PPO | $4,690.72 | — |
| Curative Administrators | COMM | $4,807.00 | — |
| United | NarrowNetworkIndivExchange | $4,995.00 | — |
| United | AllPayerAppendix | $5,000.00 | — |
| Cigna | PPO | $5,394.00 | — |
| Oscar | HIX | $5,571.00 | — |
Visitor-reported prices
Comments
Cataract surg w/iol 1 stage at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $912.02 – $4,144.81 |
| Baylor St Luke's Medical Center | Houston | not published | $3,226.00 – $3,226.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $832.94 – $3,518.04 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $3,226.00 – $3,226.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,538.46 | $71.00 – $7,521.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,538.46 | $71.00 – $7,521.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,538.46 | $85.00 – $7,521.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,538.46 | $849.94 – $6,807.69 |