Cdna analysis for variants 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.
$155.57 with Community Health Choice MCD vs $2,003.86 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 |
|---|---|---|---|
| Community Health Choice MCD | CHIP | $155.57 | — |
| Texas Childrens Healthplans | CHIP | $155.57 | — |
| Community Health Choice MCD | STAR+PLUS | $155.57 | — |
| Community Health Choice MCD | STAR | $155.57 | — |
| Texas Childrens Healthplans | MEDICAID | $155.57 | — |
| Community Health Choice MCD | CHIPPerinatal | $155.57 | — |
| United | MGMCD | $158.68 | — |
| Aetna Better Health | MGMCD | $168.02 | — |
| Molina Healthcare | CHIP | $171.13 | — |
| Molina Healthcare | STAR | $171.13 | — |
| Molina Healthcare | STARKIDS | $171.13 | — |
| Molina Healthcare | STARPLUS | $171.13 | — |
| Oscar | MGMCR | $181.50 | — |
| BCBS | MedicareAdvantageHMO | $185.20 | — |
| Humana | MedicareAdvantageHMO | $185.20 | — |
| Humana | MedicareAdvantagePPOPFFS | $185.20 | — |
| United | AllPayerAppendix | $185.20 | — |
| United | NarrowNetworkIndivExchange | $185.20 | — |
| United | SmallGroup | $185.20 | — |
| Cigna HealthSpring | MCRHMO | $185.20 | — |
| Cigna HealthSpring | MCRPPO | $185.20 | — |
| Cigna HealthSpring | MCRSNP | $185.20 | — |
| Cigna HealthSpring | PFFS | $185.20 | — |
| Cigna HealthSpring | MMP | $185.20 | — |
| BCBS | MCRPPO | $185.20 | — |
| Devoted Health | MGMCR | $185.20 | — |
| CHC Harris Health | Indigent | $185.20 | — |
| TriWest Healthcare Alliance | Veterans | $185.20 | — |
| WellMed | MGMCR | $186.13 | — |
| Aetna | MCR | $186.77 | — |
| Van Lang IPA | MCR | $187.05 | — |
| United | MCR | $188.90 | — |
| WellCare | PPO | $190.76 | — |
| WellCare | PFFS | $190.76 | — |
| WellCare | SNP | $190.76 | — |
| WellCare | MCRHMO | $190.76 | — |
| WellCare | POS | $190.76 | — |
| Integranet Amerigroup IPA | MCR | $190.76 | — |
| ProCare Advantage | MGMCR | $194.46 | — |
| American Health Plan | MGMCR | $194.46 | — |
| Superior Health Plan | DualEligible | $194.46 | — |
| Superior Health Plan | MCRHMO | $194.46 | — |
| Superior Health Plan | MCRPOS | $194.46 | — |
| Superior Health Plan | MCRPPO | $194.46 | — |
| Superior Health Plan | MCRSNP | $194.46 | — |
| Superior Health Plan | PFFS | $194.46 | — |
| Shared Health | MGMCR | $194.46 | — |
| Humana | MCD | $194.46 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $196.31 | — |
| Provider Partners Health Plan of Texas | PPO | $196.31 | — |
| Provider Partners Health Plan of Texas | SNP | $196.31 | — |
| Provider Partners Health Plan of Texas | PFFS | $196.31 | — |
| Provider Partners Health Plan of Texas | POS | $196.31 | — |
| Molina | MGMCR | $201.87 | — |
| Verda Health Plan | MCR | $240.76 | — |
| Superior | ValueHMO | $268.54 | — |
| Community Health Choice | HIX | $268.54 | — |
| Superior | EPO | $287.06 | — |
| Superior | HMO | $287.06 | — |
| BCBS | MyBlueHealth | $374.10 | — |
| Molina Healthcare | HIX | $398.18 | — |
| BCBS | BAV | $413.00 | — |
| Healthcare Highways | NarrowNetwork | $450.04 | — |
| BCBS | HMO | $516.71 | — |
| Oscar | HIX | $535.23 | — |
| BCBS | EPOSOA | $553.75 | — |
| BCBS | PPO | $590.79 | — |
| Aetna | QHPExchange | $678.42 | — |
| Cigna | CSN | $762.47 | — |
| Cigna | OpenAccessPlus | $825.86 | — |
| Aetna | NBPPO | $902.21 | — |
| Aetna | NBHMO | $902.21 | — |
| Aetna | NBPOS | $902.21 | — |
| Aetna | COMMPPO | $958.51 | — |
| Aetna | COMMHMO | $958.51 | — |
| Aetna | COMMPOS | $958.51 | — |
| Cigna | PPO | $982.58 | — |
| Aetna | OONHMO | $1,126.00 | — |
| Aetna | OONPPO | $1,126.00 | — |
| Aetna | OONPOS | $1,126.00 | — |
| Aetna | ASAPOS | $1,217.49 | — |
| Aetna | ASAHMO | $1,217.49 | — |
| Aetna | ASAPPO | $1,217.49 | — |
| Humana | HMO | $2,003.86 | — |
| Humana | PPO | $2,003.86 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cdna analysis for variants at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $291.20 | $133.34 – $832.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $291.20 | $133.34 – $832.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $155.57 – $762.47 |
| HCA HOUSTON WEST | HOUSTON | not published | $152.46 – $762.47 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $750.00 | $10.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $750.00 | $10.00 – $444.48 |