Closed tx orbit w/manipulj 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.
$548.63 with Texas Childrens Healthplans vs $12,562.00 with Cigna — 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 |
|---|---|---|---|
| Texas Childrens Healthplans | MEDICAID | $548.63 | — |
| Texas Childrens Healthplans | CHIP | $548.63 | — |
| United | MGMCD | $588.70 | — |
| Molina Healthcare | STARPLUS | $603.49 | — |
| Molina Healthcare | STARKIDS | $603.49 | — |
| Molina Healthcare | STAR | $603.49 | — |
| Molina Healthcare | CHIP | $603.49 | — |
| Community Health Choice MCD | STAR+PLUS | $614.47 | — |
| Community Health Choice MCD | STAR | $614.47 | — |
| Community Health Choice MCD | CHIPPerinatal | $614.47 | — |
| Community Health Choice MCD | CHIP | $614.47 | — |
| Humana | MCD | $685.79 | — |
| Aetna Better Health | MGMCD | $692.59 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Superior Health Plan | STAR | $948.00 | — |
| Superior Health Plan | CHPFC | $948.00 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Aetna | QHPExchange | $1,944.00 | — |
| United | SmallGroup | $2,030.00 | — |
| Oscar | HIX | $2,128.00 | — |
| United | NarrowNetworkIndivExchange | $2,130.00 | — |
| Healthcare Highways | NarrowNetwork | $2,251.00 | — |
| Evry Health | BroadNetwork | $2,315.00 | — |
| BCBS | MyBlueHealth | $2,347.85 | — |
| Aetna | NBPOS | $2,580.00 | — |
| Aetna | NBHMO | $2,580.00 | — |
| Curative Administrators | COMM | $2,613.00 | — |
| BCBS | BAV | $2,644.71 | — |
| Aetna | COMMPOS | $2,742.00 | — |
| Aetna | COMMHMO | $2,742.00 | — |
| BCBS | HMO | $2,793.13 | — |
| United | AllPayerAppendix | $2,900.00 | — |
| BCBS | EPOSOA | $2,968.55 | — |
| Aetna | NBPPO | $2,986.00 | — |
| BCBS | PPO | $3,130.47 | — |
| Aetna | COMMPPO | $3,174.00 | — |
| Aetna | OONPOS | $3,228.00 | — |
| Aetna | OONHMO | $3,228.00 | — |
| Aetna | ASAHMO | $3,486.00 | — |
| Aetna | ASAPOS | $3,486.00 | — |
| Aetna | OONPPO | $3,732.00 | — |
| Aetna | ASAPPO | $4,034.00 | — |
| Humana | PPO | $4,690.00 | — |
| Humana | HMO | $4,690.00 | — |
| Cigna | CSN | $9,751.00 | — |
| Cigna | OpenAccessPlus | $10,565.00 | — |
| Cigna | PPO | $12,562.00 | — |
Visitor-reported prices
Comments
Closed tx orbit w/manipulj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $588.70 – $2,766.15 |
| Baylor St Luke's Medical Center | Houston | not published | $1,609.00 – $1,609.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $537.66 – $2,347.85 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $1,609.00 – $1,609.00 |
| Covenant Children's Hospital | Lubbock | $1,955.10 | $763.11 – $11,141.85 |
| Covenant Medical Center | Lubbock | $1,955.10 | $775.99 – $10,027.66 |
| Covenant Hospital Plainview | Plainview | $1,850.94 | $1,511.89 – $2,300.00 |
| Texas Health Hospital Mansfield | Mansfield | $8,243.52 | $1,424.90 – $3,117.31 |