Co-treatment - group 15 mins, st 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.
$23.69 with Oscar vs $220.42 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 |
|---|---|---|---|
| Oscar | MGMCR | $23.69 | — |
| TriWest Health Alliance | TRCR | $23.93 | — |
| Christus (USFHP) | TRICARE | $23.93 | — |
| Humana | MedicareAdvantagePPOPFFS | $24.17 | — |
| Cigna HealthSpring | MCRSNP | $24.17 | — |
| TriWest Healthcare Alliance | Veterans | $24.17 | — |
| Humana | MedicareAdvantageHMO | $24.17 | — |
| CHC Harris Health | Indigent | $24.17 | — |
| BCBS | MedicareAdvantageHMO | $24.17 | — |
| BCBS | MCRPPO | $24.17 | — |
| Cigna HealthSpring | MMP | $24.17 | — |
| Cigna HealthSpring | PFFS | $24.17 | — |
| Devoted Health | MGMCR | $24.17 | — |
| Cigna HealthSpring | MCRHMO | $24.17 | — |
| Cigna HealthSpring | MCRPPO | $24.17 | — |
| WellMed | MGMCR | $24.29 | — |
| Aetna | MCR | $24.38 | — |
| Van Lang IPA | MCR | $24.41 | — |
| United | MCR | $24.65 | — |
| WellCare | SNP | $24.90 | — |
| WellCare | MCRHMO | $24.90 | — |
| WellCare | PFFS | $24.90 | — |
| Integranet Amerigroup IPA | MCR | $24.90 | — |
| WellCare | PPO | $24.90 | — |
| WellCare | POS | $24.90 | — |
| Superior Health Plan | MCRSNP | $25.38 | — |
| Shared Health | MGMCR | $25.38 | — |
| Superior Health Plan | DualEligible | $25.38 | — |
| Superior Health Plan | MCRHMO | $25.38 | — |
| Superior Health Plan | MCRPOS | $25.38 | — |
| Superior Health Plan | MCRPPO | $25.38 | — |
| American Health Plan | MGMCR | $25.38 | — |
| ProCare Advantage | MGMCR | $25.38 | — |
| Superior Health Plan | PFFS | $25.38 | — |
| Provider Partners Health Plan of Texas | PFFS | $25.62 | — |
| Provider Partners Health Plan of Texas | POS | $25.62 | — |
| Provider Partners Health Plan of Texas | SNP | $25.62 | — |
| Provider Partners Health Plan of Texas | PPO | $25.62 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $25.62 | — |
| Molina | MGMCR | $26.35 | — |
| Verda Health Plan | MCR | $31.42 | — |
| Community Health Choice | HIX | $35.05 | — |
| Superior | ValueHMO | $35.05 | — |
| Superior | EPO | $37.46 | — |
| Superior | HMO | $37.46 | — |
| Molina Healthcare | HIX | $51.97 | — |
| BCBS | MyBlueHealth | $56.51 | — |
| BCBS | BAV | $62.31 | — |
| Aetna | QHPExchange | $75.28 | — |
| BCBS | HMO | $78.00 | — |
| BCBS | EPOSOA | $79.45 | — |
| BCBS | PPO | $80.90 | — |
| Aetna | NBPPO | $100.01 | — |
| Aetna | NBPOS | $100.01 | — |
| Aetna | NBHMO | $100.01 | — |
| Aetna | COMMPOS | $106.07 | — |
| Aetna | COMMPPO | $106.07 | — |
| Aetna | COMMHMO | $106.07 | — |
| Aetna | OONPPO | $125.05 | — |
| Aetna | OONPOS | $125.05 | — |
| Aetna | OONHMO | $125.05 | — |
| Aetna | ASAHMO | $134.94 | — |
| Aetna | ASAPPO | $134.94 | — |
| Aetna | ASAPOS | $134.94 | — |
| Humana | HMO | $220.42 | — |
| Humana | PPO | $220.42 | — |
Visitor-reported prices
Comments
Co-treatment - group 15 mins, st at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $343.27 | $23.69 – $75.28 |
| Baylor St Luke's Medical Center | Houston | $13.30 | $10.26 – $38.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $13.30 | $10.26 – $38.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $23.69 – $51.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $76.53 | $21.68 – $179.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $216.13 | $44.49 – $324.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $178.43 | $35.69 – $223.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $76.53 | $20.41 – $179.00 |