Connect omega .5mm 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.
$183.69 with Community Health Choice MCD vs $2,834.53 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 | STAR+PLUS | $183.69 | — |
| Community Health Choice MCD | CHIP | $183.69 | — |
| Community Health Choice MCD | CHIPPerinatal | $183.69 | — |
| Community Health Choice MCD | STAR | $183.69 | — |
| Cigna | CSN | $209.12 | — |
| Cigna | OpenAccessPlus | $226.08 | — |
| BCBS | MyBlueHealth | $230.32 | — |
| United | OptionsPPO | $237.38 | — |
| BCBS | BAV | $254.34 | — |
| Cigna | PPO | $268.47 | — |
| BCBS | HMO | $317.93 | — |
| BCBS | EPOSOA | $324.99 | — |
| BCBS | PPO | $330.64 | — |
| Oscar | MGMCR | $361.13 | — |
| Cigna HealthSpring | MCRSNP | $368.50 | — |
| Cigna HealthSpring | MMP | $368.50 | — |
| TriWest Health Alliance | TRCR | $368.50 | — |
| Humana | MedicareAdvantagePPOPFFS | $368.50 | — |
| Devoted Health | MGMCR | $368.50 | — |
| TriWest Healthcare Alliance | Veterans | $368.50 | — |
| Humana | MedicareAdvantageHMO | $368.50 | — |
| Christus (USFHP) | TRICARE | $368.50 | — |
| CHC Harris Health | Indigent | $368.50 | — |
| BCBS | MedicareAdvantageHMO | $368.50 | — |
| BCBS | MCRPPO | $368.50 | — |
| Cigna HealthSpring | MCRHMO | $368.50 | — |
| Cigna HealthSpring | MCRPPO | $368.50 | — |
| Cigna HealthSpring | PFFS | $368.50 | — |
| WellMed | MGMCR | $370.34 | — |
| Aetna | MCR | $371.63 | — |
| Van Lang IPA | MCR | $372.19 | — |
| United | MCR | $375.87 | — |
| WellCare | PPO | $379.56 | — |
| WellCare | SNP | $379.56 | — |
| WellCare | POS | $379.56 | — |
| WellCare | MCRHMO | $379.56 | — |
| WellCare | PFFS | $379.56 | — |
| Integranet Amerigroup IPA | MCR | $379.56 | — |
| Superior Health Plan | MCRPOS | $386.93 | — |
| Shared Health | MGMCR | $386.93 | — |
| Superior Health Plan | MCRHMO | $386.93 | — |
| ProCare Advantage | MGMCR | $386.93 | — |
| American Health Plan | MGMCR | $386.93 | — |
| Superior Health Plan | DualEligible | $386.93 | — |
| Superior Health Plan | PFFS | $386.93 | — |
| Superior Health Plan | MCRSNP | $386.93 | — |
| Superior Health Plan | MCRPPO | $386.93 | — |
| Provider Partners Health Plan of Texas | PPO | $390.61 | — |
| Provider Partners Health Plan of Texas | POS | $390.61 | — |
| Provider Partners Health Plan of Texas | PFFS | $390.61 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $390.61 | — |
| Provider Partners Health Plan of Texas | SNP | $390.61 | — |
| Molina | MGMCR | $401.67 | — |
| Verda Health Plan | MCR | $479.05 | — |
| BCBS | Traditional | $494.55 | — |
| Coventry National First Health | COMM | $514.33 | — |
| Superior | ValueHMO | $534.32 | — |
| Community Health Choice | HIX | $534.32 | — |
| Superior | EPO | $571.18 | — |
| Superior | HMO | $571.18 | — |
| United | GlobalAppendix | $635.85 | — |
| Molina Healthcare | HIX | $792.27 | — |
| Humana | HMO | $2,834.53 | — |
| Humana | PPO | $2,834.53 | — |
Visitor-reported prices
Comments
Connect omega .5mm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,854.12 | $313.78 – $1,494.15 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,854.12 | $313.78 – $1,494.15 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $361.13 – $792.27 |
| HCA HOUSTON WEST | HOUSTON | not published | $361.13 – $792.27 |
| Covenant Children's Hospital | Lubbock | $2,063.25 | not published |
| HCA HOUSTON CONROE | CONROE | $3,489.00 | $361.13 – $792.27 |
| St. Joseph Health Madison Hospital | Madisonville | $1,069.43 | $14.78 – $104.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $950.67 | $811.60 – $4,869.59 |