Consultation/report referred material w/preparation of slides at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$432.54
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.
$432.54
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.
$25.95 with Superior Health Plan vs $194.64 with United — 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $25.95 | ↓ -94% |
| Superior Health Plan | CHIP | $25.95 | ↓ -94% |
| Superior Health Plan | CHPFC | $25.95 | ↓ -94% |
| Superior Health Plan | STAR | $25.95 | ↓ -94% |
| Superior Health Plan | STARKids | $25.95 | ↓ -94% |
| United | SmallGroup | $49.76 | ↓ -88% |
| United | AllPayerAppendix | $49.76 | ↓ -88% |
| United | NarrowNetworkIndivExchange | $49.76 | ↓ -88% |
| Community Health Choice MCD | CHIPPerinatal | $56.23 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $56.23 | ↓ -87% |
| Community Health Choice MCD | STAR | $56.23 | ↓ -87% |
| Community Health Choice MCD | CHIP | $56.23 | ↓ -87% |
| Cigna | CSN | $64.02 | ↓ -85% |
| Cigna | OpenAccessPlus | $69.21 | ↓ -84% |
| United | OptionsPPO | $72.67 | ↓ -83% |
| Cigna | PPO | $82.18 | ↓ -81% |
| Oscar | HIX | $84.35 | ↓ -80% |
| BCBS | MyBlueHealth | $99.93 | ↓ -77% |
| Aetna | QHPExchange | $102.91 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $110.30 | ↓ -74% |
| BCBS | BAV | $110.32 | ↓ -74% |
| Evry Health | BroadNetwork | $118.08 | ↓ -73% |
| Aetna | NBPPO | $136.85 | ↓ -68% |
| Aetna | NBPOS | $136.85 | ↓ -68% |
| Aetna | NBHMO | $136.85 | ↓ -68% |
| BCBS | HMO | $138.02 | ↓ -68% |
| Humana | HMO | $138.02 | ↓ -68% |
| Humana | PPO | $138.02 | ↓ -68% |
| Aetna | COMMPPO | $145.39 | ↓ -66% |
| Aetna | COMMPOS | $145.39 | ↓ -66% |
| Aetna | COMMHMO | $145.39 | ↓ -66% |
| BCBS | EPOSOA | $147.92 | ↓ -66% |
| BCBS | Traditional | $151.39 | ↓ -65% |
| Coventry National First Health | COMM | $157.44 | ↓ -64% |
| BCBS | PPO | $157.81 | ↓ -64% |
| Aetna | OONPPO | $170.80 | ↓ -61% |
| Aetna | OONHMO | $170.80 | ↓ -61% |
| Aetna | OONPOS | $170.80 | ↓ -61% |
| Christus (USFHP) | TRICARE | $173.02 | ↓ -60% |
| Aetna | ASAPOS | $184.68 | ↓ -57% |
| Aetna | ASAHMO | $184.68 | ↓ -57% |
| Aetna | ASAPPO | $184.68 | ↓ -57% |
| United | GlobalAppendix | $194.64 | ↓ -55% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $259.35 | $59.36 – $741.00 |
| HCA HOUSTON WEST | HOUSTON | $455.00 | $49.76 – $339.21 |
| St. Luke's Health - The Vintage Hospital | Houston | $259.35 | $65.17 – $741.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $49.76 – $339.21 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $275.42 | $35.00 – $344.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $309.65 | $36.00 – $464.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $230.32 | $36.00 – $287.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $275.42 | $35.00 – $344.28 |