#covid19rsv-rsv 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.
$10.33 with Superior Health Plan vs $937.66 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 |
|---|---|---|---|
| Superior Health Plan | CHPFC | $10.33 | — |
| Superior Health Plan | CHIP | $10.33 | — |
| Superior Health Plan | STARPLUS | $10.33 | — |
| Superior Health Plan | STARKids | $10.33 | — |
| Superior Health Plan | STAR | $10.33 | — |
| United | OptionsPPO | $28.92 | — |
| Evry Health | BroadNetwork | $46.99 | — |
| Community Health Choice MCD | STAR+PLUS | $58.97 | — |
| Texas Childrens Healthplans | MEDICAID | $58.97 | — |
| Community Health Choice MCD | STAR | $58.97 | — |
| Community Health Choice MCD | CHIPPerinatal | $58.97 | — |
| Community Health Choice MCD | CHIP | $58.97 | — |
| Texas Childrens Healthplans | CHIP | $58.97 | — |
| United | MGMCD | $60.15 | — |
| BCBS | Traditional | $60.24 | — |
| Coventry National First Health | COMM | $62.65 | — |
| Aetna Better Health | MGMCD | $63.69 | — |
| Molina Healthcare | STARKIDS | $64.87 | — |
| Molina Healthcare | CHIP | $64.87 | — |
| Molina Healthcare | STARPLUS | $64.87 | — |
| Molina Healthcare | STAR | $64.87 | — |
| Oscar | MGMCR | $68.80 | — |
| Cigna HealthSpring | MCRSNP | $70.20 | — |
| Humana | MedicareAdvantageHMO | $70.20 | — |
| Humana | MedicareAdvantagePPOPFFS | $70.20 | — |
| United | AllPayerAppendix | $70.20 | — |
| United | NarrowNetworkIndivExchange | $70.20 | — |
| United | SmallGroup | $70.20 | — |
| Cigna HealthSpring | MCRHMO | $70.20 | — |
| Cigna HealthSpring | MCRPPO | $70.20 | — |
| Devoted Health | MGMCR | $70.20 | — |
| Cigna HealthSpring | PFFS | $70.20 | — |
| Cigna HealthSpring | MMP | $70.20 | — |
| BCBS | MCRPPO | $70.20 | — |
| BCBS | MedicareAdvantageHMO | $70.20 | — |
| CHC Harris Health | Indigent | $70.20 | — |
| TriWest Healthcare Alliance | Veterans | $70.20 | — |
| WellMed | MGMCR | $70.55 | — |
| Aetna | MCR | $70.80 | — |
| Van Lang IPA | MCR | $70.90 | — |
| United | MCR | $71.60 | — |
| WellCare | SNP | $72.31 | — |
| WellCare | POS | $72.31 | — |
| Integranet Amerigroup IPA | MCR | $72.31 | — |
| WellCare | PFFS | $72.31 | — |
| WellCare | MCRHMO | $72.31 | — |
| WellCare | PPO | $72.31 | — |
| Superior Health Plan | MCRPOS | $73.71 | — |
| Superior Health Plan | MCRPPO | $73.71 | — |
| Superior Health Plan | MCRSNP | $73.71 | — |
| Superior Health Plan | PFFS | $73.71 | — |
| ProCare Advantage | MGMCR | $73.71 | — |
| Shared Health | MGMCR | $73.71 | — |
| American Health Plan | MGMCR | $73.71 | — |
| Humana | MCD | $73.71 | — |
| Superior Health Plan | DualEligible | $73.71 | — |
| Superior Health Plan | MCRHMO | $73.71 | — |
| Provider Partners Health Plan of Texas | PPO | $74.41 | — |
| Provider Partners Health Plan of Texas | SNP | $74.41 | — |
| Provider Partners Health Plan of Texas | POS | $74.41 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $74.41 | — |
| Provider Partners Health Plan of Texas | PFFS | $74.41 | — |
| Christus (USFHP) | TRICARE | $75.98 | — |
| TriWest Health Alliance | TRCR | $75.98 | — |
| Molina | MGMCR | $76.52 | — |
| United | GlobalAppendix | $77.45 | — |
| Verda Health Plan | MCR | $91.26 | — |
| Community Health Choice | HIX | $101.79 | — |
| Superior | ValueHMO | $101.79 | — |
| Superior | HMO | $108.81 | — |
| Superior | EPO | $108.81 | — |
| BCBS | MyBlueHealth | $141.80 | — |
| Molina Healthcare | HIX | $150.93 | — |
| BCBS | BAV | $156.55 | — |
| BCBS | HMO | $195.86 | — |
| Oscar | HIX | $202.88 | — |
| BCBS | EPOSOA | $209.90 | — |
| Healthcare Highways | NarrowNetwork | $210.58 | — |
| BCBS | PPO | $223.94 | — |
| Aetna | QHPExchange | $257.15 | — |
| Cigna | CSN | $288.55 | — |
| Cigna | OpenAccessPlus | $312.54 | — |
| Aetna | NBPPO | $341.97 | — |
| Aetna | NBHMO | $341.97 | — |
| Aetna | NBPOS | $341.97 | — |
| Aetna | COMMPPO | $363.31 | — |
| Aetna | COMMHMO | $363.31 | — |
| Aetna | COMMPOS | $363.31 | — |
| Cigna | PPO | $371.85 | — |
| Aetna | OONHMO | $426.80 | — |
| Aetna | OONPPO | $426.80 | — |
| Aetna | OONPOS | $426.80 | — |
| Aetna | ASAPPO | $461.48 | — |
| Aetna | ASAHMO | $461.48 | — |
| Aetna | ASAPOS | $461.48 | — |
| Humana | HMO | $937.66 | — |
| Humana | PPO | $937.66 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
#covid19rsv-rsv at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $119.00 | $50.54 – $340.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $119.00 | $50.54 – $340.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $58.97 – $288.55 |
| HCA HOUSTON WEST | HOUSTON | not published | $57.79 – $288.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $129.47 | $10.00 – $168.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $164.34 | $12.00 – $246.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $164.34 | $12.00 – $205.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $129.47 | $10.00 – $168.48 |