Culture typing added method 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.
$6.50 with Community Health Choice MCD vs $83.75 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 | $6.50 | — |
| Texas Childrens Healthplans | MEDICAID | $6.50 | — |
| Community Health Choice MCD | STAR | $6.50 | — |
| Community Health Choice MCD | CHIPPerinatal | $6.50 | — |
| Community Health Choice MCD | CHIP | $6.50 | — |
| Texas Childrens Healthplans | CHIP | $6.50 | — |
| United | MGMCD | $6.63 | — |
| Aetna Better Health | MGMCD | $7.02 | — |
| Molina Healthcare | CHIP | $7.15 | — |
| Molina Healthcare | STAR | $7.15 | — |
| Molina Healthcare | STARKIDS | $7.15 | — |
| Molina Healthcare | STARPLUS | $7.15 | — |
| Oscar | MGMCR | $7.59 | — |
| United | SmallGroup | $7.74 | — |
| United | NarrowNetworkIndivExchange | $7.74 | — |
| United | AllPayerAppendix | $7.74 | — |
| TriWest Healthcare Alliance | Veterans | $7.74 | — |
| Humana | MedicareAdvantageHMO | $7.74 | — |
| Humana | MedicareAdvantagePPOPFFS | $7.74 | — |
| Devoted Health | MGMCR | $7.74 | — |
| Cigna HealthSpring | PFFS | $7.74 | — |
| Cigna HealthSpring | MCRSNP | $7.74 | — |
| Cigna HealthSpring | MCRPPO | $7.74 | — |
| Cigna HealthSpring | MCRHMO | $7.74 | — |
| CHC Harris Health | Indigent | $7.74 | — |
| BCBS | MedicareAdvantageHMO | $7.74 | — |
| BCBS | MCRPPO | $7.74 | — |
| Cigna HealthSpring | MMP | $7.74 | — |
| WellMed | MGMCR | $7.78 | — |
| Aetna | MCR | $7.81 | — |
| Van Lang IPA | MCR | $7.82 | — |
| United | MCR | $7.89 | — |
| Integranet Amerigroup IPA | MCR | $7.97 | — |
| WellCare | PPO | $7.97 | — |
| WellCare | SNP | $7.97 | — |
| WellCare | POS | $7.97 | — |
| WellCare | MCRHMO | $7.97 | — |
| WellCare | PFFS | $7.97 | — |
| American Health Plan | MGMCR | $8.13 | — |
| Superior Health Plan | PFFS | $8.13 | — |
| Humana | MCD | $8.13 | — |
| Superior Health Plan | MCRPPO | $8.13 | — |
| Superior Health Plan | MCRPOS | $8.13 | — |
| Superior Health Plan | MCRHMO | $8.13 | — |
| Superior Health Plan | DualEligible | $8.13 | — |
| Shared Health | MGMCR | $8.13 | — |
| ProCare Advantage | MGMCR | $8.13 | — |
| Superior Health Plan | MCRSNP | $8.13 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $8.20 | — |
| Provider Partners Health Plan of Texas | POS | $8.20 | — |
| Provider Partners Health Plan of Texas | SNP | $8.20 | — |
| Provider Partners Health Plan of Texas | PFFS | $8.20 | — |
| Provider Partners Health Plan of Texas | PPO | $8.20 | — |
| TriWest Health Alliance | TRCR | $8.38 | — |
| Christus (USFHP) | TRICARE | $8.38 | — |
| Molina | MGMCR | $8.44 | — |
| Verda Health Plan | MCR | $10.06 | — |
| Superior | ValueHMO | $11.22 | — |
| Community Health Choice | HIX | $11.22 | — |
| Superior | HMO | $12.00 | — |
| Superior | EPO | $12.00 | — |
| BCBS | MyBlueHealth | $15.63 | — |
| Molina Healthcare | HIX | $16.64 | — |
| BCBS | BAV | $17.26 | — |
| Healthcare Highways | NarrowNetwork | $18.81 | — |
| BCBS | HMO | $21.59 | — |
| Oscar | HIX | $22.37 | — |
| BCBS | EPOSOA | $23.14 | — |
| BCBS | PPO | $24.69 | — |
| Aetna | QHPExchange | $28.34 | — |
| Cigna | CSN | $32.04 | — |
| Cigna | OpenAccessPlus | $34.71 | — |
| Aetna | NBPOS | $37.69 | — |
| Aetna | NBHMO | $37.69 | — |
| Aetna | NBPPO | $37.69 | — |
| Aetna | COMMHMO | $40.04 | — |
| Aetna | COMMPPO | $40.04 | — |
| Aetna | COMMPOS | $40.04 | — |
| Cigna | PPO | $41.29 | — |
| Aetna | OONPOS | $47.04 | — |
| Aetna | OONHMO | $47.04 | — |
| Aetna | OONPPO | $47.04 | — |
| Aetna | ASAHMO | $50.86 | — |
| Aetna | ASAPOS | $50.86 | — |
| Aetna | ASAPPO | $50.86 | — |
| Humana | HMO | $83.75 | — |
| Humana | PPO | $83.75 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Culture typing added method at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $97.00 | $6.50 – $32.04 |
| HCA HOUSTON KINGWOOD | HUMBLE | $97.00 | $6.37 – $32.04 |
| Texas Health Hospital Mansfield | Mansfield | $133.05 | $7.74 – $20.62 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $24.84 | $5.98 – $42.18 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $24.84 | $5.98 – $42.18 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $25.83 | $5.98 – $42.18 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $25.83 | $5.98 – $42.18 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $129.60 | $5.98 – $42.18 |