Diagnostic digital breast tomosynthesis bil at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$5,278.79
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.
$5,278.79
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.
$124.19 with Christus (USFHP) vs $2,375.46 with United — 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 |
|---|---|---|---|
| Christus (USFHP) | TRICARE | $124.19 | ↓ -98% |
| TriWest Health Alliance | TRCR | $124.19 | ↓ -98% |
| BCBS | MyBlueHealth | $165.55 | ↓ -97% |
| BCBS | BAV | $209.75 | ↓ -96% |
| United | NarrowNetworkIndivExchange | $222.09 | ↓ -96% |
| United | AllPayerAppendix | $263.00 | ↓ -95% |
| United | SmallGroup | $263.00 | ↓ -95% |
| Superior Health Plan | STARKids | $316.73 | ↓ -94% |
| Superior Health Plan | STARPLUS | $316.73 | ↓ -94% |
| Superior Health Plan | CHIP | $316.73 | ↓ -94% |
| Superior Health Plan | CHPFC | $316.73 | ↓ -94% |
| Superior Health Plan | STAR | $316.73 | ↓ -94% |
| BCBS | HMO | $319.80 | ↓ -94% |
| Aetna | MCR | $349.98 | ↓ -93% |
| BCBS | EPOSOA | $354.61 | ↓ -93% |
| BCBS | PPO | $389.41 | ↓ -93% |
| Cigna | CSN | $516.00 | ↓ -90% |
| Cigna | OpenAccessPlus | $559.00 | ↓ -89% |
| Aetna | QHPExchange | $664.95 | ↓ -87% |
| Cigna | PPO | $665.00 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $686.24 | ↓ -87% |
| Community Health Choice MCD | CHIP | $686.24 | ↓ -87% |
| Community Health Choice MCD | STAR | $686.24 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $686.24 | ↓ -87% |
| Aetna | NBPOS | $883.79 | ↓ -83% |
| Aetna | NBPPO | $883.79 | ↓ -83% |
| Aetna | NBHMO | $883.79 | ↓ -83% |
| United | OptionsPPO | $886.84 | ↓ -83% |
| Aetna | COMMPOS | $940.14 | ↓ -82% |
| Aetna | COMMHMO | $940.14 | ↓ -82% |
| Aetna | COMMPPO | $940.14 | ↓ -82% |
| Aetna | OONHMO | $1,105.44 | ↓ -79% |
| Aetna | OONPPO | $1,105.44 | ↓ -79% |
| Aetna | OONPOS | $1,105.44 | ↓ -79% |
| Aetna | ASAPOS | $1,194.66 | ↓ -77% |
| Aetna | ASAPPO | $1,194.66 | ↓ -77% |
| Aetna | ASAHMO | $1,194.66 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $1,346.09 | ↓ -75% |
| Molina Healthcare | HIX | $1,425.27 | ↓ -73% |
| Evry Health | BroadNetwork | $1,441.11 | ↓ -73% |
| CHC Harris Health | Indigent | $1,583.64 | ↓ -70% |
| Humana | HMO | $1,684.46 | ↓ -68% |
| Humana | PPO | $1,684.46 | ↓ -68% |
| BCBS | Traditional | $1,847.58 | ↓ -65% |
| Coventry National First Health | COMM | $1,921.48 | ↓ -64% |
| Curative Administrators | COMM | $2,111.52 | ↓ -60% |
| United | GlobalAppendix | $2,375.46 | ↓ -55% |
Visitor-reported prices
Comments
Diagnostic digital breast tomosynthesis bil at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $124.19 – $2,078.83 |
| HCA HOUSTON WEST | HOUSTON | not published | $124.02 – $2,078.83 |
| Adventhealth Rollins Brook | Lampasas | $298.70 | $362.13 – $362.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $117.94 | $33.42 – $188.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $117.94 | $24.28 – $176.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $117.94 | $23.59 – $316.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $117.94 | $31.45 – $215.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $117.94 | $37.86 – $384.71 |