Diagnostic Mammogram (both breasts) 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.
$107.47 with Superior Health Plan vs $1,194.66 with Aetna — 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 | STARPLUS | $107.47 | — |
| Superior Health Plan | CHPFC | $107.47 | — |
| Superior Health Plan | STAR | $107.47 | — |
| Superior Health Plan | STARKids | $107.47 | — |
| Superior Health Plan | CHIP | $107.47 | — |
| Oscar | MGMCR | $107.84 | — |
| TriWest Health Alliance | TRCR | $108.94 | — |
| Christus (USFHP) | TRICARE | $108.94 | — |
| Humana | MedicareAdvantageHMO | $110.04 | — |
| Humana | MedicareAdvantagePPOPFFS | $110.04 | — |
| Devoted Health | MGMCR | $110.04 | — |
| CHC Harris Health | Indigent | $110.04 | — |
| BCBS | MedicareAdvantageHMO | $110.04 | — |
| BCBS | MCRPPO | $110.04 | — |
| Cigna HealthSpring | MMP | $110.04 | — |
| Cigna HealthSpring | PFFS | $110.04 | — |
| Cigna HealthSpring | MCRSNP | $110.04 | — |
| Cigna HealthSpring | MCRPPO | $110.04 | — |
| Cigna HealthSpring | MCRHMO | $110.04 | — |
| TriWest Healthcare Alliance | Veterans | $110.04 | — |
| WellMed | MGMCR | $110.59 | — |
| Aetna | MCR | $110.98 | — |
| Van Lang IPA | MCR | $111.14 | — |
| United | MCR | $112.24 | — |
| WellCare | POS | $113.34 | — |
| WellCare | PPO | $113.34 | — |
| WellCare | PFFS | $113.34 | — |
| Integranet Amerigroup IPA | MCR | $113.34 | — |
| WellCare | SNP | $113.34 | — |
| WellCare | MCRHMO | $113.34 | — |
| Superior Health Plan | PFFS | $115.54 | — |
| American Health Plan | MGMCR | $115.54 | — |
| Superior Health Plan | DualEligible | $115.54 | — |
| Superior Health Plan | MCRHMO | $115.54 | — |
| Superior Health Plan | MCRPOS | $115.54 | — |
| Superior Health Plan | MCRPPO | $115.54 | — |
| Superior Health Plan | MCRSNP | $115.54 | — |
| ProCare Advantage | MGMCR | $115.54 | — |
| Shared Health | MGMCR | $115.54 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $116.64 | — |
| Provider Partners Health Plan of Texas | SNP | $116.64 | — |
| Provider Partners Health Plan of Texas | POS | $116.64 | — |
| Provider Partners Health Plan of Texas | PFFS | $116.64 | — |
| Provider Partners Health Plan of Texas | PPO | $116.64 | — |
| Molina | MGMCR | $119.94 | — |
| Verda Health Plan | MCR | $143.05 | — |
| Superior | ValueHMO | $159.56 | — |
| Community Health Choice | HIX | $159.56 | — |
| Superior | EPO | $170.56 | — |
| Superior | HMO | $170.56 | — |
| BCBS | MyBlueHealth | $211.85 | — |
| United | NarrowNetworkIndivExchange | $222.09 | — |
| Community Health Choice MCD | STAR | $232.86 | — |
| Community Health Choice MCD | CHIP | $232.86 | — |
| Community Health Choice MCD | CHIPPerinatal | $232.86 | — |
| Community Health Choice MCD | STAR+PLUS | $232.86 | — |
| Molina Healthcare | HIX | $236.59 | — |
| United | SmallGroup | $263.00 | — |
| United | AllPayerAppendix | $263.00 | — |
| BCBS | BAV | $268.43 | — |
| Healthcare Highways | NarrowNetwork | $274.00 | — |
| United | OptionsPPO | $300.92 | — |
| BCBS | HMO | $409.26 | — |
| BCBS | EPOSOA | $453.79 | — |
| Evry Health | BroadNetwork | $489.00 | — |
| BCBS | PPO | $498.33 | — |
| Cigna | CSN | $516.00 | — |
| Cigna | OpenAccessPlus | $559.00 | — |
| Humana | PPO | $571.58 | — |
| Humana | HMO | $571.58 | — |
| BCBS | Traditional | $626.93 | — |
| Coventry National First Health | COMM | $652.00 | — |
| Aetna | QHPExchange | $664.95 | — |
| Cigna | PPO | $665.00 | — |
| Curative Administrators | COMM | $716.49 | — |
| United | GlobalAppendix | $806.05 | — |
| Aetna | NBPPO | $883.79 | — |
| Aetna | NBPOS | $883.79 | — |
| Aetna | NBHMO | $883.79 | — |
| Aetna | COMMHMO | $940.14 | — |
| Aetna | COMMPPO | $940.14 | — |
| Aetna | COMMPOS | $940.14 | — |
| Aetna | OONHMO | $1,105.44 | — |
| Aetna | OONPOS | $1,105.44 | — |
| Aetna | OONPPO | $1,105.44 | — |
| Aetna | ASAHMO | $1,194.66 | — |
| Aetna | ASAPOS | $1,194.66 | — |
| Aetna | ASAPPO | $1,194.66 | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $680.75 | $144.00 – $1,945.00 |
| HCA HOUSTON WEST | HOUSTON | $3,708.00 | $107.84 – $236.59 |
| St. Luke's Health - The Vintage Hospital | Houston | $680.75 | $148.00 – $1,945.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $107.84 – $664.95 |
| Adventhealth Rollins Brook | Lampasas | $981.60 | $463.42 – $463.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $340.20 | $96.39 – $481.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $340.20 | $70.02 – $510.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $340.20 | $68.04 – $425.25 |