Diffusing capacity at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$1,960.65
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.
$1,960.65
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.
$109.63 with BCBS vs $882.29 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $109.63 | ↓ -94% |
| Superior Health Plan | CHIP | $117.64 | ↓ -94% |
| Superior Health Plan | STARPLUS | $117.64 | ↓ -94% |
| Superior Health Plan | STARKids | $117.64 | ↓ -94% |
| Superior Health Plan | STAR | $117.64 | ↓ -94% |
| Superior Health Plan | CHPFC | $117.64 | ↓ -94% |
| BCBS | BAV | $120.87 | ↓ -94% |
| Aetna | MCR | $129.99 | ↓ -93% |
| BCBS | HMO | $151.33 | ↓ -92% |
| BCBS | EPOSOA | $154.14 | ↓ -92% |
| BCBS | PPO | $156.95 | ↓ -92% |
| Community Health Choice MCD | STAR+PLUS | $254.88 | ↓ -87% |
| Community Health Choice MCD | STAR | $254.88 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $254.88 | ↓ -87% |
| Community Health Choice MCD | CHIP | $254.88 | ↓ -87% |
| Cigna | CSN | $290.18 | ↓ -85% |
| Cigna | OpenAccessPlus | $313.70 | ↓ -84% |
| United | OptionsPPO | $329.39 | ↓ -83% |
| Cigna | PPO | $372.52 | ↓ -81% |
| Oscar | HIX | $382.33 | ↓ -80% |
| Humana | PPO | $423.79 | ↓ -78% |
| Humana | HMO | $423.79 | ↓ -78% |
| Aetna | QHPExchange | $439.19 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $499.97 | ↓ -74% |
| Molina Healthcare | HIX | $529.38 | ↓ -73% |
| Evry Health | BroadNetwork | $535.26 | ↓ -73% |
| Aetna | NBPPO | $535.26 | ↓ -73% |
| Aetna | NBPOS | $535.26 | ↓ -73% |
| Aetna | NBHMO | $535.26 | ↓ -73% |
| Aetna | COMMPOS | $566.63 | ↓ -71% |
| Aetna | COMMPPO | $566.63 | ↓ -71% |
| Aetna | COMMHMO | $566.63 | ↓ -71% |
| CHC Harris Health | Indigent | $588.20 | ↓ -70% |
| Aetna | OONPPO | $668.58 | ↓ -66% |
| Aetna | OONHMO | $668.58 | ↓ -66% |
| Aetna | OONPOS | $668.58 | ↓ -66% |
| BCBS | Traditional | $686.23 | ↓ -65% |
| Coventry National First Health | COMM | $713.68 | ↓ -64% |
| Aetna | ASAPPO | $721.52 | ↓ -63% |
| Aetna | ASAHMO | $721.52 | ↓ -63% |
| Aetna | ASAPOS | $721.52 | ↓ -63% |
| Christus (USFHP) | TRICARE | $784.26 | ↓ -60% |
| Curative Administrators | COMM | $784.26 | ↓ -60% |
| United | GlobalAppendix | $882.29 | ↓ -55% |
Visitor-reported prices
Comments
Diffusing capacity at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $2,000.70 | $109.63 – $423.79 |
| Baylor St Luke's Medical Center | Houston | $556.15 | $55.28 – $1,589.00 |
| HCA HOUSTON WEST | HOUSTON | $1,682.00 | $109.63 – $423.79 |
| St. Luke's Health - The Vintage Hospital | Houston | $556.15 | $68.40 – $1,589.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $395.37 | $112.02 – $560.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $434.72 | $89.48 – $652.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $478.63 | $95.73 – $598.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $395.37 | $105.43 – $560.11 |