Electrophysiology evaluation at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$30,032.40
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.
$30,032.40
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.
$2,643.00 with Aetna vs $43,890.00 with Curative Administrators — 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 |
|---|---|---|---|
| Aetna | QHPExchange | $2,643.00 | ↓ -91% |
| Aetna | NBPOS | $3,511.00 | ↓ -88% |
| Aetna | NBHMO | $3,511.00 | ↓ -88% |
| Aetna | COMMHMO | $3,730.00 | ↓ -88% |
| Aetna | COMMPOS | $3,730.00 | ↓ -88% |
| Aetna | NBPPO | $3,792.00 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $3,904.21 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $3,904.21 | ↓ -87% |
| Community Health Choice MCD | STAR | $3,904.21 | ↓ -87% |
| Community Health Choice MCD | CHIP | $3,904.21 | ↓ -87% |
| Aetna | COMMPPO | $4,028.00 | ↓ -87% |
| Aetna | OONHMO | $4,390.00 | ↓ -85% |
| Aetna | OONPOS | $4,390.00 | ↓ -85% |
| Aetna | OONPPO | $4,740.00 | ↓ -84% |
| Aetna | ASAPOS | $4,742.00 | ↓ -84% |
| Aetna | ASAHMO | $4,742.00 | ↓ -84% |
| BCBS | MyBlueHealth | $4,895.28 | ↓ -84% |
| United | OptionsPPO | $5,045.44 | ↓ -83% |
| Aetna | ASAPPO | $5,120.00 | ↓ -83% |
| BCBS | BAV | $5,405.83 | ↓ -82% |
| Superior Health Plan | CHPFC | $5,591.00 | ↓ -81% |
| Superior Health Plan | CHIP | $5,591.00 | ↓ -81% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -81% |
| Superior Health Plan | STAR | $5,591.00 | ↓ -81% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -81% |
| BCBS | HMO | $6,757.29 | ↓ -78% |
| BCBS | EPOSOA | $6,907.45 | ↓ -77% |
| Humana | PPO | $10,106.00 | ↓ -66% |
| Humana | HMO | $10,106.00 | ↓ -66% |
| BCBS | Traditional | $10,511.34 | ↓ -65% |
| Coventry National First Health | COMM | $10,931.79 | ↓ -64% |
| Christus (USFHP) | TRICARE | $12,012.96 | ↓ -60% |
| United | GlobalAppendix | $13,514.58 | ↓ -55% |
| BCBS | PPO | $13,654.85 | ↓ -55% |
| United | SmallGroup | $15,400.00 | ↓ -49% |
| United | NarrowNetworkIndivExchange | $17,742.00 | ↓ -41% |
| Healthcare Highways | NarrowNetwork | $21,231.00 | ↓ -29% |
| United | AllPayerAppendix | $22,000.00 | ↓ -27% |
| Evry Health | BroadNetwork | $29,288.00 | ↓ -2% |
| Oscar | HIX | $37,284.00 | ↑ +24% |
| Curative Administrators | COMM | $43,890.00 | ↑ +46% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $40,464.92 | $12,065.71 – $12,065.71 |
| Baylor St Luke's Medical Center | Houston | $8,800.40 | $6,788.88 – $25,144.00 |
| HCA HOUSTON WEST | HOUSTON | $30,838.00 | $10,241.14 – $10,241.14 |
| St. Luke's Health - The Vintage Hospital | Houston | $8,800.40 | $6,788.88 – $25,144.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $13,879.96 | $3,932.65 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,581.73 | $3,001.41 – $21,872.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,029.39 | $2,805.88 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $13,879.96 | $3,701.32 – $18,500.61 |