Electrophysiology evaluation at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$221.56
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.
$221.56
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.
$14.69 with Aetna vs $5,591.00 with Superior Health Plan — 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 | MCR | $14.69 | ↓ -93% |
| Community Health Choice MCD | STAR+PLUS | $28.80 | ↓ -87% |
| Community Health Choice MCD | STAR | $28.80 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $28.80 | ↓ -87% |
| Community Health Choice MCD | CHIP | $28.80 | ↓ -87% |
| Cigna | CSN | $32.79 | ↓ -85% |
| Cigna | OpenAccessPlus | $35.45 | ↓ -84% |
| United | OptionsPPO | $37.22 | ↓ -83% |
| Cigna | PPO | $42.10 | ↓ -81% |
| Oscar | HIX | $43.20 | ↓ -81% |
| Aetna | QHPExchange | $49.63 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $56.50 | ↓ -74% |
| Molina Healthcare | HIX | $59.82 | ↓ -73% |
| Aetna | NBHMO | $60.49 | ↓ -73% |
| Aetna | NBPOS | $60.49 | ↓ -73% |
| Aetna | NBPPO | $60.49 | ↓ -73% |
| Evry Health | BroadNetwork | $60.49 | ↓ -73% |
| Aetna | COMMPPO | $64.03 | ↓ -71% |
| Aetna | COMMHMO | $64.03 | ↓ -71% |
| Aetna | COMMPOS | $64.03 | ↓ -71% |
| CHC Harris Health | Indigent | $66.47 | ↓ -70% |
| Aetna | OONHMO | $75.55 | ↓ -66% |
| Aetna | OONPOS | $75.55 | ↓ -66% |
| Aetna | OONPPO | $75.55 | ↓ -66% |
| BCBS | Traditional | $77.55 | ↓ -65% |
| Coventry National First Health | COMM | $80.65 | ↓ -64% |
| Aetna | ASAPPO | $81.53 | ↓ -63% |
| Aetna | ASAPOS | $81.53 | ↓ -63% |
| Aetna | ASAHMO | $81.53 | ↓ -63% |
| Curative Administrators | COMM | $88.62 | ↓ -60% |
| Christus (USFHP) | TRICARE | $88.62 | ↓ -60% |
| United | GlobalAppendix | $99.70 | ↓ -55% |
| BCBS | MyBlueHealth | $123.97 | ↓ -44% |
| BCBS | BAV | $136.69 | ↓ -38% |
| BCBS | HMO | $171.13 | ↓ -23% |
| BCBS | EPOSOA | $174.30 | ↓ -21% |
| BCBS | PPO | $177.48 | ↓ -20% |
| Humana | PPO | $505.99 | ↑ +128% |
| Humana | HMO | $505.99 | ↑ +128% |
| United | SmallGroup | $1,120.00 | ↑ +406% |
| United | AllPayerAppendix | $1,600.00 | ↑ +622% |
| United | NarrowNetworkIndivExchange | $1,702.00 | ↑ +668% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↑ +2423% |
| Superior Health Plan | STARKids | $5,591.00 | ↑ +2423% |
| Superior Health Plan | CHIP | $5,591.00 | ↑ +2423% |
| Superior Health Plan | CHPFC | $5,591.00 | ↑ +2423% |
| Superior Health Plan | STAR | $5,591.00 | ↑ +2423% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,798.65 | $62.52 – $5,139.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,798.65 | $77.35 – $5,139.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $123.97 – $505.99 |
| HCA HOUSTON WEST | HOUSTON | not published | $123.97 – $505.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,869.13 | $162.65 – $2,647.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,869.13 | $160.00 – $2,803.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,869.13 | $160.00 – $2,336.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,869.13 | $123.97 – $2,647.94 |