Established Patient Office Visit (level 2) at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$2,394.84
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.
$2,394.84
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.
$60.72 with BCBS vs $1,077.68 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 | $60.72 | ↓ -97% |
| BCBS | BAV | $66.95 | ↓ -97% |
| BCBS | HMO | $83.82 | ↓ -96% |
| BCBS | EPOSOA | $85.38 | ↓ -96% |
| BCBS | PPO | $86.93 | ↓ -96% |
| Superior Health Plan | STAR | $143.69 | ↓ -94% |
| Superior Health Plan | STARPLUS | $143.69 | ↓ -94% |
| Superior Health Plan | CHIP | $143.69 | ↓ -94% |
| Superior Health Plan | CHPFC | $143.69 | ↓ -94% |
| Superior Health Plan | STARKids | $143.69 | ↓ -94% |
| Aetna | MCR | $158.78 | ↓ -93% |
| Humana | HMO | $171.03 | ↓ -93% |
| Humana | PPO | $171.03 | ↓ -93% |
| Community Health Choice MCD | STAR+PLUS | $311.33 | ↓ -87% |
| Community Health Choice MCD | CHIP | $311.33 | ↓ -87% |
| Community Health Choice MCD | STAR | $311.33 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $311.33 | ↓ -87% |
| United | OptionsPPO | $402.33 | ↓ -83% |
| Healthcare Highways | NarrowNetwork | $610.68 | ↓ -75% |
| Molina Healthcare | HIX | $646.61 | ↓ -73% |
| Aetna | NBPPO | $653.79 | ↓ -73% |
| Evry Health | BroadNetwork | $653.79 | ↓ -73% |
| Aetna | NBHMO | $653.79 | ↓ -73% |
| Aetna | NBPOS | $653.79 | ↓ -73% |
| Aetna | COMMPOS | $692.11 | ↓ -71% |
| Aetna | COMMPPO | $692.11 | ↓ -71% |
| Aetna | COMMHMO | $692.11 | ↓ -71% |
| CHC Harris Health | Indigent | $718.45 | ↓ -70% |
| Aetna | OONPPO | $816.64 | ↓ -66% |
| Aetna | OONHMO | $816.64 | ↓ -66% |
| Aetna | OONPOS | $816.64 | ↓ -66% |
| BCBS | Traditional | $838.19 | ↓ -65% |
| Coventry National First Health | COMM | $871.72 | ↓ -64% |
| Aetna | ASAPPO | $881.30 | ↓ -63% |
| Aetna | ASAPOS | $881.30 | ↓ -63% |
| Aetna | ASAHMO | $881.30 | ↓ -63% |
| Christus (USFHP) | TRICARE | $957.94 | ↓ -60% |
| Curative Administrators | COMM | $957.94 | ↓ -60% |
| United | GlobalAppendix | $1,077.68 | ↓ -55% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $118.65 | $30.62 – $339.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $118.65 | $37.89 – $339.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $60.72 – $171.03 |
| HCA HOUSTON WEST | HOUSTON | not published | $60.72 – $171.03 |
| Adventhealth Rollins Brook | Lampasas | $314.35 | $99.91 – $99.91 |
| St. Joseph Health Madison Hospital | Madisonville | $190.05 | $9.18 – $104.64 |
| St. Luke's Health Memorial Lufkin | Lufkin | $57.53 | $50.95 – $305.70 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $118.65 | $37.89 – $339.00 |