Established Patient Office Visit (level 4) at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$3,698.35
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.
$3,698.35
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.
$187.22 with BCBS vs $1,664.26 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 | $187.22 | ↓ -95% |
| BCBS | BAV | $206.43 | ↓ -94% |
| Superior Health Plan | STARKids | $221.90 | ↓ -94% |
| Superior Health Plan | STARPLUS | $221.90 | ↓ -94% |
| Superior Health Plan | CHIP | $221.90 | ↓ -94% |
| Superior Health Plan | CHPFC | $221.90 | ↓ -94% |
| Superior Health Plan | STAR | $221.90 | ↓ -94% |
| Aetna | MCR | $245.20 | ↓ -93% |
| BCBS | HMO | $258.43 | ↓ -93% |
| BCBS | EPOSOA | $263.23 | ↓ -93% |
| BCBS | PPO | $268.03 | ↓ -93% |
| Humana | HMO | $269.70 | ↓ -93% |
| Humana | PPO | $269.70 | ↓ -93% |
| Community Health Choice MCD | CHIP | $480.79 | ↓ -87% |
| Community Health Choice MCD | STAR | $480.79 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $480.79 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $480.79 | ↓ -87% |
| United | OptionsPPO | $621.32 | ↓ -83% |
| Healthcare Highways | NarrowNetwork | $943.08 | ↓ -74% |
| Molina Healthcare | HIX | $998.55 | ↓ -73% |
| Aetna | NBPPO | $1,009.65 | ↓ -73% |
| Evry Health | BroadNetwork | $1,009.65 | ↓ -73% |
| Aetna | NBHMO | $1,009.65 | ↓ -73% |
| Aetna | NBPOS | $1,009.65 | ↓ -73% |
| Aetna | COMMPOS | $1,068.82 | ↓ -71% |
| Aetna | COMMPPO | $1,068.82 | ↓ -71% |
| Aetna | COMMHMO | $1,068.82 | ↓ -71% |
| CHC Harris Health | Indigent | $1,109.51 | ↓ -70% |
| Aetna | OONPPO | $1,261.14 | ↓ -66% |
| Aetna | OONHMO | $1,261.14 | ↓ -66% |
| Aetna | OONPOS | $1,261.14 | ↓ -66% |
| BCBS | Traditional | $1,294.42 | ↓ -65% |
| Coventry National First Health | COMM | $1,346.20 | ↓ -64% |
| Aetna | ASAPPO | $1,360.99 | ↓ -63% |
| Aetna | ASAPOS | $1,360.99 | ↓ -63% |
| Aetna | ASAHMO | $1,360.99 | ↓ -63% |
| Christus (USFHP) | TRICARE | $1,479.34 | ↓ -60% |
| Curative Administrators | COMM | $1,479.34 | ↓ -60% |
| United | GlobalAppendix | $1,664.26 | ↓ -55% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $168.70 | $82.00 – $482.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $168.70 | $74.00 – $482.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $187.22 – $269.70 |
| HCA HOUSTON WEST | HOUSTON | not published | $187.22 – $269.70 |
| Adventhealth Rollins Brook | Lampasas | $439.04 | $308.04 – $308.04 |
| St. Joseph Health Madison Hospital | Madisonville | $148.58 | $22.68 – $160.20 |
| St. Luke's Health Memorial Lufkin | Lufkin | $83.39 | $73.75 – $442.48 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $168.70 | $74.00 – $482.00 |