#_fet/norfentcnfrmur at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$43.20
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.
$43.20
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.
$0.05 with Aetna vs $153.43 with Humana — 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 | $0.05 | ↓ -100% |
| Aetna | NBPPO | $0.06 | ↓ -100% |
| Aetna | NBHMO | $0.06 | ↓ -100% |
| Aetna | NBPOS | $0.06 | ↓ -100% |
| Aetna | COMMHMO | $0.07 | ↓ -100% |
| Aetna | COMMPPO | $0.07 | ↓ -100% |
| Aetna | COMMPOS | $0.07 | ↓ -100% |
| Aetna | OONPPO | $0.08 | ↓ -100% |
| Aetna | OONHMO | $0.08 | ↓ -100% |
| Aetna | OONPOS | $0.08 | ↓ -100% |
| Aetna | ASAPOS | $0.09 | ↓ -100% |
| Aetna | ASAPPO | $0.09 | ↓ -100% |
| Aetna | ASAHMO | $0.09 | ↓ -100% |
| Superior Health Plan | STARPLUS | $2.59 | ↓ -94% |
| Superior Health Plan | CHIP | $2.59 | ↓ -94% |
| Superior Health Plan | CHPFC | $2.59 | ↓ -94% |
| Superior Health Plan | STAR | $2.59 | ↓ -94% |
| Superior Health Plan | STARKids | $2.59 | ↓ -94% |
| Aetna | MCR | $2.86 | ↓ -93% |
| BCBS | MyBlueHealth | $7.04 | ↓ -84% |
| United | OptionsPPO | $7.26 | ↓ -83% |
| BCBS | BAV | $7.78 | ↓ -82% |
| Oscar | HIX | $8.42 | ↓ -81% |
| BCBS | HMO | $9.72 | ↓ -78% |
| BCBS | EPOSOA | $9.94 | ↓ -77% |
| BCBS | PPO | $10.11 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $11.02 | ↓ -74% |
| Molina Healthcare | HIX | $11.66 | ↓ -73% |
| Evry Health | BroadNetwork | $11.79 | ↓ -73% |
| Texas Childrens Healthplans | MEDICAID | $12.81 | ↓ -70% |
| Community Health Choice MCD | CHIP | $12.81 | ↓ -70% |
| Community Health Choice MCD | CHIPPerinatal | $12.81 | ↓ -70% |
| Community Health Choice MCD | STAR | $12.81 | ↓ -70% |
| Community Health Choice MCD | STAR+PLUS | $12.81 | ↓ -70% |
| Texas Childrens Healthplans | CHIP | $12.81 | ↓ -70% |
| CHC Harris Health | Indigent | $12.96 | ↓ -70% |
| United | MGMCD | $13.07 | ↓ -70% |
| Aetna Better Health | MGMCD | $13.83 | ↓ -68% |
| Molina Healthcare | STAR | $14.09 | ↓ -67% |
| Molina Healthcare | STARPLUS | $14.09 | ↓ -67% |
| Molina Healthcare | STARKIDS | $14.09 | ↓ -67% |
| Molina Healthcare | CHIP | $14.09 | ↓ -67% |
| BCBS | Traditional | $15.12 | ↓ -65% |
| Coventry National First Health | COMM | $15.72 | ↓ -64% |
| Humana | MCD | $16.01 | ↓ -63% |
| Christus (USFHP) | TRICARE | $17.28 | ↓ -60% |
| United | GlobalAppendix | $19.44 | ↓ -55% |
| Cigna | CSN | $98.98 | ↑ +129% |
| Cigna | OpenAccessPlus | $107.21 | ↑ +148% |
| Cigna | PPO | $127.56 | ↑ +195% |
| Humana | HMO | $153.43 | ↑ +255% |
| Humana | PPO | $153.43 | ↑ +255% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
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#_fet/norfentcnfrmur at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $247.99 | $0.05 – $98.98 |
| HCA HOUSTON WEST | HOUSTON | $864.00 | $0.05 – $98.98 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $247.50 | $10.00 – $136.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $247.50 | $12.00 – $144.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $247.50 | $12.00 – $120.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $247.50 | $10.00 – $136.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $247.50 | $12.00 – $144.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $247.50 | $8.00 – $144.55 |