Ghs alpha thalasemia, 7 deletions at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
not published by hospital
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.
not published by hospital
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.
$85.90 with Community Health Choice MCD vs $1,106.45 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 |
|---|---|---|---|
| Community Health Choice MCD | CHIP | $85.90 | — |
| Texas Childrens Healthplans | CHIP | $85.90 | — |
| Community Health Choice MCD | STAR+PLUS | $85.90 | — |
| Community Health Choice MCD | STAR | $85.90 | — |
| Texas Childrens Healthplans | MEDICAID | $85.90 | — |
| Community Health Choice MCD | CHIPPerinatal | $85.90 | — |
| United | MGMCD | $87.62 | — |
| Aetna Better Health | MGMCD | $92.77 | — |
| Molina Healthcare | CHIP | $94.49 | — |
| Molina Healthcare | STAR | $94.49 | — |
| Molina Healthcare | STARKIDS | $94.49 | — |
| Molina Healthcare | STARPLUS | $94.49 | — |
| Oscar | MGMCR | $100.21 | — |
| BCBS | MedicareAdvantageHMO | $102.26 | — |
| Humana | MedicareAdvantageHMO | $102.26 | — |
| Humana | MedicareAdvantagePPOPFFS | $102.26 | — |
| United | AllPayerAppendix | $102.26 | — |
| United | NarrowNetworkIndivExchange | $102.26 | — |
| United | SmallGroup | $102.26 | — |
| Cigna HealthSpring | MCRHMO | $102.26 | — |
| Cigna HealthSpring | MCRPPO | $102.26 | — |
| Cigna HealthSpring | MCRSNP | $102.26 | — |
| Cigna HealthSpring | PFFS | $102.26 | — |
| Cigna HealthSpring | MMP | $102.26 | — |
| BCBS | MCRPPO | $102.26 | — |
| Devoted Health | MGMCR | $102.26 | — |
| CHC Harris Health | Indigent | $102.26 | — |
| TriWest Healthcare Alliance | Veterans | $102.26 | — |
| WellMed | MGMCR | $102.77 | — |
| Aetna | MCR | $103.13 | — |
| Van Lang IPA | MCR | $103.28 | — |
| United | MCR | $104.31 | — |
| WellCare | PPO | $105.33 | — |
| WellCare | PFFS | $105.33 | — |
| WellCare | SNP | $105.33 | — |
| WellCare | MCRHMO | $105.33 | — |
| WellCare | POS | $105.33 | — |
| Integranet Amerigroup IPA | MCR | $105.33 | — |
| ProCare Advantage | MGMCR | $107.37 | — |
| American Health Plan | MGMCR | $107.37 | — |
| Superior Health Plan | DualEligible | $107.37 | — |
| Superior Health Plan | MCRHMO | $107.37 | — |
| Superior Health Plan | MCRPOS | $107.37 | — |
| Superior Health Plan | MCRPPO | $107.37 | — |
| Superior Health Plan | MCRSNP | $107.37 | — |
| Superior Health Plan | PFFS | $107.37 | — |
| Shared Health | MGMCR | $107.37 | — |
| Humana | MCD | $107.38 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $108.40 | — |
| Provider Partners Health Plan of Texas | PPO | $108.40 | — |
| Provider Partners Health Plan of Texas | SNP | $108.40 | — |
| Provider Partners Health Plan of Texas | PFFS | $108.40 | — |
| Provider Partners Health Plan of Texas | POS | $108.40 | — |
| Molina | MGMCR | $111.46 | — |
| Verda Health Plan | MCR | $132.94 | — |
| Superior | ValueHMO | $148.28 | — |
| Community Health Choice | HIX | $148.28 | — |
| Superior | EPO | $158.50 | — |
| Superior | HMO | $158.50 | — |
| BCBS | MyBlueHealth | $206.57 | — |
| Molina Healthcare | HIX | $219.86 | — |
| BCBS | BAV | $228.04 | — |
| Healthcare Highways | NarrowNetwork | $248.49 | — |
| BCBS | HMO | $285.31 | — |
| Oscar | HIX | $295.53 | — |
| BCBS | EPOSOA | $305.76 | — |
| BCBS | PPO | $326.21 | — |
| Aetna | QHPExchange | $374.61 | — |
| Cigna | CSN | $420.96 | — |
| Cigna | OpenAccessPlus | $455.96 | — |
| Aetna | NBPPO | $498.19 | — |
| Aetna | NBHMO | $498.19 | — |
| Aetna | NBPOS | $498.19 | — |
| Aetna | COMMPPO | $529.27 | — |
| Aetna | COMMHMO | $529.27 | — |
| Aetna | COMMPOS | $529.27 | — |
| Cigna | PPO | $542.49 | — |
| Aetna | OONHMO | $621.76 | — |
| Aetna | OONPPO | $621.76 | — |
| Aetna | OONPOS | $621.76 | — |
| Aetna | ASAPOS | $672.28 | — |
| Aetna | ASAHMO | $672.28 | — |
| Aetna | ASAPPO | $672.28 | — |
| Humana | HMO | $1,106.45 | — |
| Humana | PPO | $1,106.45 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Ghs alpha thalasemia, 7 deletions at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $2,402.84 | $85.90 – $420.96 |
| HCA HOUSTON WEST | HOUSTON | not published | $84.18 – $420.96 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $663.50 | $10.00 – $829.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $620.57 | $12.00 – $930.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $553.69 | $12.00 – $692.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $663.50 | $10.00 – $829.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $620.57 | $12.00 – $930.85 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $620.57 | $8.00 – $930.85 |