Hcg qualitative 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.
$6.32 with Texas Childrens Healthplans vs $163.39 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 |
|---|---|---|---|
| Texas Childrens Healthplans | CHIP | $6.32 | — |
| Community Health Choice MCD | CHIP | $6.32 | — |
| Community Health Choice MCD | STAR | $6.32 | — |
| Community Health Choice MCD | STAR+PLUS | $6.32 | — |
| Texas Childrens Healthplans | MEDICAID | $6.32 | — |
| Community Health Choice MCD | CHIPPerinatal | $6.32 | — |
| United | MGMCD | $6.45 | — |
| Aetna Better Health | MGMCD | $6.83 | — |
| Molina Healthcare | STARKIDS | $6.95 | — |
| Molina Healthcare | STAR | $6.95 | — |
| Molina Healthcare | CHIP | $6.95 | — |
| Molina Healthcare | STARPLUS | $6.95 | — |
| Oscar | MGMCR | $7.37 | — |
| Devoted Health | MGMCR | $7.52 | — |
| United | SmallGroup | $7.52 | — |
| United | NarrowNetworkIndivExchange | $7.52 | — |
| United | AllPayerAppendix | $7.52 | — |
| Humana | MedicareAdvantageHMO | $7.52 | — |
| Humana | MedicareAdvantagePPOPFFS | $7.52 | — |
| TriWest Healthcare Alliance | Veterans | $7.52 | — |
| CHC Harris Health | Indigent | $7.52 | — |
| BCBS | MedicareAdvantageHMO | $7.52 | — |
| BCBS | MCRPPO | $7.52 | — |
| Cigna HealthSpring | MMP | $7.52 | — |
| Cigna HealthSpring | PFFS | $7.52 | — |
| Cigna HealthSpring | MCRSNP | $7.52 | — |
| Cigna HealthSpring | MCRPPO | $7.52 | — |
| Cigna HealthSpring | MCRHMO | $7.52 | — |
| WellMed | MGMCR | $7.56 | — |
| Aetna | MCR | $7.58 | — |
| Van Lang IPA | MCR | $7.60 | — |
| United | MCR | $7.67 | — |
| WellCare | POS | $7.75 | — |
| WellCare | PPO | $7.75 | — |
| WellCare | MCRHMO | $7.75 | — |
| Integranet Amerigroup IPA | MCR | $7.75 | — |
| WellCare | PFFS | $7.75 | — |
| WellCare | SNP | $7.75 | — |
| Superior Health Plan | MCRPOS | $7.90 | — |
| Humana | MCD | $7.90 | — |
| American Health Plan | MGMCR | $7.90 | — |
| Superior Health Plan | DualEligible | $7.90 | — |
| Superior Health Plan | MCRHMO | $7.90 | — |
| Superior Health Plan | MCRPPO | $7.90 | — |
| Superior Health Plan | MCRSNP | $7.90 | — |
| Superior Health Plan | PFFS | $7.90 | — |
| ProCare Advantage | MGMCR | $7.90 | — |
| Shared Health | MGMCR | $7.90 | — |
| Provider Partners Health Plan of Texas | PFFS | $7.97 | — |
| Provider Partners Health Plan of Texas | PPO | $7.97 | — |
| Provider Partners Health Plan of Texas | SNP | $7.97 | — |
| Provider Partners Health Plan of Texas | POS | $7.97 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $7.97 | — |
| Christus (USFHP) | TRICARE | $8.14 | — |
| TriWest Health Alliance | TRCR | $8.14 | — |
| Molina | MGMCR | $8.20 | — |
| Verda Health Plan | MCR | $9.78 | — |
| Superior | ValueHMO | $10.90 | — |
| Community Health Choice | HIX | $10.90 | — |
| Superior | EPO | $11.66 | — |
| Superior | HMO | $11.66 | — |
| BCBS | MyBlueHealth | $15.19 | — |
| Molina Healthcare | HIX | $16.17 | — |
| BCBS | BAV | $16.77 | — |
| BCBS | HMO | $20.98 | — |
| Oscar | HIX | $21.73 | — |
| Superior Health Plan | CHPFC | $21.79 | — |
| Superior Health Plan | STARPLUS | $21.79 | — |
| Superior Health Plan | STARKids | $21.79 | — |
| Superior Health Plan | STAR | $21.79 | — |
| Superior Health Plan | CHIP | $21.79 | — |
| BCBS | EPOSOA | $22.48 | — |
| Healthcare Highways | NarrowNetwork | $22.58 | — |
| BCBS | PPO | $23.99 | — |
| Aetna | QHPExchange | $27.57 | — |
| Cigna | CSN | $30.66 | — |
| Cigna | OpenAccessPlus | $33.21 | — |
| Aetna | NBHMO | $36.67 | — |
| Aetna | NBPPO | $36.67 | — |
| Aetna | NBPOS | $36.67 | — |
| Aetna | COMMPOS | $38.95 | — |
| Aetna | COMMPPO | $38.95 | — |
| Aetna | COMMHMO | $38.95 | — |
| Cigna | PPO | $39.51 | — |
| Aetna | OONPOS | $45.76 | — |
| Aetna | OONHMO | $45.76 | — |
| Aetna | OONPPO | $45.76 | — |
| Aetna | ASAHMO | $49.48 | — |
| Aetna | ASAPPO | $49.48 | — |
| Aetna | ASAPOS | $49.48 | — |
| United | OptionsPPO | $61.00 | — |
| Evry Health | BroadNetwork | $99.12 | — |
| Humana | HMO | $100.52 | — |
| Humana | PPO | $100.52 | — |
| BCBS | Traditional | $127.08 | — |
| Coventry National First Health | COMM | $132.16 | — |
| United | GlobalAppendix | $163.39 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Hcg qualitative at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $133.00 | $5.41 – $380.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $133.00 | $5.41 – $380.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $6.32 – $30.66 |
| HCA HOUSTON WEST | HOUSTON | not published | $6.19 – $30.66 |
| Adventhealth Rollins Brook | Lampasas | $208.14 | $6.77 – $28.95 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $137.41 | $6.32 – $171.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $137.07 | $11.02 – $205.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $137.07 | $6.32 – $171.34 |