Hearing loss dup/del analys 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.
$665.98 with Oscar vs $7,352.95 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 |
|---|---|---|---|
| Oscar | MGMCR | $665.98 | — |
| United | SmallGroup | $679.57 | — |
| United | NarrowNetworkIndivExchange | $679.57 | — |
| Cigna HealthSpring | MCRHMO | $679.57 | — |
| United | AllPayerAppendix | $679.57 | — |
| Humana | MedicareAdvantagePPOPFFS | $679.57 | — |
| BCBS | MedicareAdvantageHMO | $679.57 | — |
| BCBS | MCRPPO | $679.57 | — |
| Devoted Health | MGMCR | $679.57 | — |
| Cigna HealthSpring | MCRPPO | $679.57 | — |
| TriWest Healthcare Alliance | Veterans | $679.57 | — |
| CHC Harris Health | Indigent | $679.57 | — |
| Humana | MedicareAdvantageHMO | $679.57 | — |
| Cigna HealthSpring | MCRSNP | $679.57 | — |
| Cigna HealthSpring | PFFS | $679.57 | — |
| Cigna HealthSpring | MMP | $679.57 | — |
| WellMed | MGMCR | $682.97 | — |
| Aetna | MCR | $685.35 | — |
| Van Lang IPA | MCR | $686.37 | — |
| United | MCR | $693.16 | — |
| WellCare | PPO | $699.96 | — |
| WellCare | SNP | $699.96 | — |
| WellCare | POS | $699.96 | — |
| WellCare | MCRHMO | $699.96 | — |
| WellCare | PFFS | $699.96 | — |
| Integranet Amerigroup IPA | MCR | $699.96 | — |
| ProCare Advantage | MGMCR | $713.55 | — |
| American Health Plan | MGMCR | $713.55 | — |
| Superior Health Plan | MCRPOS | $713.55 | — |
| Superior Health Plan | MCRPPO | $713.55 | — |
| Superior Health Plan | MCRSNP | $713.55 | — |
| Superior Health Plan | PFFS | $713.55 | — |
| Shared Health | MGMCR | $713.55 | — |
| Superior Health Plan | DualEligible | $713.55 | — |
| Superior Health Plan | MCRHMO | $713.55 | — |
| Provider Partners Health Plan of Texas | PPO | $720.34 | — |
| Provider Partners Health Plan of Texas | SNP | $720.34 | — |
| Provider Partners Health Plan of Texas | PFFS | $720.34 | — |
| Provider Partners Health Plan of Texas | POS | $720.34 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $720.34 | — |
| Molina | MGMCR | $740.73 | — |
| Verda Health Plan | MCR | $883.44 | — |
| Community Health Choice | HIX | $985.38 | — |
| Superior | ValueHMO | $985.38 | — |
| Superior | HMO | $1,053.33 | — |
| Superior | EPO | $1,053.33 | — |
| BCBS | MyBlueHealth | $1,372.73 | — |
| Molina Healthcare | HIX | $1,461.08 | — |
| BCBS | BAV | $1,515.44 | — |
| Healthcare Highways | NarrowNetwork | $1,651.35 | — |
| BCBS | HMO | $1,896.00 | — |
| Oscar | HIX | $1,963.96 | — |
| BCBS | EPOSOA | $2,031.91 | — |
| BCBS | PPO | $2,167.83 | — |
| Aetna | QHPExchange | $2,489.39 | — |
| Cigna | CSN | $2,794.89 | — |
| Cigna | OpenAccessPlus | $3,027.25 | — |
| Aetna | NBPPO | $3,310.57 | — |
| Aetna | NBPOS | $3,310.57 | — |
| Aetna | NBHMO | $3,310.57 | — |
| Aetna | COMMHMO | $3,517.16 | — |
| Aetna | COMMPPO | $3,517.16 | — |
| Aetna | COMMPOS | $3,517.16 | — |
| Cigna | PPO | $3,601.72 | — |
| Aetna | OONPOS | $4,131.76 | — |
| Aetna | OONPPO | $4,131.76 | — |
| Aetna | OONHMO | $4,131.76 | — |
| Aetna | ASAHMO | $4,467.47 | — |
| Aetna | ASAPPO | $4,467.47 | — |
| Aetna | ASAPOS | $4,467.47 | — |
| Humana | HMO | $7,352.95 | — |
| Humana | PPO | $7,352.95 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Hearing loss dup/del analys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $665.98 – $2,794.89 |
| HCA HOUSTON WEST | HOUSTON | not published | $665.98 – $2,794.89 |
| Adventhealth Rollins Brook | Lampasas | not published | $611.61 – $2,616.34 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $665.98 – $2,794.89 |
| Covenant Children's Hospital | Lubbock | not published | $1,484.18 – $2,962.93 |
| HCA HOUSTON CONROE | CONROE | not published | $665.98 – $2,794.89 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $665.98 – $2,794.89 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $665.98 – $2,794.89 |