Ia infect ag ab qual/semiquant sgl step 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.
$15.20 with Community Health Choice MCD vs $195.73 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 | STAR+PLUS | $15.20 | — |
| Texas Childrens Healthplans | MEDICAID | $15.20 | — |
| Community Health Choice MCD | STAR | $15.20 | — |
| Community Health Choice MCD | CHIPPerinatal | $15.20 | — |
| Community Health Choice MCD | CHIP | $15.20 | — |
| Texas Childrens Healthplans | CHIP | $15.20 | — |
| United | MGMCD | $15.50 | — |
| Aetna Better Health | MGMCD | $16.42 | — |
| Molina Healthcare | CHIP | $16.72 | — |
| Molina Healthcare | STAR | $16.72 | — |
| Molina Healthcare | STARKIDS | $16.72 | — |
| Molina Healthcare | STARPLUS | $16.72 | — |
| Oscar | MGMCR | $17.73 | — |
| United | SmallGroup | $18.09 | — |
| United | NarrowNetworkIndivExchange | $18.09 | — |
| United | AllPayerAppendix | $18.09 | — |
| TriWest Healthcare Alliance | Veterans | $18.09 | — |
| Humana | MedicareAdvantageHMO | $18.09 | — |
| Humana | MedicareAdvantagePPOPFFS | $18.09 | — |
| Devoted Health | MGMCR | $18.09 | — |
| Cigna HealthSpring | PFFS | $18.09 | — |
| Cigna HealthSpring | MCRSNP | $18.09 | — |
| Cigna HealthSpring | MCRPPO | $18.09 | — |
| Cigna HealthSpring | MCRHMO | $18.09 | — |
| CHC Harris Health | Indigent | $18.09 | — |
| BCBS | MedicareAdvantageHMO | $18.09 | — |
| BCBS | MCRPPO | $18.09 | — |
| Cigna HealthSpring | MMP | $18.09 | — |
| WellMed | MGMCR | $18.18 | — |
| Aetna | MCR | $18.24 | — |
| Van Lang IPA | MCR | $18.27 | — |
| United | MCR | $18.45 | — |
| Integranet Amerigroup IPA | MCR | $18.63 | — |
| WellCare | PPO | $18.63 | — |
| WellCare | SNP | $18.63 | — |
| WellCare | POS | $18.63 | — |
| WellCare | MCRHMO | $18.63 | — |
| WellCare | PFFS | $18.63 | — |
| American Health Plan | MGMCR | $18.99 | — |
| Superior Health Plan | PFFS | $18.99 | — |
| Superior Health Plan | MCRPOS | $18.99 | — |
| Superior Health Plan | MCRHMO | $18.99 | — |
| Superior Health Plan | DualEligible | $18.99 | — |
| Shared Health | MGMCR | $18.99 | — |
| ProCare Advantage | MGMCR | $18.99 | — |
| Superior Health Plan | MCRSNP | $18.99 | — |
| Superior Health Plan | MCRPPO | $18.99 | — |
| Humana | MCD | $19.00 | — |
| Provider Partners Health Plan of Texas | PFFS | $19.18 | — |
| Provider Partners Health Plan of Texas | PPO | $19.18 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $19.18 | — |
| Provider Partners Health Plan of Texas | POS | $19.18 | — |
| Provider Partners Health Plan of Texas | SNP | $19.18 | — |
| TriWest Health Alliance | TRCR | $19.58 | — |
| Christus (USFHP) | TRICARE | $19.58 | — |
| Molina | MGMCR | $19.72 | — |
| Verda Health Plan | MCR | $23.52 | — |
| Superior | ValueHMO | $26.23 | — |
| Community Health Choice | HIX | $26.23 | — |
| Superior | HMO | $28.04 | — |
| Superior | EPO | $28.04 | — |
| BCBS | MyBlueHealth | $36.54 | — |
| Molina Healthcare | HIX | $38.89 | — |
| BCBS | BAV | $40.34 | — |
| Healthcare Highways | NarrowNetwork | $43.96 | — |
| BCBS | HMO | $50.47 | — |
| Oscar | HIX | $52.28 | — |
| BCBS | EPOSOA | $54.09 | — |
| BCBS | PPO | $57.71 | — |
| Aetna | QHPExchange | $66.28 | — |
| Cigna | CSN | $73.87 | — |
| Cigna | OpenAccessPlus | $80.01 | — |
| Aetna | NBPOS | $88.14 | — |
| Aetna | NBHMO | $88.14 | — |
| Aetna | NBPPO | $88.14 | — |
| Aetna | COMMHMO | $93.64 | — |
| Aetna | COMMPPO | $93.64 | — |
| Aetna | COMMPOS | $93.64 | — |
| Cigna | PPO | $95.19 | — |
| Aetna | OONPOS | $110.00 | — |
| Aetna | OONHMO | $110.00 | — |
| Aetna | OONPPO | $110.00 | — |
| Aetna | ASAHMO | $118.94 | — |
| Aetna | ASAPOS | $118.94 | — |
| Aetna | ASAPPO | $118.94 | — |
| Humana | HMO | $195.73 | — |
| Humana | PPO | $195.73 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Ia infect ag ab qual/semiquant sgl step at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $15.20 – $73.87 |
| HCA HOUSTON WEST | HOUSTON | not published | $14.90 – $73.87 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $85.80 | $10.00 – $107.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $102.11 | $12.00 – $153.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $102.11 | $12.00 – $127.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $85.80 | $10.00 – $107.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $102.11 | $12.00 – $153.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $102.11 | $8.00 – $153.17 |