In-111 autologous plt stdy dx at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$1,692.86
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.
$1,692.86
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.
$101.57 with Superior Health Plan vs $41,799.21 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 |
|---|---|---|---|
| Superior Health Plan | CHPFC | $101.57 | ↓ -94% |
| Superior Health Plan | STARKids | $101.57 | ↓ -94% |
| Superior Health Plan | STARPLUS | $101.57 | ↓ -94% |
| Superior Health Plan | CHIP | $101.57 | ↓ -94% |
| Superior Health Plan | STAR | $101.57 | ↓ -94% |
| Aetna | MCR | $112.24 | ↓ -93% |
| Community Health Choice MCD | CHIP | $220.07 | ↓ -87% |
| Community Health Choice MCD | STAR | $220.07 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $220.07 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $220.07 | ↓ -87% |
| United | OptionsPPO | $284.40 | ↓ -83% |
| Oscar | HIX | $330.11 | ↓ -80% |
| Healthcare Highways | NarrowNetwork | $431.68 | ↓ -74% |
| Molina Healthcare | HIX | $457.07 | ↓ -73% |
| Evry Health | BroadNetwork | $462.15 | ↓ -73% |
| Aetna | NBHMO | $462.15 | ↓ -73% |
| Aetna | NBPOS | $462.15 | ↓ -73% |
| Aetna | NBPPO | $462.15 | ↓ -73% |
| Aetna | COMMHMO | $489.24 | ↓ -71% |
| Aetna | COMMPOS | $489.24 | ↓ -71% |
| Aetna | COMMPPO | $489.24 | ↓ -71% |
| CHC Harris Health | Indigent | $507.86 | ↓ -70% |
| Aetna | OONPOS | $577.27 | ↓ -66% |
| Aetna | OONHMO | $577.27 | ↓ -66% |
| Aetna | OONPPO | $577.27 | ↓ -66% |
| BCBS | Traditional | $592.50 | ↓ -65% |
| Coventry National First Health | COMM | $616.20 | ↓ -64% |
| Aetna | ASAPPO | $622.97 | ↓ -63% |
| Aetna | ASAPOS | $622.97 | ↓ -63% |
| Aetna | ASAHMO | $622.97 | ↓ -63% |
| Curative Administrators | COMM | $677.14 | ↓ -60% |
| Christus (USFHP) | TRICARE | $677.14 | ↓ -60% |
| United | GlobalAppendix | $761.79 | ↓ -55% |
| BCBS | MyBlueHealth | $6,981.42 | ↑ +312% |
| BCBS | BAV | $7,693.81 | ↑ +354% |
| United | AllPayerAppendix | $7,915.66 | ↑ +368% |
| United | NarrowNetworkIndivExchange | $7,915.66 | ↑ +368% |
| United | SmallGroup | $7,915.66 | ↑ +368% |
| BCBS | HMO | $9,617.26 | ↑ +468% |
| BCBS | PPO | $9,617.26 | ↑ +468% |
| BCBS | EPOSOA | $9,617.26 | ↑ +468% |
| Cigna | CSN | $10,391.87 | ↑ +514% |
| Cigna | OpenAccessPlus | $11,250.70 | ↑ +565% |
| Cigna | PPO | $13,397.78 | ↑ +691% |
| Humana | HMO | $41,799.21 | ↑ +2369% |
| Humana | PPO | $41,799.21 | ↑ +2369% |
Visitor-reported prices
Comments
In-111 autologous plt stdy dx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $1,514.87 | $6,981.42 – $41,799.21 |
| HCA HOUSTON WEST | HOUSTON | not published | $6,981.42 – $41,799.21 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,760.99 | $6,981.42 – $41,799.21 |
| Adventhealth Rollins Brook | Lampasas | not published | $13,713.51 – $13,713.51 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $6,981.42 – $41,799.21 |
| Covenant Children's Hospital | Lubbock | not published | $13,321.69 – $14,221.89 |
| HCA HOUSTON CONROE | CONROE | not published | $6,981.42 – $41,799.21 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $6,981.42 – $41,799.21 |