Ins icd gen exist mlt leads 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.
$1,944.00 with Aetna vs $95,000.00 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 |
|---|---|---|---|
| Aetna | QHPExchange | $1,944.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | STAR | $2,369.00 | — |
| Superior Health Plan | CHPFC | $2,369.00 | — |
| Aetna | NBHMO | $2,580.00 | — |
| Aetna | NBPOS | $2,580.00 | — |
| Aetna | COMMHMO | $2,742.00 | — |
| Aetna | COMMPOS | $2,742.00 | — |
| Aetna | NBPPO | $2,986.00 | — |
| Aetna | COMMPPO | $3,174.00 | — |
| Aetna | OONHMO | $3,228.00 | — |
| Aetna | OONPOS | $3,228.00 | — |
| Aetna | ASAHMO | $3,486.00 | — |
| Aetna | ASAPOS | $3,486.00 | — |
| Aetna | OONPPO | $3,732.00 | — |
| Aetna | ASAPPO | $4,034.00 | — |
| Humana | PPO | $4,690.00 | — |
| Humana | HMO | $4,690.00 | — |
| Cigna | CSN | $10,740.00 | — |
| Cigna | OpenAccessPlus | $11,636.00 | — |
| Healthcare Highways | NarrowNetwork | $12,167.00 | — |
| Evry Health | BroadNetwork | $12,193.00 | — |
| Cigna | PPO | $13,835.00 | — |
| Oscar | HIX | $17,551.00 | — |
| Texas Childrens Healthplans | MEDICAID | $21,864.90 | — |
| Texas Childrens Healthplans | CHIP | $21,864.90 | — |
| United | MGMCD | $23,461.91 | — |
| Curative Administrators | COMM | $24,035.00 | — |
| Molina Healthcare | CHIP | $24,051.39 | — |
| Molina Healthcare | STAR | $24,051.39 | — |
| Molina Healthcare | STARKIDS | $24,051.39 | — |
| Molina Healthcare | STARPLUS | $24,051.39 | — |
| Community Health Choice MCD | CHIP | $24,488.69 | — |
| Community Health Choice MCD | STAR+PLUS | $24,488.69 | — |
| Community Health Choice MCD | STAR | $24,488.69 | — |
| Community Health Choice MCD | CHIPPerinatal | $24,488.69 | — |
| Humana | MCD | $27,331.13 | — |
| Aetna Better Health | MGMCD | $27,602.24 | — |
| BCBS | MyBlueHealth | $56,171.79 | — |
| BCBS | BAV | $63,273.97 | — |
| United | NarrowNetworkIndivExchange | $64,880.00 | — |
| United | SmallGroup | $66,500.00 | — |
| BCBS | HMO | $66,825.06 | — |
| BCBS | EPOSOA | $71,021.81 | — |
| BCBS | PPO | $74,895.72 | — |
| United | AllPayerAppendix | $95,000.00 | — |
Visitor-reported prices
Comments
Ins icd gen exist mlt leads at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $11,058.25 | $8,530.65 – $31,595.00 |
| HCA HOUSTON WEST | HOUSTON | $44,756.00 | $21,427.60 – $56,171.79 |
| St. Luke's Health - The Vintage Hospital | Houston | $11,058.25 | $8,530.65 – $31,595.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $23,461.91 – $66,179.41 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $31,286.77 | $6,299.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $48,453.26 | $9,973.30 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $37,154.56 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $31,286.77 | $18,250.61 – $81,499.55 |