Insj perq vad r hrt venous 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.
$948.00 with Superior Health Plan vs $13,835.00 with Cigna — 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 | STARPLUS | $948.00 | — |
| Superior Health Plan | CHPFC | $948.00 | — |
| Superior Health Plan | STAR | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Oscar | HIX | $3,390.00 | — |
| BCBS | MyBlueHealth | $3,539.44 | — |
| BCBS | BAV | $3,898.40 | — |
| BCBS | PPO | $4,415.61 | — |
| BCBS | EPOSOA | $4,477.37 | — |
| BCBS | HMO | $4,539.12 | — |
| Humana | PPO | $4,690.00 | — |
| Humana | HMO | $4,690.00 | — |
| Healthcare Highways | NarrowNetwork | $5,841.00 | — |
| United | SmallGroup | $6,300.00 | — |
| United | NarrowNetworkIndivExchange | $8,757.00 | — |
| United | AllPayerAppendix | $9,000.00 | — |
| Cigna | CSN | $10,740.00 | — |
| Cigna | OpenAccessPlus | $11,636.00 | — |
| Curative Administrators | COMM | $12,018.00 | — |
| Cigna | PPO | $13,835.00 | — |
Visitor-reported prices
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Insj perq vad r hrt venous at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $3,626.07 | $3,539.44 – $3,539.44 |
| Baylor St Luke's Medical Center | Houston | $5,130.30 | $1,612.38 – $14,658.00 |
| HCA HOUSTON WEST | HOUSTON | $37,485.00 | $3,539.44 – $3,539.44 |
| St. Luke's Health - The Vintage Hospital | Houston | $5,130.30 | $1,172.64 – $14,658.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $11,556.32 | $652.31 – $16,371.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,166.82 | $240.17 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,166.82 | $233.36 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $11,556.32 | $478.62 – $16,371.45 |