Leg CT Scan (with contrast, both legs) 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.
$171.41 with Amerigroup vs $8,795.01 with Multiplan — 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 |
|---|---|---|---|
| Amerigroup | MCDCHIPBH | $171.41 | — |
| Amerigroup | MGMCD | $171.41 | — |
| Community Health Choice MCD | STAR+PLUS | $173.08 | — |
| Community Health Choice MCD | CHIP | $173.08 | — |
| Community Health Choice MCD | CHIPPerinatal | $173.08 | — |
| Community Health Choice MCD | STAR | $173.08 | — |
| United | MGMCD | $176.54 | — |
| Aetna Better Health | MGMCD | $186.93 | — |
| Molina Healthcare | CHIP | $188.55 | — |
| Molina Healthcare | STAR | $188.55 | — |
| Molina Healthcare | STARKIDS | $188.55 | — |
| Molina Healthcare | STARPLUS | $188.55 | — |
| Humana | MCD | $214.26 | — |
| Texas Childrens Health Plans | STAR | $257.12 | — |
| Texas Childrens Health Plans | CHIP | $257.12 | — |
| Texas Childrens Health Plans | STARKIDS | $257.12 | — |
| United | NarrowNetworkIndivExchange | $339.25 | — |
| BCBS | MyBlueHealth | $391.77 | — |
| United | SmallGroup | $401.74 | — |
| United | AllPayerAppendix | $401.74 | — |
| BCBS | BAV | $451.91 | — |
| Superior Health Plan | CHIP | $620.82 | — |
| Superior Health Plan | STAR | $620.82 | — |
| Superior Health Plan | CHPFC | $620.82 | — |
| Superior Health Plan | STARKids | $620.82 | — |
| Superior Health Plan | STARPLUS | $620.82 | — |
| BCBS | HMO | $686.97 | — |
| BCBS | EPOSOA | $752.57 | — |
| BCBS | PPO | $816.35 | — |
| Aetna | NBHMO | $1,007.00 | — |
| Aetna | NBPOS | $1,007.00 | — |
| Aetna | NBPPO | $1,007.00 | — |
| Aetna | COMMHMO | $1,071.00 | — |
| Aetna | COMMPOS | $1,071.00 | — |
| Aetna | COMMPPO | $1,071.00 | — |
| Aetna | OONPPO | $1,258.00 | — |
| Aetna | OONHMO | $1,258.00 | — |
| Aetna | OONPOS | $1,258.00 | — |
| Aetna | ASAPOS | $1,361.00 | — |
| Aetna | ASAHMO | $1,361.00 | — |
| Aetna | ASAPPO | $1,361.00 | — |
| Cigna | CSN | $1,635.00 | — |
| United | OptionsPPO | $1,738.31 | — |
| Cigna | OpenAccessPlus | $1,771.00 | — |
| Cigna | PPO | $2,106.00 | — |
| Humana | HMO | $3,427.98 | — |
| Humana | PPO | $3,427.98 | — |
| BCBS | Traditional | $3,621.47 | — |
| Coventry National First Health | COMM | $3,662.86 | — |
| Christus (USFHP) | TRICARE | $4,138.83 | — |
| United | GlobalAppendix | $4,656.18 | — |
| Multiplan | PHCSPrimaryNetwork | $7,760.30 | — |
| Multiplan | ComplementaryNetwork | $8,795.01 | — |
Visitor-reported prices
Comments
Leg CT Scan (with contrast, both legs) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $2,280.25 | $171.41 – $6,515.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $2,280.25 | $171.41 – $6,515.00 |
| Houston Methodist Willowbrook Hospital | Houston | $972.00 | $176.20 – $343.59 |
| Houston Methodist Hospital | Houston | $952.50 | $176.20 – $704.80 |
| Houston Methodist West Hospital | Houston | $972.00 | $176.20 – $704.80 |
| HCA HOUSTON WEST | HOUSTON | not published | $167.98 – $364.44 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $171.41 – $391.77 |
| Adventhealth Rollins Brook | Lampasas | $4,003.20 | $849.15 – $849.15 |