Lumbar diskogram s&i 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.
$111.26 with Community Health Choice MCD vs $7,118.11 with BCBS — 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 | CHIPPerinatal | $111.26 | — |
| Community Health Choice MCD | CHIP | $111.26 | — |
| Community Health Choice MCD | STAR+PLUS | $111.26 | — |
| Community Health Choice MCD | STAR | $111.26 | — |
| Texas Childrens Healthplans | MEDICAID | $111.60 | — |
| Texas Childrens Healthplans | CHIP | $111.60 | — |
| United | MGMCD | $113.49 | — |
| Aetna Better Health | MGMCD | $120.16 | — |
| Molina Healthcare | CHIP | $122.76 | — |
| Molina Healthcare | STAR | $122.76 | — |
| Molina Healthcare | STARKIDS | $122.76 | — |
| Molina Healthcare | STARPLUS | $122.76 | — |
| Humana | MCD | $139.50 | — |
| Cigna | CSN | $260.70 | — |
| Cigna | OpenAccessPlus | $282.13 | — |
| Cigna | PPO | $335.38 | — |
| Aetna | QHPExchange | $431.95 | — |
| Aetna | NBPPO | $574.10 | — |
| Aetna | NBPOS | $574.10 | — |
| Aetna | NBHMO | $574.10 | — |
| Aetna | COMMPPO | $610.71 | — |
| Aetna | COMMPOS | $610.71 | — |
| Aetna | COMMHMO | $610.71 | — |
| Aetna | OONPPO | $718.09 | — |
| Aetna | OONHMO | $718.09 | — |
| Aetna | OONPOS | $718.09 | — |
| Aetna | ASAPPO | $776.05 | — |
| Aetna | ASAHMO | $776.05 | — |
| Aetna | ASAPOS | $776.05 | — |
| Humana | HMO | $943.55 | — |
| Humana | PPO | $943.55 | — |
| BCBS | MyBlueHealth | $3,026.06 | — |
| United | NarrowNetworkIndivExchange | $3,333.34 | — |
| BCBS | BAV | $3,834.15 | — |
| United | AllPayerAppendix | $3,947.38 | — |
| United | SmallGroup | $3,947.38 | — |
| BCBS | HMO | $5,845.79 | — |
| BCBS | EPOSOA | $6,481.95 | — |
| BCBS | PPO | $7,118.11 | — |
Visitor-reported prices
Comments
Lumbar diskogram s&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $8,109.33 | $111.26 – $3,026.06 |
| Baylor St Luke's Medical Center | Houston | $1,321.60 | $111.26 – $3,776.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,321.60 | $111.26 – $3,776.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $109.37 – $3,026.06 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,358.23 | $111.60 – $4,783.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,350.69 | $1,101.35 – $8,026.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,618.23 | $111.60 – $7,022.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,358.23 | $111.60 – $4,783.04 |