Lung perfusion imaging at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$9,611.32
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.
$9,611.32
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.
$221.20 with Texas Childrens Healthplans vs $4,325.09 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 |
|---|---|---|---|
| Texas Childrens Healthplans | MEDICAID | $221.20 | ↓ -98% |
| Texas Childrens Healthplans | CHIP | $221.20 | ↓ -98% |
| Community Health Choice MCD | CHIPPerinatal | $232.55 | ↓ -98% |
| Community Health Choice MCD | STAR+PLUS | $232.55 | ↓ -98% |
| Community Health Choice MCD | CHIP | $232.55 | ↓ -98% |
| Community Health Choice MCD | STAR | $232.55 | ↓ -98% |
| United | MGMCD | $237.20 | ↓ -98% |
| Molina Healthcare | CHIP | $243.32 | ↓ -97% |
| Molina Healthcare | STAR | $243.32 | ↓ -97% |
| Molina Healthcare | STARKIDS | $243.32 | ↓ -97% |
| Molina Healthcare | STARPLUS | $243.32 | ↓ -97% |
| Aetna Better Health | MGMCD | $251.15 | ↓ -97% |
| Humana | MCD | $276.50 | ↓ -97% |
| BCBS | MyBlueHealth | $369.79 | ↓ -96% |
| BCBS | BAV | $468.55 | ↓ -95% |
| Superior Health Plan | CHPFC | $576.68 | ↓ -94% |
| Superior Health Plan | STARKids | $576.68 | ↓ -94% |
| Superior Health Plan | STARPLUS | $576.68 | ↓ -94% |
| Superior Health Plan | CHIP | $576.68 | ↓ -94% |
| Superior Health Plan | STAR | $576.68 | ↓ -94% |
| BCBS | HMO | $714.37 | ↓ -93% |
| United | NarrowNetworkIndivExchange | $716.53 | ↓ -93% |
| BCBS | EPOSOA | $792.11 | ↓ -92% |
| United | AllPayerAppendix | $848.52 | ↓ -91% |
| United | SmallGroup | $848.52 | ↓ -91% |
| BCBS | PPO | $869.86 | ↓ -91% |
| Aetna | QHPExchange | $1,128.34 | ↓ -88% |
| Aetna | NBHMO | $1,499.67 | ↓ -84% |
| Aetna | NBPOS | $1,499.67 | ↓ -84% |
| Aetna | NBPPO | $1,499.67 | ↓ -84% |
| Aetna | COMMPPO | $1,595.29 | ↓ -83% |
| Aetna | COMMHMO | $1,595.29 | ↓ -83% |
| Aetna | COMMPOS | $1,595.29 | ↓ -83% |
| United | OptionsPPO | $1,614.70 | ↓ -83% |
| Aetna | OONHMO | $1,875.78 | ↓ -80% |
| Aetna | OONPPO | $1,875.78 | ↓ -80% |
| Aetna | OONPOS | $1,875.78 | ↓ -80% |
| Aetna | ASAPOS | $2,027.19 | ↓ -79% |
| Aetna | ASAHMO | $2,027.19 | ↓ -79% |
| Aetna | ASAPPO | $2,027.19 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $2,450.89 | ↓ -74% |
| Evry Health | BroadNetwork | $2,623.89 | ↓ -73% |
| Humana | HMO | $3,066.97 | ↓ -68% |
| Humana | PPO | $3,066.97 | ↓ -68% |
| BCBS | Traditional | $3,363.96 | ↓ -65% |
| Coventry National First Health | COMM | $3,498.52 | ↓ -64% |
| Christus (USFHP) | TRICARE | $3,844.53 | ↓ -60% |
| Curative Administrators | COMM | $3,844.53 | ↓ -60% |
| United | GlobalAppendix | $4,325.09 | ↓ -55% |
Visitor-reported prices
Comments
Lung perfusion imaging at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $4,474.26 | $232.55 – $1,128.34 |
| Baylor St Luke's Medical Center | Houston | $724.15 | $221.20 – $2,069.00 |
| HCA HOUSTON WEST | HOUSTON | $6,667.00 | $216.78 – $1,128.34 |
| St. Luke's Health - The Vintage Hospital | Houston | $724.15 | $165.52 – $2,069.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,348.42 | $213.51 – $1,685.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,082.75 | $222.87 – $1,624.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,100.39 | $213.51 – $1,375.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,348.42 | $213.51 – $1,685.52 |