Occupational Therapy Evaluation (moderate complexity) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$71.10 with Superior Health Plan vs $1,007.25 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $71.10 | — |
| Superior Health Plan | CHPFC | $71.10 | — |
| Superior Health Plan | STARKids | $71.10 | — |
| Superior Health Plan | STAR | $71.10 | — |
| Superior Health Plan | CHIP | $71.10 | — |
| Oscar | MGMCR | $86.87 | — |
| WellMed | MGMCR | $88.20 | — |
| Cigna HealthSpring | MCRPPO | $88.64 | — |
| Cigna HealthSpring | MMP | $88.64 | — |
| Cigna HealthSpring | PFFS | $88.64 | — |
| Humana | MedicareAdvantageHMO | $88.64 | — |
| Devoted Health | MGMCR | $88.64 | — |
| TriWest Healthcare Alliance | Veterans | $88.64 | — |
| Amerigroup | DualEligible | $88.64 | — |
| BCBS | MCRPPO | $88.64 | — |
| BCBS | MedicareAdvantageHMO | $88.64 | — |
| CHC Harris Health | Indigent | $88.64 | — |
| Humana | MedicareAdvantagePPOPFFS | $88.64 | — |
| Cigna HealthSpring | MCRHMO | $88.64 | — |
| Cigna HealthSpring | MCRSNP | $88.64 | — |
| Aetna | MCR | $89.40 | — |
| Van Lang IPA | MCR | $89.53 | — |
| United | MCR | $90.41 | — |
| WellCare | MCRHMO | $91.30 | — |
| WellCare | SNP | $91.30 | — |
| WellCare | PFFS | $91.30 | — |
| WellCare | PPO | $91.30 | — |
| Integranet Amerigroup IPA | MCR | $91.30 | — |
| WellCare | POS | $91.30 | — |
| ProCare Advantage | MGMCR | $93.07 | — |
| American Health Plan | MGMCR | $93.07 | — |
| Superior Health Plan | PFFS | $93.07 | — |
| Superior Health Plan | MCRSNP | $93.07 | — |
| Superior Health Plan | MCRPPO | $93.07 | — |
| Superior Health Plan | MCRPOS | $93.07 | — |
| Superior Health Plan | MCRHMO | $93.07 | — |
| Superior Health Plan | DualEligible | $93.07 | — |
| Shared Health | MGMCR | $93.07 | — |
| Provider Partners Health Plan of Texas | PPO | $93.96 | — |
| Provider Partners Health Plan of Texas | POS | $93.96 | — |
| Provider Partners Health Plan of Texas | SNP | $93.96 | — |
| Provider Partners Health Plan of Texas | PFFS | $93.96 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $93.96 | — |
| Molina | MGMCR | $96.62 | — |
| TriWest Health Alliance | TRCR | $100.74 | — |
| Christus (USFHP) | TRICARE | $100.74 | — |
| Verda Health Plan | MCR | $115.23 | — |
| Community Health Choice | HIX | $128.53 | — |
| Superior | ValueHMO | $128.53 | — |
| Superior | EPO | $137.40 | — |
| Superior | HMO | $137.40 | — |
| Community Health Choice MCD | CHIP | $154.05 | — |
| Community Health Choice MCD | STAR+PLUS | $154.05 | — |
| Community Health Choice MCD | STAR | $154.05 | — |
| Community Health Choice MCD | CHIPPerinatal | $154.05 | — |
| Amerigroup | MCDCHIPBH | $165.90 | — |
| Amerigroup | MGMCD | $165.90 | — |
| Molina Healthcare | HIX | $190.58 | — |
| United | OptionsPPO | $199.08 | — |
| BCBS | MyBlueHealth | $217.57 | — |
| Oscar | HIX | $231.07 | — |
| BCBS | BAV | $239.89 | — |
| BCBS | HMO | $300.33 | — |
| BCBS | EPOSOA | $305.90 | — |
| BCBS | PPO | $311.48 | — |
| Humana | HMO | $392.59 | — |
| Humana | PPO | $392.59 | — |
| BCBS | Traditional | $414.75 | — |
| Aetna | NBPOS | $417.08 | — |
| Aetna | NBPPO | $417.08 | — |
| Aetna | NBHMO | $417.08 | — |
| Coventry National First Health | COMM | $419.49 | — |
| Aetna | COMMHMO | $442.52 | — |
| Aetna | COMMPPO | $442.52 | — |
| Aetna | COMMPOS | $442.52 | — |
| Aetna | OONHMO | $521.36 | — |
| Aetna | OONPOS | $521.36 | — |
| Aetna | OONPPO | $521.36 | — |
| United | GlobalAppendix | $533.25 | — |
| Aetna | ASAPOS | $562.68 | — |
| Aetna | ASAHMO | $562.68 | — |
| Aetna | ASAPPO | $562.68 | — |
| Multiplan | PHCSPrimaryNetwork | $888.75 | — |
| Multiplan | ComplementaryNetwork | $1,007.25 | — |
Visitor-reported prices
Comments
Occupational Therapy Evaluation (moderate complexity) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist Willowbrook Hospital | Houston | $400.00 | $98.02 – $191.14 |
| Houston Methodist Hospital | Houston | $231.00 | $98.02 – $392.08 |
| Houston Methodist West Hospital | Houston | $400.00 | $98.02 – $392.08 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,187.46 | $86.87 – $417.08 |
| HCA HOUSTON WEST | HOUSTON | not published | $86.87 – $190.58 |
| Adventhealth Rollins Brook | Lampasas | $333.87 | $357.97 – $357.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $352.05 | $99.75 – $498.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $378.80 | $77.97 – $568.21 |