Ortho elbow without jnt cstm w/fit&adj at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$496.00
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.
$496.00
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.
$29.76 with Superior Health Plan vs $2,497.63 with Humana — 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 | STARKids | $29.76 | ↓ -94% |
| Superior Health Plan | CHIP | $29.76 | ↓ -94% |
| Superior Health Plan | CHPFC | $29.76 | ↓ -94% |
| Superior Health Plan | STAR | $29.76 | ↓ -94% |
| Superior Health Plan | STARPLUS | $29.76 | ↓ -94% |
| Community Health Choice MCD | STAR | $64.48 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $64.48 | ↓ -87% |
| Community Health Choice MCD | CHIP | $64.48 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $64.48 | ↓ -87% |
| Cigna | CSN | $73.41 | ↓ -85% |
| Cigna | OpenAccessPlus | $79.36 | ↓ -84% |
| BCBS | MyBlueHealth | $80.85 | ↓ -84% |
| United | OptionsPPO | $83.33 | ↓ -83% |
| BCBS | BAV | $89.28 | ↓ -82% |
| Cigna | PPO | $94.24 | ↓ -81% |
| BCBS | HMO | $111.60 | ↓ -78% |
| BCBS | EPOSOA | $114.08 | ↓ -77% |
| BCBS | PPO | $116.06 | ↓ -77% |
| BCBS | Traditional | $173.60 | ↓ -65% |
| Coventry National First Health | COMM | $180.54 | ↓ -64% |
| United | GlobalAppendix | $223.20 | ↓ -55% |
| Oscar | MGMCR | $318.22 | ↓ -36% |
| TriWest Health Alliance | TRCR | $324.71 | ↓ -35% |
| Humana | MedicareAdvantageHMO | $324.71 | ↓ -35% |
| TriWest Healthcare Alliance | Veterans | $324.71 | ↓ -35% |
| Christus (USFHP) | TRICARE | $324.71 | ↓ -35% |
| CHC Harris Health | Indigent | $324.71 | ↓ -35% |
| Devoted Health | MGMCR | $324.71 | ↓ -35% |
| Humana | MedicareAdvantagePPOPFFS | $324.71 | ↓ -35% |
| BCBS | MedicareAdvantageHMO | $324.71 | ↓ -35% |
| Cigna HealthSpring | MCRPPO | $324.71 | ↓ -35% |
| Cigna HealthSpring | MCRSNP | $324.71 | ↓ -35% |
| Cigna HealthSpring | PFFS | $324.71 | ↓ -35% |
| Cigna HealthSpring | MMP | $324.71 | ↓ -35% |
| BCBS | MCRPPO | $324.71 | ↓ -35% |
| Cigna HealthSpring | MCRHMO | $324.71 | ↓ -35% |
| WellMed | MGMCR | $326.33 | ↓ -34% |
| Aetna | MCR | $327.47 | ↓ -34% |
| Van Lang IPA | MCR | $327.96 | ↓ -34% |
| United | MCR | $331.20 | ↓ -33% |
| WellCare | PPO | $334.45 | ↓ -33% |
| WellCare | SNP | $334.45 | ↓ -33% |
| WellCare | POS | $334.45 | ↓ -33% |
| WellCare | MCRHMO | $334.45 | ↓ -33% |
| WellCare | PFFS | $334.45 | ↓ -33% |
| Integranet Amerigroup IPA | MCR | $334.45 | ↓ -33% |
| Superior Health Plan | MCRHMO | $340.95 | ↓ -31% |
| Superior Health Plan | DualEligible | $340.95 | ↓ -31% |
| ProCare Advantage | MGMCR | $340.95 | ↓ -31% |
| American Health Plan | MGMCR | $340.95 | ↓ -31% |
| Superior Health Plan | PFFS | $340.95 | ↓ -31% |
| Superior Health Plan | MCRSNP | $340.95 | ↓ -31% |
| Superior Health Plan | MCRPPO | $340.95 | ↓ -31% |
| Shared Health | MGMCR | $340.95 | ↓ -31% |
| Superior Health Plan | MCRPOS | $340.95 | ↓ -31% |
| Provider Partners Health Plan of Texas | SNP | $344.19 | ↓ -31% |
| Provider Partners Health Plan of Texas | MCRHMO | $344.19 | ↓ -31% |
| Provider Partners Health Plan of Texas | PPO | $344.19 | ↓ -31% |
| Provider Partners Health Plan of Texas | POS | $344.19 | ↓ -31% |
| Provider Partners Health Plan of Texas | PFFS | $344.19 | ↓ -31% |
| Molina | MGMCR | $353.93 | ↓ -29% |
| Verda Health Plan | MCR | $422.12 | ↓ -15% |
| Superior | ValueHMO | $470.83 | ↓ -5% |
| Community Health Choice | HIX | $470.83 | ↓ -5% |
| Superior | EPO | $503.30 | ↑ +1% |
| Superior | HMO | $503.30 | ↑ +1% |
| Molina Healthcare | HIX | $698.13 | ↑ +41% |
| Humana | HMO | $2,497.63 | ↑ +404% |
| Humana | PPO | $2,497.63 | ↑ +404% |
Visitor-reported prices
Comments
Ortho elbow without jnt cstm w/fit&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $318.22 – $698.13 |
| HCA HOUSTON WEST | HOUSTON | not published | $318.22 – $698.13 |
| St. Luke's Health - Patients Medical Center | Pasadena | $129.73 | $77.84 – $277.99 |
| St. Luke's Health Memorial Lufkin | Lufkin | $203.65 | $203.65 – $1,221.89 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $199.92 | $68.55 – $371.28 |
| St. Luke's Health Memorial Livingston | Livingston | $203.65 | $203.65 – $1,221.89 |
| St. Luke's Health Memorial San Augustine | San Augustine | $203.65 | $203.65 – $1,221.89 |
| Texas Health Hospital Mansfield | Mansfield | $1,616.58 | not published |