Ortho ewhf rigd without jnt cstm w at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$1,038.00
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.
$1,038.00
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.
$62.28 with Superior Health Plan vs $11,090.26 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 | $62.28 | ↓ -94% |
| Superior Health Plan | CHIP | $62.28 | ↓ -94% |
| Superior Health Plan | CHPFC | $62.28 | ↓ -94% |
| Superior Health Plan | STAR | $62.28 | ↓ -94% |
| Superior Health Plan | STARPLUS | $62.28 | ↓ -94% |
| Community Health Choice MCD | STAR | $134.94 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $134.94 | ↓ -87% |
| Community Health Choice MCD | CHIP | $134.94 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $134.94 | ↓ -87% |
| Cigna | CSN | $153.62 | ↓ -85% |
| Cigna | OpenAccessPlus | $166.08 | ↓ -84% |
| BCBS | MyBlueHealth | $169.19 | ↓ -84% |
| United | OptionsPPO | $174.38 | ↓ -83% |
| BCBS | BAV | $186.84 | ↓ -82% |
| Cigna | PPO | $197.22 | ↓ -81% |
| BCBS | HMO | $233.55 | ↓ -78% |
| BCBS | EPOSOA | $238.74 | ↓ -77% |
| BCBS | PPO | $242.89 | ↓ -77% |
| BCBS | Traditional | $363.30 | ↓ -65% |
| Coventry National First Health | COMM | $377.83 | ↓ -64% |
| United | GlobalAppendix | $467.10 | ↓ -55% |
| Oscar | MGMCR | $1,412.93 | ↑ +36% |
| TriWest Health Alliance | TRCR | $1,441.77 | ↑ +39% |
| Humana | MedicareAdvantageHMO | $1,441.77 | ↑ +39% |
| TriWest Healthcare Alliance | Veterans | $1,441.77 | ↑ +39% |
| Christus (USFHP) | TRICARE | $1,441.77 | ↑ +39% |
| CHC Harris Health | Indigent | $1,441.77 | ↑ +39% |
| Devoted Health | MGMCR | $1,441.77 | ↑ +39% |
| Humana | MedicareAdvantagePPOPFFS | $1,441.77 | ↑ +39% |
| BCBS | MedicareAdvantageHMO | $1,441.77 | ↑ +39% |
| Cigna HealthSpring | MCRPPO | $1,441.77 | ↑ +39% |
| Cigna HealthSpring | MCRSNP | $1,441.77 | ↑ +39% |
| Cigna HealthSpring | PFFS | $1,441.77 | ↑ +39% |
| Cigna HealthSpring | MMP | $1,441.77 | ↑ +39% |
| BCBS | MCRPPO | $1,441.77 | ↑ +39% |
| Cigna HealthSpring | MCRHMO | $1,441.77 | ↑ +39% |
| WellMed | MGMCR | $1,448.98 | ↑ +40% |
| Aetna | MCR | $1,454.03 | ↑ +40% |
| Van Lang IPA | MCR | $1,456.19 | ↑ +40% |
| United | MCR | $1,470.61 | ↑ +42% |
| WellCare | PPO | $1,485.02 | ↑ +43% |
| WellCare | SNP | $1,485.02 | ↑ +43% |
| WellCare | POS | $1,485.02 | ↑ +43% |
| WellCare | MCRHMO | $1,485.02 | ↑ +43% |
| WellCare | PFFS | $1,485.02 | ↑ +43% |
| Integranet Amerigroup IPA | MCR | $1,485.02 | ↑ +43% |
| Superior Health Plan | MCRHMO | $1,513.86 | ↑ +46% |
| Superior Health Plan | DualEligible | $1,513.86 | ↑ +46% |
| ProCare Advantage | MGMCR | $1,513.86 | ↑ +46% |
| American Health Plan | MGMCR | $1,513.86 | ↑ +46% |
| Superior Health Plan | PFFS | $1,513.86 | ↑ +46% |
| Superior Health Plan | MCRSNP | $1,513.86 | ↑ +46% |
| Superior Health Plan | MCRPPO | $1,513.86 | ↑ +46% |
| Shared Health | MGMCR | $1,513.86 | ↑ +46% |
| Superior Health Plan | MCRPOS | $1,513.86 | ↑ +46% |
| Provider Partners Health Plan of Texas | SNP | $1,528.28 | ↑ +47% |
| Provider Partners Health Plan of Texas | MCRHMO | $1,528.28 | ↑ +47% |
| Provider Partners Health Plan of Texas | PPO | $1,528.28 | ↑ +47% |
| Provider Partners Health Plan of Texas | POS | $1,528.28 | ↑ +47% |
| Provider Partners Health Plan of Texas | PFFS | $1,528.28 | ↑ +47% |
| Molina | MGMCR | $1,571.53 | ↑ +51% |
| Verda Health Plan | MCR | $1,874.30 | ↑ +81% |
| Superior | ValueHMO | $2,090.57 | ↑ +101% |
| Community Health Choice | HIX | $2,090.57 | ↑ +101% |
| Superior | EPO | $2,234.74 | ↑ +115% |
| Superior | HMO | $2,234.74 | ↑ +115% |
| Molina Healthcare | HIX | $3,099.81 | ↑ +199% |
| Humana | HMO | $11,090.26 | ↑ +968% |
| Humana | PPO | $11,090.26 | ↑ +968% |
Visitor-reported prices
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Ortho ewhf rigd without jnt cstm w at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,412.93 – $3,099.81 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,412.93 – $3,099.81 |
| St. Luke's Health - Patients Medical Center | Pasadena | $574.04 | $344.43 – $1,230.08 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $725.31 | $1,118.41 – $1,118.41 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $725.31 | $1,118.41 – $1,118.41 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $725.31 | $1,118.41 – $1,118.41 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $725.31 | $1,118.41 – $1,118.41 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $725.31 | $1,118.41 – $1,118.41 |