Ortho hnd/fngr w/jnt cstm w/fit&adj at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$554.00
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.
$554.00
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.
$33.24 with Superior Health Plan vs $2,777.95 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 | CHPFC | $33.24 | ↓ -94% |
| Superior Health Plan | STARKids | $33.24 | ↓ -94% |
| Superior Health Plan | CHIP | $33.24 | ↓ -94% |
| Superior Health Plan | STARPLUS | $33.24 | ↓ -94% |
| Superior Health Plan | STAR | $33.24 | ↓ -94% |
| Community Health Choice MCD | CHIP | $72.02 | ↓ -87% |
| Community Health Choice MCD | STAR | $72.02 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $72.02 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $72.02 | ↓ -87% |
| Cigna | CSN | $81.99 | ↓ -85% |
| Cigna | OpenAccessPlus | $88.64 | ↓ -84% |
| BCBS | MyBlueHealth | $90.30 | ↓ -84% |
| United | OptionsPPO | $93.07 | ↓ -83% |
| BCBS | BAV | $99.72 | ↓ -82% |
| Cigna | PPO | $105.26 | ↓ -81% |
| BCBS | HMO | $124.65 | ↓ -78% |
| BCBS | EPOSOA | $127.42 | ↓ -77% |
| BCBS | PPO | $129.64 | ↓ -77% |
| BCBS | Traditional | $193.90 | ↓ -65% |
| Coventry National First Health | COMM | $201.66 | ↓ -64% |
| United | GlobalAppendix | $249.30 | ↓ -55% |
| Oscar | MGMCR | $353.92 | ↓ -36% |
| Humana | MedicareAdvantagePPOPFFS | $361.14 | ↓ -35% |
| Devoted Health | MGMCR | $361.14 | ↓ -35% |
| TriWest Healthcare Alliance | Veterans | $361.14 | ↓ -35% |
| Humana | MedicareAdvantageHMO | $361.14 | ↓ -35% |
| Cigna HealthSpring | MCRHMO | $361.14 | ↓ -35% |
| Cigna HealthSpring | MCRPPO | $361.14 | ↓ -35% |
| Cigna HealthSpring | MCRSNP | $361.14 | ↓ -35% |
| Cigna HealthSpring | PFFS | $361.14 | ↓ -35% |
| Cigna HealthSpring | MMP | $361.14 | ↓ -35% |
| TriWest Health Alliance | TRCR | $361.14 | ↓ -35% |
| BCBS | MCRPPO | $361.14 | ↓ -35% |
| BCBS | MedicareAdvantageHMO | $361.14 | ↓ -35% |
| CHC Harris Health | Indigent | $361.14 | ↓ -35% |
| Christus (USFHP) | TRICARE | $361.14 | ↓ -35% |
| WellMed | MGMCR | $362.95 | ↓ -34% |
| Aetna | MCR | $364.21 | ↓ -34% |
| Van Lang IPA | MCR | $364.75 | ↓ -34% |
| United | MCR | $368.36 | ↓ -34% |
| Integranet Amerigroup IPA | MCR | $371.97 | ↓ -33% |
| WellCare | SNP | $371.97 | ↓ -33% |
| WellCare | PFFS | $371.97 | ↓ -33% |
| WellCare | MCRHMO | $371.97 | ↓ -33% |
| WellCare | POS | $371.97 | ↓ -33% |
| WellCare | PPO | $371.97 | ↓ -33% |
| Superior Health Plan | PFFS | $379.20 | ↓ -32% |
| American Health Plan | MGMCR | $379.20 | ↓ -32% |
| Shared Health | MGMCR | $379.20 | ↓ -32% |
| Superior Health Plan | MCRSNP | $379.20 | ↓ -32% |
| Superior Health Plan | MCRPPO | $379.20 | ↓ -32% |
| ProCare Advantage | MGMCR | $379.20 | ↓ -32% |
| Superior Health Plan | MCRPOS | $379.20 | ↓ -32% |
| Superior Health Plan | MCRHMO | $379.20 | ↓ -32% |
| Superior Health Plan | DualEligible | $379.20 | ↓ -32% |
| Provider Partners Health Plan of Texas | PPO | $382.81 | ↓ -31% |
| Provider Partners Health Plan of Texas | SNP | $382.81 | ↓ -31% |
| Provider Partners Health Plan of Texas | POS | $382.81 | ↓ -31% |
| Provider Partners Health Plan of Texas | MCRHMO | $382.81 | ↓ -31% |
| Provider Partners Health Plan of Texas | PFFS | $382.81 | ↓ -31% |
| Molina | MGMCR | $393.64 | ↓ -29% |
| Verda Health Plan | MCR | $469.48 | ↓ -15% |
| Community Health Choice | HIX | $523.65 | ↓ -5% |
| Superior | ValueHMO | $523.65 | ↓ -5% |
| Superior | EPO | $559.77 | ↑ +1% |
| Superior | HMO | $559.77 | ↑ +1% |
| Molina Healthcare | HIX | $776.45 | ↑ +40% |
| Humana | HMO | $2,777.95 | ↑ +401% |
| Humana | PPO | $2,777.95 | ↑ +401% |
Visitor-reported prices
Comments
Ortho hnd/fngr w/jnt cstm w/fit&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $353.92 – $776.45 |
| HCA HOUSTON WEST | HOUSTON | not published | $353.92 – $776.45 |
| St. Luke's Health - Patients Medical Center | Pasadena | $165.75 | $86.44 – $308.70 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $214.04 | $73.39 – $397.49 |
| Texas Health Hospital Mansfield | Mansfield | $1,797.95 | not published |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $249.12 | $280.15 – $280.15 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $1,797.95 | not published |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $249.12 | $280.15 – $280.15 |