Ortho wrst/hnd w/jnt cstm w/fit&adj at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$1,081.00
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.
$1,081.00
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.
$64.86 with Superior Health Plan vs $8,577.14 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 | $64.86 | ↓ -94% |
| Superior Health Plan | CHIP | $64.86 | ↓ -94% |
| Superior Health Plan | CHPFC | $64.86 | ↓ -94% |
| Superior Health Plan | STAR | $64.86 | ↓ -94% |
| Superior Health Plan | STARPLUS | $64.86 | ↓ -94% |
| Community Health Choice MCD | STAR | $140.53 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $140.53 | ↓ -87% |
| Community Health Choice MCD | CHIP | $140.53 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $140.53 | ↓ -87% |
| Cigna | CSN | $159.99 | ↓ -85% |
| Cigna | OpenAccessPlus | $172.96 | ↓ -84% |
| BCBS | MyBlueHealth | $176.20 | ↓ -84% |
| United | OptionsPPO | $181.61 | ↓ -83% |
| BCBS | BAV | $194.58 | ↓ -82% |
| Cigna | PPO | $205.39 | ↓ -81% |
| BCBS | HMO | $243.22 | ↓ -78% |
| BCBS | EPOSOA | $248.63 | ↓ -77% |
| BCBS | PPO | $252.95 | ↓ -77% |
| BCBS | Traditional | $378.35 | ↓ -65% |
| Coventry National First Health | COMM | $393.48 | ↓ -64% |
| United | GlobalAppendix | $486.45 | ↓ -55% |
| Oscar | MGMCR | $1,092.75 | ↑ +1% |
| TriWest Health Alliance | TRCR | $1,115.05 | ↑ +3% |
| Humana | MedicareAdvantageHMO | $1,115.05 | ↑ +3% |
| TriWest Healthcare Alliance | Veterans | $1,115.05 | ↑ +3% |
| Christus (USFHP) | TRICARE | $1,115.05 | ↑ +3% |
| CHC Harris Health | Indigent | $1,115.05 | ↑ +3% |
| Devoted Health | MGMCR | $1,115.05 | ↑ +3% |
| Humana | MedicareAdvantagePPOPFFS | $1,115.05 | ↑ +3% |
| BCBS | MedicareAdvantageHMO | $1,115.05 | ↑ +3% |
| Cigna HealthSpring | MCRPPO | $1,115.05 | ↑ +3% |
| Cigna HealthSpring | MCRSNP | $1,115.05 | ↑ +3% |
| Cigna HealthSpring | PFFS | $1,115.05 | ↑ +3% |
| Cigna HealthSpring | MMP | $1,115.05 | ↑ +3% |
| BCBS | MCRPPO | $1,115.05 | ↑ +3% |
| Cigna HealthSpring | MCRHMO | $1,115.05 | ↑ +3% |
| WellMed | MGMCR | $1,120.63 | ↑ +4% |
| Aetna | MCR | $1,124.53 | ↑ +4% |
| Van Lang IPA | MCR | $1,126.20 | ↑ +4% |
| United | MCR | $1,137.35 | ↑ +5% |
| WellCare | PPO | $1,148.50 | ↑ +6% |
| WellCare | SNP | $1,148.50 | ↑ +6% |
| WellCare | POS | $1,148.50 | ↑ +6% |
| WellCare | MCRHMO | $1,148.50 | ↑ +6% |
| WellCare | PFFS | $1,148.50 | ↑ +6% |
| Integranet Amerigroup IPA | MCR | $1,148.50 | ↑ +6% |
| Superior Health Plan | MCRHMO | $1,170.80 | ↑ +8% |
| Superior Health Plan | DualEligible | $1,170.80 | ↑ +8% |
| ProCare Advantage | MGMCR | $1,170.80 | ↑ +8% |
| American Health Plan | MGMCR | $1,170.80 | ↑ +8% |
| Superior Health Plan | PFFS | $1,170.80 | ↑ +8% |
| Superior Health Plan | MCRSNP | $1,170.80 | ↑ +8% |
| Superior Health Plan | MCRPPO | $1,170.80 | ↑ +8% |
| Shared Health | MGMCR | $1,170.80 | ↑ +8% |
| Superior Health Plan | MCRPOS | $1,170.80 | ↑ +8% |
| Provider Partners Health Plan of Texas | SNP | $1,181.95 | ↑ +9% |
| Provider Partners Health Plan of Texas | MCRHMO | $1,181.95 | ↑ +9% |
| Provider Partners Health Plan of Texas | PPO | $1,181.95 | ↑ +9% |
| Provider Partners Health Plan of Texas | POS | $1,181.95 | ↑ +9% |
| Provider Partners Health Plan of Texas | PFFS | $1,181.95 | ↑ +9% |
| Molina | MGMCR | $1,215.40 | ↑ +12% |
| Verda Health Plan | MCR | $1,449.57 | ↑ +34% |
| Superior | ValueHMO | $1,616.82 | ↑ +50% |
| Community Health Choice | HIX | $1,616.82 | ↑ +50% |
| Superior | EPO | $1,728.33 | ↑ +60% |
| Superior | HMO | $1,728.33 | ↑ +60% |
| Molina Healthcare | HIX | $2,397.36 | ↑ +122% |
| Humana | HMO | $8,577.14 | ↑ +693% |
| Humana | PPO | $8,577.14 | ↑ +693% |
Visitor-reported prices
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Ortho wrst/hnd w/jnt cstm w/fit&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,092.75 – $2,397.36 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,092.75 – $2,397.36 |
| St. Luke's Health - Patients Medical Center | Pasadena | $469.30 | $266.37 – $951.30 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $686.79 | $235.47 – $1,275.46 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $585.45 | $864.98 – $864.98 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $585.45 | $864.98 – $864.98 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $585.45 | $864.98 – $864.98 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $585.45 | $864.98 – $864.98 |