Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$16.86 with Superior Health Plan vs $447.26 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 | $16.86 | — |
| Superior Health Plan | STARPLUS | $16.86 | — |
| Superior Health Plan | CHIP | $16.86 | — |
| Superior Health Plan | CHPFC | $16.86 | — |
| Superior Health Plan | STAR | $16.86 | — |
| Community Health Choice MCD | CHIP | $36.52 | — |
| Community Health Choice MCD | STAR | $36.52 | — |
| Community Health Choice MCD | CHIPPerinatal | $36.52 | — |
| Community Health Choice MCD | STAR+PLUS | $36.52 | — |
| Oscar | MGMCR | $39.80 | — |
| Humana | MedicareAdvantageHMO | $40.61 | — |
| Humana | MedicareAdvantagePPOPFFS | $40.61 | — |
| CHC Harris Health | Indigent | $40.61 | — |
| BCBS | MedicareAdvantageHMO | $40.61 | — |
| BCBS | MCRPPO | $40.61 | — |
| Cigna HealthSpring | MMP | $40.61 | — |
| Cigna HealthSpring | PFFS | $40.61 | — |
| Cigna HealthSpring | MCRSNP | $40.61 | — |
| Cigna HealthSpring | MCRPPO | $40.61 | — |
| Cigna HealthSpring | MCRHMO | $40.61 | — |
| TriWest Healthcare Alliance | Veterans | $40.61 | — |
| Devoted Health | MGMCR | $40.61 | — |
| WellMed | MGMCR | $40.82 | — |
| Aetna | MCR | $40.96 | — |
| Van Lang IPA | MCR | $41.02 | — |
| United | MCR | $41.42 | — |
| WellCare | PPO | $41.83 | — |
| WellCare | MCRHMO | $41.83 | — |
| Integranet Amerigroup IPA | MCR | $41.83 | — |
| WellCare | PFFS | $41.83 | — |
| WellCare | POS | $41.83 | — |
| WellCare | SNP | $41.83 | — |
| Superior Health Plan | MCRHMO | $42.64 | — |
| American Health Plan | MGMCR | $42.64 | — |
| Superior Health Plan | DualEligible | $42.64 | — |
| Superior Health Plan | MCRPOS | $42.64 | — |
| Superior Health Plan | MCRPPO | $42.64 | — |
| Superior Health Plan | MCRSNP | $42.64 | — |
| Superior Health Plan | PFFS | $42.64 | — |
| ProCare Advantage | MGMCR | $42.64 | — |
| Shared Health | MGMCR | $42.64 | — |
| Provider Partners Health Plan of Texas | POS | $43.05 | — |
| Provider Partners Health Plan of Texas | PPO | $43.05 | — |
| Provider Partners Health Plan of Texas | SNP | $43.05 | — |
| Provider Partners Health Plan of Texas | PFFS | $43.05 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $43.05 | — |
| Molina | MGMCR | $44.27 | — |
| Christus (USFHP) | TRICARE | $46.38 | — |
| TriWest Health Alliance | TRCR | $46.38 | — |
| United | OptionsPPO | $47.20 | — |
| Verda Health Plan | MCR | $52.80 | — |
| Oscar | HIX | $54.78 | — |
| Superior | ValueHMO | $58.89 | — |
| Community Health Choice | HIX | $58.89 | — |
| Aetna | QHPExchange | $62.93 | — |
| Superior | HMO | $62.95 | — |
| Superior | EPO | $62.95 | — |
| Aetna | NBPPO | $76.69 | — |
| Aetna | NBHMO | $76.69 | — |
| Aetna | NBPOS | $76.69 | — |
| Aetna | COMMPPO | $81.19 | — |
| Aetna | COMMPOS | $81.19 | — |
| Aetna | COMMHMO | $81.19 | — |
| Molina Healthcare | HIX | $87.32 | — |
| Aetna | OONPPO | $95.80 | — |
| Aetna | OONPOS | $95.80 | — |
| Aetna | OONHMO | $95.80 | — |
| BCBS | Traditional | $98.33 | — |
| Coventry National First Health | COMM | $102.26 | — |
| Aetna | ASAPOS | $103.38 | — |
| Aetna | ASAHMO | $103.38 | — |
| Aetna | ASAPPO | $103.38 | — |
| BCBS | MyBlueHealth | $113.84 | — |
| BCBS | BAV | $125.52 | — |
| United | GlobalAppendix | $126.42 | — |
| BCBS | HMO | $157.14 | — |
| BCBS | EPOSOA | $160.06 | — |
| BCBS | PPO | $162.98 | — |
| Humana | HMO | $447.26 | — |
| Humana | PPO | $447.26 | — |
Visitor-reported prices
Comments
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $126.00 | $57.41 – $360.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $126.00 | $71.03 – $360.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $39.80 – $87.32 |
| HCA HOUSTON WEST | HOUSTON | not published | $39.80 – $87.32 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $136.24 | $38.60 – $193.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $153.59 | $31.61 – $230.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $133.43 | $26.69 – $166.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $136.24 | $36.33 – $193.01 |