Pca3/klk3 antigen 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.
$214.24 with Community Health Choice MCD vs $2,759.64 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 |
|---|---|---|---|
| Community Health Choice MCD | STAR+PLUS | $214.24 | — |
| Texas Childrens Healthplans | MEDICAID | $214.24 | — |
| Community Health Choice MCD | STAR | $214.24 | — |
| Community Health Choice MCD | CHIPPerinatal | $214.24 | — |
| Community Health Choice MCD | CHIP | $214.24 | — |
| Texas Childrens Healthplans | CHIP | $214.24 | — |
| United | MGMCD | $218.52 | — |
| Aetna Better Health | MGMCD | $231.38 | — |
| Molina Healthcare | CHIP | $235.66 | — |
| Molina Healthcare | STAR | $235.66 | — |
| Molina Healthcare | STARKIDS | $235.66 | — |
| Molina Healthcare | STARPLUS | $235.66 | — |
| Oscar | MGMCR | $249.95 | — |
| United | SmallGroup | $255.05 | — |
| United | NarrowNetworkIndivExchange | $255.05 | — |
| United | AllPayerAppendix | $255.05 | — |
| TriWest Healthcare Alliance | Veterans | $255.05 | — |
| Humana | MedicareAdvantageHMO | $255.05 | — |
| Humana | MedicareAdvantagePPOPFFS | $255.05 | — |
| Devoted Health | MGMCR | $255.05 | — |
| Cigna HealthSpring | PFFS | $255.05 | — |
| Cigna HealthSpring | MCRSNP | $255.05 | — |
| Cigna HealthSpring | MCRPPO | $255.05 | — |
| Cigna HealthSpring | MCRHMO | $255.05 | — |
| CHC Harris Health | Indigent | $255.05 | — |
| BCBS | MedicareAdvantageHMO | $255.05 | — |
| BCBS | MCRPPO | $255.05 | — |
| Cigna HealthSpring | MMP | $255.05 | — |
| WellMed | MGMCR | $256.33 | — |
| Aetna | MCR | $257.22 | — |
| Van Lang IPA | MCR | $257.60 | — |
| United | MCR | $260.15 | — |
| Integranet Amerigroup IPA | MCR | $262.70 | — |
| WellCare | PPO | $262.70 | — |
| WellCare | SNP | $262.70 | — |
| WellCare | POS | $262.70 | — |
| WellCare | MCRHMO | $262.70 | — |
| WellCare | PFFS | $262.70 | — |
| American Health Plan | MGMCR | $267.80 | — |
| Superior Health Plan | PFFS | $267.80 | — |
| Humana | MCD | $267.80 | — |
| Superior Health Plan | MCRPPO | $267.80 | — |
| Superior Health Plan | MCRPOS | $267.80 | — |
| Superior Health Plan | MCRHMO | $267.80 | — |
| Superior Health Plan | DualEligible | $267.80 | — |
| Shared Health | MGMCR | $267.80 | — |
| ProCare Advantage | MGMCR | $267.80 | — |
| Superior Health Plan | MCRSNP | $267.80 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $270.35 | — |
| Provider Partners Health Plan of Texas | POS | $270.35 | — |
| Provider Partners Health Plan of Texas | SNP | $270.35 | — |
| Provider Partners Health Plan of Texas | PFFS | $270.35 | — |
| Provider Partners Health Plan of Texas | PPO | $270.35 | — |
| TriWest Health Alliance | TRCR | $276.04 | — |
| Christus (USFHP) | TRICARE | $276.04 | — |
| Molina | MGMCR | $278.00 | — |
| Verda Health Plan | MCR | $331.56 | — |
| Superior | ValueHMO | $369.82 | — |
| Community Health Choice | HIX | $369.82 | — |
| Superior | HMO | $395.33 | — |
| Superior | EPO | $395.33 | — |
| BCBS | MyBlueHealth | $515.20 | — |
| Molina Healthcare | HIX | $548.36 | — |
| BCBS | BAV | $568.76 | — |
| Healthcare Highways | NarrowNetwork | $619.77 | — |
| BCBS | HMO | $711.59 | — |
| Oscar | HIX | $737.09 | — |
| BCBS | EPOSOA | $762.60 | — |
| BCBS | PPO | $813.61 | — |
| Aetna | QHPExchange | $934.31 | — |
| Cigna | CSN | $1,049.64 | — |
| Cigna | OpenAccessPlus | $1,136.90 | — |
| Aetna | NBPOS | $1,242.51 | — |
| Aetna | NBHMO | $1,242.51 | — |
| Aetna | NBPPO | $1,242.51 | — |
| Aetna | COMMHMO | $1,320.05 | — |
| Aetna | COMMPPO | $1,320.05 | — |
| Aetna | COMMPOS | $1,320.05 | — |
| Cigna | PPO | $1,352.65 | — |
| Aetna | OONPOS | $1,550.72 | — |
| Aetna | OONHMO | $1,550.72 | — |
| Aetna | OONPPO | $1,550.72 | — |
| Aetna | ASAHMO | $1,676.72 | — |
| Aetna | ASAPOS | $1,676.72 | — |
| Aetna | ASAPPO | $1,676.72 | — |
| Humana | HMO | $2,759.64 | — |
| Humana | PPO | $2,759.64 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Pca3/klk3 antigen at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $214.24 – $1,049.64 |
| HCA HOUSTON WEST | HOUSTON | not published | $209.96 – $1,049.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $695.40 | $36.00 – $1,043.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $695.40 | $36.00 – $869.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $695.40 | $36.00 – $1,043.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $695.40 | $26.00 – $1,043.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $695.40 | $36.00 – $1,043.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $695.40 | $214.24 – $869.25 |