Perit-vens shunt pat tst 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.
$245.93 with Texas Childrens Healthplans vs $3,911.47 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 |
|---|---|---|---|
| Texas Childrens Healthplans | CHIP | $245.93 | — |
| Texas Childrens Healthplans | MEDICAID | $245.93 | — |
| Community Health Choice MCD | STAR | $246.25 | — |
| Community Health Choice MCD | CHIP | $246.25 | — |
| Community Health Choice MCD | STAR+PLUS | $246.25 | — |
| Community Health Choice MCD | CHIPPerinatal | $246.25 | — |
| United | MGMCD | $251.18 | — |
| Aetna Better Health | MGMCD | $265.95 | — |
| Molina Healthcare | CHIP | $270.52 | — |
| Molina Healthcare | STAR | $270.52 | — |
| Molina Healthcare | STARKIDS | $270.52 | — |
| Molina Healthcare | STARPLUS | $270.52 | — |
| Humana | MCD | $307.41 | — |
| BCBS | MyBlueHealth | $391.99 | — |
| BCBS | BAV | $496.67 | — |
| United | NarrowNetworkIndivExchange | $716.53 | — |
| BCBS | HMO | $757.25 | — |
| BCBS | EPOSOA | $839.65 | — |
| United | SmallGroup | $848.52 | — |
| United | AllPayerAppendix | $848.52 | — |
| BCBS | PPO | $922.06 | — |
| Aetna | QHPExchange | $1,231.85 | — |
| Aetna | NBHMO | $1,637.25 | — |
| Aetna | NBPOS | $1,637.25 | — |
| Aetna | NBPPO | $1,637.25 | — |
| Aetna | COMMPPO | $1,741.64 | — |
| Aetna | COMMPOS | $1,741.64 | — |
| Aetna | COMMHMO | $1,741.64 | — |
| Aetna | OONPOS | $2,047.86 | — |
| Aetna | OONPPO | $2,047.86 | — |
| Aetna | OONHMO | $2,047.86 | — |
| Aetna | ASAHMO | $2,213.15 | — |
| Aetna | ASAPPO | $2,213.15 | — |
| Aetna | ASAPOS | $2,213.15 | — |
| Humana | HMO | $3,911.47 | — |
| Humana | PPO | $3,911.47 | — |
Visitor-reported prices
Comments
Perit-vens shunt pat tst at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $4,561.63 | $246.25 – $1,231.85 |
| HCA HOUSTON WEST | HOUSTON | not published | $241.01 – $1,231.85 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $441.21 | $238.58 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $661.40 | $136.14 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $694.48 | $238.58 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $441.21 | $238.58 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $661.40 | $255.28 – $1,021.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $661.40 | $238.58 – $1,021.72 |