Perq clsr tcat l atr apndge at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$86,612.49
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.
$86,612.49
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.
$948.00 with Superior Health Plan vs $38,975.62 with United — 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 | STAR | $948.00 | ↓ -99% |
| Superior Health Plan | STARPLUS | $948.00 | ↓ -99% |
| Superior Health Plan | STARKids | $948.00 | ↓ -99% |
| Superior Health Plan | CHIP | $948.00 | ↓ -99% |
| Superior Health Plan | CHPFC | $948.00 | ↓ -99% |
| Oscar | HIX | $3,390.00 | ↓ -96% |
| Humana | HMO | $4,690.00 | ↓ -95% |
| Humana | PPO | $4,690.00 | ↓ -95% |
| Aetna | MCR | $5,742.41 | ↓ -93% |
| Healthcare Highways | NarrowNetwork | $5,841.00 | ↓ -93% |
| United | SmallGroup | $6,860.00 | ↓ -92% |
| BCBS | MyBlueHealth | $7,604.31 | ↓ -91% |
| United | NarrowNetworkIndivExchange | $7,618.00 | ↓ -91% |
| BCBS | BAV | $8,375.53 | ↓ -90% |
| Aetna | QHPExchange | $9,064.00 | ↓ -90% |
| BCBS | PPO | $9,486.73 | ↓ -89% |
| BCBS | EPOSOA | $9,619.42 | ↓ -89% |
| BCBS | HMO | $9,752.10 | ↓ -89% |
| United | AllPayerAppendix | $9,800.00 | ↓ -89% |
| Cigna | CSN | $10,740.00 | ↓ -88% |
| Community Health Choice MCD | CHIPPerinatal | $11,259.62 | ↓ -87% |
| Community Health Choice MCD | CHIP | $11,259.62 | ↓ -87% |
| Community Health Choice MCD | STAR | $11,259.62 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $11,259.62 | ↓ -87% |
| Cigna | OpenAccessPlus | $11,636.00 | ↓ -87% |
| Curative Administrators | COMM | $12,018.00 | ↓ -86% |
| Aetna | NBPOS | $12,039.00 | ↓ -86% |
| Aetna | NBHMO | $12,039.00 | ↓ -86% |
| Aetna | NBPPO | $12,039.00 | ↓ -86% |
| Aetna | COMMPPO | $12,794.00 | ↓ -85% |
| Aetna | COMMPOS | $12,794.00 | ↓ -85% |
| Aetna | COMMHMO | $12,794.00 | ↓ -85% |
| Cigna | PPO | $13,835.00 | ↓ -84% |
| United | OptionsPPO | $14,550.90 | ↓ -83% |
| Aetna | OONHMO | $15,050.00 | ↓ -83% |
| Aetna | OONPPO | $15,050.00 | ↓ -83% |
| Aetna | OONPOS | $15,050.00 | ↓ -83% |
| Aetna | ASAHMO | $16,261.00 | ↓ -81% |
| Aetna | ASAPPO | $16,261.00 | ↓ -81% |
| Aetna | ASAPOS | $16,261.00 | ↓ -81% |
| Molina Healthcare | HIX | $23,385.37 | ↓ -73% |
| Evry Health | BroadNetwork | $23,645.21 | ↓ -73% |
| CHC Harris Health | Indigent | $25,983.75 | ↓ -70% |
| BCBS | Traditional | $30,314.37 | ↓ -65% |
| Coventry National First Health | COMM | $31,526.95 | ↓ -64% |
| Christus (USFHP) | TRICARE | $34,645.00 | ↓ -60% |
| United | GlobalAppendix | $38,975.62 | ↓ -55% |
Visitor-reported prices
Comments
Perq clsr tcat l atr apndge at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $5,035.45 | $1,582.57 – $14,387.00 |
| HCA HOUSTON WEST | HOUSTON | $90,279.00 | $7,604.31 – $7,604.31 |
| St. Luke's Health - The Vintage Hospital | Houston | $5,035.45 | $1,150.96 – $14,387.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $20,784.58 | $1,401.45 – $29,444.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $17,513.83 | $2,502.00 – $26,270.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,905.11 | $2,502.00 – $17,381.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $20,784.58 | $1,028.28 – $29,444.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $17,513.83 | $2,502.00 – $26,270.74 |