Physical Therapy Re-Evaluation 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.
$27.60 with Superior Health Plan vs $391.00 with Multiplan — 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 | STARPLUS | $27.60 | — |
| Superior Health Plan | STAR | $27.60 | — |
| Superior Health Plan | STARKids | $27.60 | — |
| Superior Health Plan | CHIP | $27.60 | — |
| Superior Health Plan | CHPFC | $27.60 | — |
| Oscar | MGMCR | $58.31 | — |
| WellMed | MGMCR | $59.20 | — |
| Cigna HealthSpring | MCRHMO | $59.50 | — |
| Humana | MedicareAdvantagePPOPFFS | $59.50 | — |
| Humana | MedicareAdvantageHMO | $59.50 | — |
| Devoted Health | MGMCR | $59.50 | — |
| Cigna HealthSpring | MCRPPO | $59.50 | — |
| BCBS | MCRPPO | $59.50 | — |
| BCBS | MedicareAdvantageHMO | $59.50 | — |
| CHC Harris Health | Indigent | $59.50 | — |
| TriWest Healthcare Alliance | Veterans | $59.50 | — |
| Cigna HealthSpring | PFFS | $59.50 | — |
| Amerigroup | DualEligible | $59.50 | — |
| Cigna HealthSpring | MMP | $59.50 | — |
| Cigna HealthSpring | MCRSNP | $59.50 | — |
| Community Health Choice MCD | CHIP | $59.80 | — |
| Community Health Choice MCD | CHIPPerinatal | $59.80 | — |
| Community Health Choice MCD | STAR | $59.80 | — |
| Community Health Choice MCD | STAR+PLUS | $59.80 | — |
| Aetna | MCR | $60.00 | — |
| Van Lang IPA | MCR | $60.09 | — |
| United | MCR | $60.69 | — |
| WellCare | MCRHMO | $61.28 | — |
| WellCare | POS | $61.28 | — |
| Integranet Amerigroup IPA | MCR | $61.28 | — |
| WellCare | SNP | $61.28 | — |
| WellCare | PPO | $61.28 | — |
| WellCare | PFFS | $61.28 | — |
| Superior Health Plan | MCRSNP | $62.47 | — |
| Superior Health Plan | PFFS | $62.47 | — |
| American Health Plan | MGMCR | $62.47 | — |
| Superior Health Plan | MCRPPO | $62.47 | — |
| Superior Health Plan | MCRPOS | $62.47 | — |
| Superior Health Plan | MCRHMO | $62.47 | — |
| Superior Health Plan | DualEligible | $62.47 | — |
| Shared Health | MGMCR | $62.47 | — |
| ProCare Advantage | MGMCR | $62.47 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $63.07 | — |
| Provider Partners Health Plan of Texas | PFFS | $63.07 | — |
| Provider Partners Health Plan of Texas | SNP | $63.07 | — |
| Provider Partners Health Plan of Texas | POS | $63.07 | — |
| Provider Partners Health Plan of Texas | PPO | $63.07 | — |
| Amerigroup | MCDCHIPBH | $64.40 | — |
| Amerigroup | MGMCD | $64.40 | — |
| Molina | MGMCR | $64.85 | — |
| Christus (USFHP) | TRICARE | $67.61 | — |
| TriWest Health Alliance | TRCR | $67.61 | — |
| United | OptionsPPO | $77.28 | — |
| Verda Health Plan | MCR | $77.35 | — |
| Community Health Choice | HIX | $86.27 | — |
| Superior | ValueHMO | $86.27 | — |
| Oscar | HIX | $89.70 | — |
| Superior | EPO | $92.22 | — |
| Superior | HMO | $92.22 | — |
| Molina Healthcare | HIX | $127.92 | — |
| BCBS | MyBlueHealth | $137.45 | — |
| BCBS | BAV | $151.55 | — |
| Humana | PPO | $152.40 | — |
| Humana | HMO | $152.40 | — |
| BCBS | Traditional | $161.00 | — |
| Coventry National First Health | COMM | $162.84 | — |
| BCBS | HMO | $189.73 | — |
| BCBS | EPOSOA | $193.25 | — |
| BCBS | PPO | $196.78 | — |
| United | GlobalAppendix | $207.00 | — |
| Aetna | NBPPO | $285.62 | — |
| Aetna | NBPOS | $285.62 | — |
| Aetna | NBHMO | $285.62 | — |
| Aetna | COMMHMO | $303.04 | — |
| Aetna | COMMPOS | $303.04 | — |
| Aetna | COMMPPO | $303.04 | — |
| Multiplan | PHCSPrimaryNetwork | $345.00 | — |
| Aetna | OONPPO | $357.03 | — |
| Aetna | OONPOS | $357.03 | — |
| Aetna | OONHMO | $357.03 | — |
| Aetna | ASAPOS | $385.33 | — |
| Aetna | ASAPPO | $385.33 | — |
| Aetna | ASAHMO | $385.33 | — |
| Multiplan | ComplementaryNetwork | $391.00 | — |
Visitor-reported prices
Comments
Physical Therapy Re-Evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist Willowbrook Hospital | Houston | $229.50 | $65.65 – $128.02 |
| Houston Methodist Hospital | Houston | $132.50 | $65.65 – $262.60 |
| Houston Methodist West Hospital | Houston | $229.50 | $65.65 – $262.60 |
| HCA HOUSTON WEST | HOUSTON | not published | $58.31 – $127.92 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $58.31 – $285.62 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $128.83 | $36.50 – $204.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $205.19 | $42.24 – $307.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $224.67 | $44.93 – $280.84 |