Prq card revasc mi 1 vsl drug-eluting 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.
$4,078.80 with Aetna vs $52,000.00 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 |
|---|---|---|---|
| Aetna | MCR | $4,078.80 | — |
| Superior Health Plan | STARPLUS | $5,591.00 | — |
| Superior Health Plan | CHIP | $5,591.00 | — |
| Superior Health Plan | CHPFC | $5,591.00 | — |
| Superior Health Plan | STAR | $5,591.00 | — |
| Superior Health Plan | STARKids | $5,591.00 | — |
| Community Health Choice MCD | STAR+PLUS | $7,997.64 | — |
| Community Health Choice MCD | CHIPPerinatal | $7,997.64 | — |
| Community Health Choice MCD | CHIP | $7,997.64 | — |
| Community Health Choice MCD | STAR | $7,997.64 | — |
| BCBS | MyBlueHealth | $9,913.14 | — |
| United | OptionsPPO | $10,335.42 | — |
| BCBS | BAV | $10,918.50 | — |
| Oscar | HIX | $11,153.00 | — |
| BCBS | PPO | $12,367.10 | — |
| BCBS | EPOSOA | $12,540.06 | — |
| BCBS | HMO | $12,713.03 | — |
| Aetna | QHPExchange | $15,703.00 | — |
| Molina Healthcare | HIX | $16,610.49 | — |
| CHC Harris Health | Indigent | $18,456.10 | — |
| Humana | PPO | $19,631.14 | — |
| Humana | HMO | $19,631.14 | — |
| Aetna | NBPPO | $20,855.00 | — |
| Aetna | NBHMO | $20,855.00 | — |
| Aetna | NBPOS | $20,855.00 | — |
| Healthcare Highways | NarrowNetwork | $21,231.00 | — |
| BCBS | Traditional | $21,532.12 | — |
| Aetna | COMMPPO | $22,161.00 | — |
| Aetna | COMMHMO | $22,161.00 | — |
| Aetna | COMMPOS | $22,161.00 | — |
| Coventry National First Health | COMM | $22,393.40 | — |
| Christus (USFHP) | TRICARE | $24,608.14 | — |
| Aetna | OONHMO | $26,074.00 | — |
| Aetna | OONPPO | $26,074.00 | — |
| Aetna | OONPOS | $26,074.00 | — |
| United | GlobalAppendix | $27,684.15 | — |
| Aetna | ASAPPO | $28,167.00 | — |
| Aetna | ASAHMO | $28,167.00 | — |
| Aetna | ASAPOS | $28,167.00 | — |
| Cigna | CSN | $28,305.00 | — |
| Evry Health | BroadNetwork | $29,288.00 | — |
| Cigna | OpenAccessPlus | $30,666.00 | — |
| United | NarrowNetworkIndivExchange | $33,440.00 | — |
| United | SmallGroup | $36,400.00 | — |
| Cigna | PPO | $36,462.00 | — |
| Curative Administrators | COMM | $43,890.00 | — |
| United | AllPayerAppendix | $52,000.00 | — |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl drug-eluting at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $11,086.60 | $3,484.36 – $31,676.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $11,086.60 | $2,534.08 – $31,676.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $9,913.14 – $9,913.14 |
| HCA HOUSTON WEST | HOUSTON | not published | $9,913.14 – $9,913.14 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $25,591.93 | $6,299.00 – $36,255.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $26,324.66 | $5,418.49 – $39,486.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,600.07 | $4,320.01 – $27,000.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $25,591.93 | $6,824.52 – $36,255.24 |