Prq tcat plmt ntrac st 2+les 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.
$3,982.00 with Aetna vs $82,322.69 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 |
|---|---|---|---|
| Aetna | NBHMO | $3,982.00 | — |
| Aetna | NBPOS | $3,982.00 | — |
| Aetna | COMMHMO | $4,231.00 | — |
| Aetna | COMMPOS | $4,231.00 | — |
| Aetna | NBPPO | $4,475.00 | — |
| Aetna | COMMPPO | $4,755.00 | — |
| Aetna | OONPOS | $4,979.00 | — |
| Aetna | OONHMO | $4,979.00 | — |
| Aetna | ASAHMO | $5,380.00 | — |
| Aetna | ASAPOS | $5,380.00 | — |
| Superior Health Plan | CHIP | $5,591.00 | — |
| Superior Health Plan | STARPLUS | $5,591.00 | — |
| Superior Health Plan | STARKids | $5,591.00 | — |
| Superior Health Plan | STAR | $5,591.00 | — |
| Superior Health Plan | CHPFC | $5,591.00 | — |
| Aetna | OONPPO | $5,593.00 | — |
| Aetna | ASAPPO | $6,043.00 | — |
| Aetna | MCR | $6,421.17 | — |
| Oscar | HIX | $11,153.00 | — |
| United | SmallGroup | $11,200.00 | — |
| Community Health Choice MCD | STAR+PLUS | $12,590.53 | — |
| Community Health Choice MCD | CHIP | $12,590.53 | — |
| Community Health Choice MCD | CHIPPerinatal | $12,590.53 | — |
| Community Health Choice MCD | STAR | $12,590.53 | — |
| Amerigroup | MGMCD | $13,559.03 | — |
| Amerigroup | MCDCHIPBH | $13,559.03 | — |
| United | NarrowNetworkIndivExchange | $15,678.00 | — |
| United | AllPayerAppendix | $16,000.00 | — |
| United | OptionsPPO | $16,270.84 | — |
| Superior | HMO | $16,948.79 | — |
| Superior | EPO | $16,948.79 | — |
| Superior | ValueHMO | $19,176.34 | — |
| Healthcare Highways | NarrowNetwork | $21,231.00 | — |
| Molina Healthcare | HIX | $26,149.56 | — |
| CHC Harris Health | Indigent | $29,055.07 | — |
| Evry Health | BroadNetwork | $29,288.00 | — |
| Humana | HMO | $32,086.48 | — |
| Humana | PPO | $32,086.48 | — |
| BCBS | Traditional | $33,897.58 | — |
| Coventry National First Health | COMM | $34,284.98 | — |
| Christus (USFHP) | TRICARE | $38,740.09 | — |
| BCBS | MyBlueHealth | $41,390.40 | — |
| United | GlobalAppendix | $43,582.60 | — |
| Curative Administrators | COMM | $43,890.00 | — |
| BCBS | BAV | $45,510.72 | — |
| BCBS | HMO | $63,115.69 | — |
| BCBS | EPOSOA | $67,423.28 | — |
| BCBS | PPO | $71,730.88 | — |
| Multiplan | PHCSPrimaryNetwork | $72,637.66 | — |
| Multiplan | ComplementaryNetwork | $82,322.69 | — |
Visitor-reported prices
Comments
Prq tcat plmt ntrac st 2+les at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist Willowbrook Hospital | Houston | $28,093.00 | $18,415.17 – $35,909.58 |
| Houston Methodist Hospital | Houston | $28,093.00 | $18,415.17 – $73,660.69 |
| Houston Methodist West Hospital | Houston | $28,093.00 | $18,415.17 – $73,660.69 |
| HCA HOUSTON WEST | HOUSTON | not published | $35,209.94 – $35,209.94 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $41,390.40 – $41,390.40 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $22,098.20 | $6,299.00 – $39,592.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $22,098.20 | $4,548.55 – $33,147.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $22,098.20 | $10,273.60 – $27,622.76 |