Rectal sensation test at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$636.09
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.
$636.09
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.
$38.17 with Superior Health Plan vs $3,512.15 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 |
|---|---|---|---|
| Superior Health Plan | STAR | $38.17 | ↓ -94% |
| Superior Health Plan | STARPLUS | $38.17 | ↓ -94% |
| Superior Health Plan | STARKids | $38.17 | ↓ -94% |
| Superior Health Plan | CHIP | $38.17 | ↓ -94% |
| Superior Health Plan | CHPFC | $38.17 | ↓ -94% |
| Community Health Choice MCD | STAR | $82.69 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $82.69 | ↓ -87% |
| Community Health Choice MCD | CHIP | $82.69 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $82.69 | ↓ -87% |
| Cigna | CSN | $94.14 | ↓ -85% |
| Cigna | OpenAccessPlus | $101.77 | ↓ -84% |
| United | OptionsPPO | $106.86 | ↓ -83% |
| Cigna | PPO | $120.86 | ↓ -81% |
| Healthcare Highways | NarrowNetwork | $162.20 | ↓ -75% |
| Evry Health | BroadNetwork | $173.65 | ↓ -73% |
| BCBS | Traditional | $222.63 | ↓ -65% |
| Coventry National First Health | COMM | $231.54 | ↓ -64% |
| Christus (USFHP) | TRICARE | $254.44 | ↓ -60% |
| United | GlobalAppendix | $286.24 | ↓ -55% |
| BCBS | MyBlueHealth | $970.66 | ↑ +53% |
| BCBS | BAV | $1,070.21 | ↑ +68% |
| BCBS | HMO | $1,339.84 | ↑ +111% |
| BCBS | EPOSOA | $1,364.72 | ↑ +115% |
| BCBS | PPO | $1,389.61 | ↑ +118% |
| Curative Administrators | COMM | $1,672.00 | ↑ +163% |
| Oscar | HIX | $2,358.00 | ↑ +271% |
| Humana | PPO | $3,512.15 | ↑ +452% |
| Humana | HMO | $3,512.15 | ↑ +452% |
Visitor-reported prices
Comments
Rectal sensation test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $970.66 – $3,512.15 |
| HCA HOUSTON WEST | HOUSTON | not published | $3,512.15 – $3,512.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $651.44 | $184.57 – $1,273.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $651.44 | $134.09 – $977.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $564.48 | $112.90 – $1,252.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $651.44 | $173.72 – $970.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $651.44 | $209.11 – $1,530.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $651.44 | $336.58 – $1,667.00 |