Repair pm/icd lead sgl at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$6,650.98
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.
$6,650.98
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.
$399.06 with Superior Health Plan vs $24,035.00 with Curative Administrators — 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 | CHIP | $399.06 | ↓ -94% |
| Superior Health Plan | STARPLUS | $399.06 | ↓ -94% |
| Superior Health Plan | STARKids | $399.06 | ↓ -94% |
| Superior Health Plan | STAR | $399.06 | ↓ -94% |
| Superior Health Plan | CHPFC | $399.06 | ↓ -94% |
| BCBS | MyBlueHealth | $1,084.11 | ↓ -84% |
| United | OptionsPPO | $1,117.36 | ↓ -83% |
| BCBS | BAV | $1,197.18 | ↓ -82% |
| Texas Childrens Healthplans | MEDICAID | $1,425.44 | ↓ -79% |
| Texas Childrens Healthplans | CHIP | $1,425.44 | ↓ -79% |
| BCBS | HMO | $1,496.47 | ↓ -78% |
| United | MGMCD | $1,529.55 | ↓ -77% |
| BCBS | EPOSOA | $1,529.73 | ↓ -77% |
| Molina Healthcare | STAR | $1,567.98 | ↓ -76% |
| Molina Healthcare | STARPLUS | $1,567.98 | ↓ -76% |
| Molina Healthcare | CHIP | $1,567.98 | ↓ -76% |
| Molina Healthcare | STARKIDS | $1,567.98 | ↓ -76% |
| Community Health Choice MCD | CHIPPerinatal | $1,596.49 | ↓ -76% |
| Community Health Choice MCD | STAR | $1,596.49 | ↓ -76% |
| Community Health Choice MCD | STAR+PLUS | $1,596.49 | ↓ -76% |
| Community Health Choice MCD | CHIP | $1,596.49 | ↓ -76% |
| Humana | MCD | $1,781.80 | ↓ -73% |
| Aetna Better Health | MGMCD | $1,799.47 | ↓ -73% |
| Aetna | QHPExchange | $2,156.00 | ↓ -68% |
| BCBS | Traditional | $2,327.84 | ↓ -65% |
| Coventry National First Health | COMM | $2,420.96 | ↓ -64% |
| Christus (USFHP) | TRICARE | $2,660.39 | ↓ -60% |
| Aetna | NBHMO | $2,864.00 | ↓ -57% |
| Aetna | NBPOS | $2,864.00 | ↓ -57% |
| United | GlobalAppendix | $2,992.94 | ↓ -55% |
| Aetna | COMMHMO | $3,044.00 | ↓ -54% |
| Aetna | COMMPOS | $3,044.00 | ↓ -54% |
| Aetna | NBPPO | $3,108.00 | ↓ -53% |
| Aetna | COMMPPO | $3,303.00 | ↓ -50% |
| Aetna | OONPOS | $3,582.00 | ↓ -46% |
| Aetna | OONHMO | $3,582.00 | ↓ -46% |
| Aetna | ASAPOS | $3,870.00 | ↓ -42% |
| Aetna | ASAHMO | $3,870.00 | ↓ -42% |
| Aetna | OONPPO | $3,886.00 | ↓ -42% |
| Aetna | ASAPPO | $4,197.00 | ↓ -37% |
| Humana | PPO | $4,690.00 | ↓ -29% |
| Humana | HMO | $4,690.00 | ↓ -29% |
| United | SmallGroup | $4,760.00 | ↓ -28% |
| Healthcare Highways | NarrowNetwork | $4,988.00 | ↓ -25% |
| United | NarrowNetworkIndivExchange | $5,951.00 | ↓ -11% |
| United | AllPayerAppendix | $6,800.00 | ↑ +2% |
| BCBS | PPO | $6,922.90 | ↑ +4% |
| Cigna | CSN | $10,740.00 | ↑ +61% |
| Cigna | OpenAccessPlus | $11,636.00 | ↑ +75% |
| Evry Health | BroadNetwork | $12,193.00 | ↑ +83% |
| Cigna | PPO | $13,835.00 | ↑ +108% |
| Oscar | HIX | $17,551.00 | ↑ +164% |
| Curative Administrators | COMM | $24,035.00 | ↑ +261% |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $3,237.85 | $2,497.77 – $9,251.00 |
| HCA HOUSTON WEST | HOUSTON | $16,784.00 | $1,396.93 – $5,192.18 |
| St. Luke's Health - The Vintage Hospital | Houston | $3,237.85 | $2,497.77 – $9,251.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,529.55 – $6,117.22 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,755.02 | $1,425.44 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,202.09 | $1,070.76 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,823.76 | $1,425.44 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,755.02 | $1,425.44 – $9,728.21 |