Revasc lithotrip tibi/perone at HCA HOUSTON TOMBALL

5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

$43,440.01

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$43,440.01

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2,156.00 with Aetna vs $23,299.62 with BCBS — 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 →

Payer
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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
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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 QHPExchange $2,156.00 ↓ -95%
Superior Health Plan STAR $2,606.40 ↓ -94%
Superior Health Plan STARKids $2,606.40 ↓ -94%
Superior Health Plan STARPLUS $2,606.40 ↓ -94%
Superior Health Plan CHPFC $2,606.40 ↓ -94%
Superior Health Plan CHIP $2,606.40 ↓ -94%
Aetna NBPOS $2,864.00 ↓ -93%
Aetna NBHMO $2,864.00 ↓ -93%
Aetna COMMPOS $3,044.00 ↓ -93%
Aetna COMMHMO $3,044.00 ↓ -93%
Aetna NBPPO $3,108.00 ↓ -93%
Aetna COMMPPO $3,303.00 ↓ -92%
Aetna OONHMO $3,582.00 ↓ -92%
Aetna OONPOS $3,582.00 ↓ -92%
Aetna ASAPOS $3,870.00 ↓ -91%
Aetna ASAHMO $3,870.00 ↓ -91%
Aetna OONPPO $3,886.00 ↓ -91%
Aetna ASAPPO $4,197.00 ↓ -90%
Humana HMO $4,690.00 ↓ -89%
Humana PPO $4,690.00 ↓ -89%
Texas Childrens Healthplans MEDICAID $4,750.24 ↓ -89%
Texas Childrens Healthplans CHIP $4,750.24 ↓ -89%
United MGMCD $5,097.19 ↓ -88%
Molina Healthcare CHIP $5,225.26 ↓ -88%
Molina Healthcare STAR $5,225.26 ↓ -88%
Molina Healthcare STARKIDS $5,225.26 ↓ -88%
Molina Healthcare STARPLUS $5,225.26 ↓ -88%
Community Health Choice MCD CHIP $5,320.27 ↓ -88%
Community Health Choice MCD STAR+PLUS $5,320.27 ↓ -88%
Community Health Choice MCD STAR $5,320.27 ↓ -88%
Community Health Choice MCD CHIPPerinatal $5,320.27 ↓ -88%
Humana MCD $5,937.80 ↓ -86%
Aetna Better Health MGMCD $5,996.70 ↓ -86%
BCBS MyBlueHealth $7,080.72 ↓ -84%
United OptionsPPO $7,297.92 ↓ -83%
BCBS BAV $7,819.20 ↓ -82%
Oscar HIX $8,470.80 ↓ -81%
BCBS HMO $9,774.00 ↓ -78%
Curative Administrators COMM $9,875.00 ↓ -77%
BCBS EPOSOA $9,991.20 ↓ -77%
Cigna CSN $10,740.00 ↓ -75%
Healthcare Highways NarrowNetwork $11,077.20 ↓ -75%
United SmallGroup $11,200.00 ↓ -74%
Cigna OpenAccessPlus $11,636.00 ↓ -73%
Evry Health BroadNetwork $11,859.12 ↓ -73%
Cigna PPO $13,835.00 ↓ -68%
BCBS Traditional $15,204.00 ↓ -65%
United NarrowNetworkIndivExchange $15,678.00 ↓ -64%
Coventry National First Health COMM $15,812.16 ↓ -64%
United AllPayerAppendix $16,000.00 ↓ -63%
Christus (USFHP) TRICARE $17,376.00 ↓ -60%
United GlobalAppendix $19,548.00 ↓ -55%
BCBS PPO $23,299.62 ↓ -46%

Visitor-reported prices

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Revasc lithotrip tibi/perone at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston $69,995.53 $5,097.19 – $20,588.03
Baylor St Luke's Medical Center Houston $7,304.85 $5,635.17 – $20,871.00
St. Luke's Health - The Vintage Hospital Houston $7,304.85 $5,635.17 – $20,871.00
HCA HOUSTON WEST HOUSTON not published $4,655.24 – $17,474.72
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $14,653.34 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $14,653.35 $3,016.15 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $13,321.23 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $14,653.34 $4,750.24 – $27,252.71

All Texas hospitals for this procedure →