Screening Mammogram 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.
$54.09 with Superior Health Plan vs $987.20 with Aetna — 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 | STARPLUS | $54.09 | — |
| Superior Health Plan | CHPFC | $54.09 | — |
| Superior Health Plan | STAR | $54.09 | — |
| Superior Health Plan | STARKids | $54.09 | — |
| Superior Health Plan | CHIP | $54.09 | — |
| Oscar | MGMCR | $88.86 | — |
| TriWest Health Alliance | TRCR | $90.00 | — |
| Christus (USFHP) | TRICARE | $90.00 | — |
| Humana | MedicareAdvantageHMO | $90.67 | — |
| Humana | MedicareAdvantagePPOPFFS | $90.67 | — |
| Devoted Health | MGMCR | $90.67 | — |
| CHC Harris Health | Indigent | $90.67 | — |
| BCBS | MedicareAdvantageHMO | $90.67 | — |
| BCBS | MCRPPO | $90.67 | — |
| Cigna HealthSpring | MMP | $90.67 | — |
| Cigna HealthSpring | PFFS | $90.67 | — |
| Cigna HealthSpring | MCRSNP | $90.67 | — |
| Cigna HealthSpring | MCRPPO | $90.67 | — |
| Cigna HealthSpring | MCRHMO | $90.67 | — |
| TriWest Healthcare Alliance | Veterans | $90.67 | — |
| WellMed | MGMCR | $91.12 | — |
| Aetna | MCR | $91.44 | — |
| Van Lang IPA | MCR | $91.58 | — |
| United | MCR | $92.48 | — |
| WellCare | POS | $93.39 | — |
| WellCare | PPO | $93.39 | — |
| WellCare | PFFS | $93.39 | — |
| Integranet Amerigroup IPA | MCR | $93.39 | — |
| WellCare | SNP | $93.39 | — |
| WellCare | MCRHMO | $93.39 | — |
| Superior Health Plan | PFFS | $95.20 | — |
| American Health Plan | MGMCR | $95.20 | — |
| Superior Health Plan | DualEligible | $95.20 | — |
| Superior Health Plan | MCRHMO | $95.20 | — |
| Superior Health Plan | MCRPOS | $95.20 | — |
| Superior Health Plan | MCRPPO | $95.20 | — |
| Superior Health Plan | MCRSNP | $95.20 | — |
| ProCare Advantage | MGMCR | $95.20 | — |
| Shared Health | MGMCR | $95.20 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $96.11 | — |
| Provider Partners Health Plan of Texas | SNP | $96.11 | — |
| Provider Partners Health Plan of Texas | POS | $96.11 | — |
| Provider Partners Health Plan of Texas | PPO | $96.11 | — |
| Provider Partners Health Plan of Texas | PFFS | $96.11 | — |
| Molina | MGMCR | $98.83 | — |
| Community Health Choice MCD | CHIP | $117.20 | — |
| Community Health Choice MCD | CHIPPerinatal | $117.20 | — |
| Community Health Choice MCD | STAR | $117.20 | — |
| Community Health Choice MCD | STAR+PLUS | $117.20 | — |
| Verda Health Plan | MCR | $117.87 | — |
| Superior | ValueHMO | $131.47 | — |
| Community Health Choice | HIX | $131.47 | — |
| Superior | HMO | $140.54 | — |
| Superior | EPO | $140.54 | — |
| United | OptionsPPO | $151.46 | — |
| BCBS | MyBlueHealth | $175.07 | — |
| United | NarrowNetworkIndivExchange | $183.64 | — |
| Molina Healthcare | HIX | $194.94 | — |
| United | SmallGroup | $217.46 | — |
| United | AllPayerAppendix | $217.46 | — |
| BCBS | BAV | $221.82 | — |
| Evry Health | BroadNetwork | $246.12 | — |
| Healthcare Highways | NarrowNetwork | $274.00 | — |
| Humana | HMO | $287.68 | — |
| Humana | PPO | $287.68 | — |
| BCBS | Traditional | $315.54 | — |
| Coventry National First Health | COMM | $328.16 | — |
| BCBS | HMO | $338.20 | — |
| Curative Administrators | COMM | $360.62 | — |
| BCBS | EPOSOA | $375.00 | — |
| United | GlobalAppendix | $405.69 | — |
| BCBS | PPO | $411.81 | — |
| Cigna | CSN | $516.00 | — |
| Aetna | QHPExchange | $549.48 | — |
| Cigna | OpenAccessPlus | $559.00 | — |
| Cigna | PPO | $665.00 | — |
| Aetna | NBPPO | $730.31 | — |
| Aetna | NBHMO | $730.31 | — |
| Aetna | NBPOS | $730.31 | — |
| Aetna | COMMHMO | $776.88 | — |
| Aetna | COMMPPO | $776.88 | — |
| Aetna | COMMPOS | $776.88 | — |
| Aetna | OONHMO | $913.47 | — |
| Aetna | OONPOS | $913.47 | — |
| Aetna | OONPPO | $913.47 | — |
| Aetna | ASAHMO | $987.20 | — |
| Aetna | ASAPOS | $987.20 | — |
| Aetna | ASAPPO | $987.20 | — |
Visitor-reported prices
Comments
Screening Mammogram at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $297.50 | $119.36 – $850.00 |
| HCA HOUSTON WEST | HOUSTON | $2,060.00 | $88.86 – $194.94 |
| St. Luke's Health - The Vintage Hospital | Houston | $297.50 | $140.25 – $850.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $88.86 – $549.48 |
| Adventhealth Rollins Brook | Lampasas | $792.81 | $382.96 – $382.96 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $227.22 | $64.38 – $321.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $238.14 | $49.02 – $357.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $238.14 | $47.63 – $334.22 |