Shoulder MRI (with contrast) 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.
$323.10 with Texas Childrens Healthplans vs $5,235.90 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 |
|---|---|---|---|
| Texas Childrens Healthplans | CHIP | $323.10 | — |
| Texas Childrens Healthplans | MEDICAID | $323.10 | — |
| Community Health Choice MCD | STAR+PLUS | $328.45 | — |
| Community Health Choice MCD | CHIPPerinatal | $328.45 | — |
| Community Health Choice MCD | CHIP | $328.45 | — |
| Community Health Choice MCD | STAR | $328.45 | — |
| United | MGMCD | $335.02 | — |
| Aetna Better Health | MGMCD | $354.73 | — |
| Molina Healthcare | CHIP | $355.41 | — |
| Molina Healthcare | STARPLUS | $355.41 | — |
| Molina Healthcare | STARKIDS | $355.41 | — |
| Molina Healthcare | STAR | $355.41 | — |
| Humana | MCD | $403.88 | — |
| Superior Health Plan | STARKids | $694.58 | — |
| Superior Health Plan | STARPLUS | $694.58 | — |
| Superior Health Plan | CHIP | $694.58 | — |
| Superior Health Plan | CHPFC | $694.58 | — |
| Superior Health Plan | STAR | $694.58 | — |
| Aetna | QHPExchange | $1,210.00 | — |
| United | NarrowNetworkIndivExchange | $1,358.84 | — |
| BCBS | MyBlueHealth | $1,463.76 | — |
| Aetna | NBPOS | $1,605.00 | — |
| Aetna | NBPPO | $1,605.00 | — |
| Aetna | NBHMO | $1,605.00 | — |
| United | SmallGroup | $1,609.16 | — |
| United | AllPayerAppendix | $1,609.16 | — |
| BCBS | BAV | $1,688.43 | — |
| Aetna | COMMHMO | $1,706.00 | — |
| Aetna | COMMPPO | $1,706.00 | — |
| Aetna | COMMPOS | $1,706.00 | — |
| United | OptionsPPO | $1,944.82 | — |
| Aetna | OONHMO | $2,007.00 | — |
| Aetna | OONPPO | $2,007.00 | — |
| Aetna | OONPOS | $2,007.00 | — |
| Cigna | CSN | $2,127.00 | — |
| Aetna | ASAPPO | $2,168.00 | — |
| Aetna | ASAHMO | $2,168.00 | — |
| Aetna | ASAPOS | $2,168.00 | — |
| Cigna | OpenAccessPlus | $2,304.00 | — |
| BCBS | HMO | $2,566.69 | — |
| Cigna | PPO | $2,739.00 | — |
| BCBS | EPOSOA | $2,811.79 | — |
| BCBS | PPO | $3,050.07 | — |
| BCBS | Traditional | $4,051.72 | — |
| Coventry National First Health | COMM | $4,213.78 | — |
| Christus (USFHP) | TRICARE | $4,630.53 | — |
| United | GlobalAppendix | $5,209.35 | — |
| Humana | PPO | $5,235.90 | — |
| Humana | HMO | $5,235.90 | — |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $6,060.01 | $328.45 – $1,463.76 |
| Baylor St Luke's Medical Center | Houston | $2,775.15 | $323.10 – $7,929.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $2,775.15 | $323.10 – $7,929.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $316.64 – $1,361.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,857.68 | $323.10 – $3,572.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,895.55 | $596.00 – $4,343.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,838.31 | $323.10 – $3,547.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,857.68 | $323.10 – $3,572.10 |