Surgical pathology level 2 gross & microscopic examination 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$24.67 with United vs $244.21 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | SmallGroup | $24.67 | — |
| United | AllPayerAppendix | $24.67 | — |
| United | NarrowNetworkIndivExchange | $24.67 | — |
| Superior Health Plan | CHPFC | $28.56 | — |
| Superior Health Plan | STARPLUS | $28.56 | — |
| Superior Health Plan | STARKids | $28.56 | — |
| Superior Health Plan | STAR | $28.56 | — |
| Superior Health Plan | CHIP | $28.56 | — |
| BCBS | MyBlueHealth | $46.44 | — |
| BCBS | BAV | $51.27 | — |
| Community Health Choice MCD | STAR | $61.87 | — |
| Community Health Choice MCD | CHIP | $61.87 | — |
| Community Health Choice MCD | STAR+PLUS | $61.87 | — |
| Community Health Choice MCD | CHIPPerinatal | $61.87 | — |
| BCBS | HMO | $64.14 | — |
| BCBS | EPOSOA | $68.74 | — |
| BCBS | PPO | $73.34 | — |
| United | OptionsPPO | $79.96 | — |
| Oscar | HIX | $92.81 | — |
| Aetna | QHPExchange | $95.05 | — |
| Cigna | CSN | $108.47 | — |
| Cigna | OpenAccessPlus | $117.48 | — |
| Healthcare Highways | NarrowNetwork | $121.37 | — |
| Aetna | NBHMO | $126.41 | — |
| Aetna | NBPPO | $126.41 | — |
| Aetna | NBPOS | $126.41 | — |
| Evry Health | BroadNetwork | $129.93 | — |
| Aetna | COMMPPO | $134.29 | — |
| Aetna | COMMPOS | $134.29 | — |
| Aetna | COMMHMO | $134.29 | — |
| Cigna | PPO | $139.78 | — |
| Aetna | OONPPO | $157.76 | — |
| Aetna | OONHMO | $157.76 | — |
| Aetna | OONPOS | $157.76 | — |
| BCBS | Traditional | $166.58 | — |
| Aetna | ASAPPO | $170.58 | — |
| Aetna | ASAPOS | $170.58 | — |
| Aetna | ASAHMO | $170.58 | — |
| Coventry National First Health | COMM | $173.25 | — |
| Christus (USFHP) | TRICARE | $190.38 | — |
| United | GlobalAppendix | $214.18 | — |
| Humana | HMO | $244.21 | — |
| Humana | PPO | $244.21 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $273.70 | $27.59 – $782.00 |
| HCA HOUSTON WEST | HOUSTON | $827.00 | $24.67 – $244.21 |
| St. Luke's Health - The Vintage Hospital | Houston | $273.70 | $33.57 – $782.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $24.67 – $244.21 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $176.63 | $35.00 – $220.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $187.56 | $36.00 – $281.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $182.09 | $35.64 – $227.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $176.63 | $35.00 – $220.78 |