Upper Arm (Humerus) X-ray (left side) 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.
$32.08 with Amerigroup vs $1,581.80 with Multiplan — 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 |
|---|---|---|---|
| Amerigroup | MCDCHIPBH | $32.08 | — |
| Amerigroup | MGMCD | $32.08 | — |
| Community Health Choice MCD | STAR+PLUS | $32.41 | — |
| Community Health Choice MCD | CHIP | $32.41 | — |
| Community Health Choice MCD | CHIPPerinatal | $32.41 | — |
| Community Health Choice MCD | STAR | $32.41 | — |
| United | MGMCD | $33.06 | — |
| Aetna Better Health | MGMCD | $35.00 | — |
| Molina Healthcare | STARKIDS | $35.29 | — |
| Molina Healthcare | STAR | $35.29 | — |
| Molina Healthcare | STARPLUS | $35.29 | — |
| Molina Healthcare | CHIP | $35.29 | — |
| Humana | MCD | $40.10 | — |
| Texas Childrens Health Plans | STAR | $48.12 | — |
| Texas Childrens Health Plans | CHIP | $48.12 | — |
| Texas Childrens Health Plans | STARKIDS | $48.12 | — |
| Cigna | CSN | $88.37 | — |
| Cigna | OpenAccessPlus | $95.64 | — |
| Superior Health Plan | CHPFC | $111.66 | — |
| Superior Health Plan | STARPLUS | $111.66 | — |
| Superior Health Plan | STARKids | $111.66 | — |
| Superior Health Plan | STAR | $111.66 | — |
| Superior Health Plan | CHIP | $111.66 | — |
| Cigna | PPO | $113.68 | — |
| BCBS | MyBlueHealth | $140.47 | — |
| United | NarrowNetworkIndivExchange | $153.71 | — |
| BCBS | BAV | $177.98 | — |
| United | SmallGroup | $182.03 | — |
| United | AllPayerAppendix | $182.03 | — |
| Aetna | NBPOS | $198.96 | — |
| Aetna | NBHMO | $198.96 | — |
| Aetna | NBPPO | $198.96 | — |
| Aetna | COMMHMO | $211.70 | — |
| Aetna | COMMPPO | $211.70 | — |
| Aetna | COMMPOS | $211.70 | — |
| Aetna | OONPPO | $248.91 | — |
| Aetna | OONHMO | $248.91 | — |
| Aetna | OONPOS | $248.91 | — |
| Aetna | ASAHMO | $269.13 | — |
| Aetna | ASAPPO | $269.13 | — |
| Aetna | ASAPOS | $269.13 | — |
| BCBS | HMO | $271.35 | — |
| BCBS | EPOSOA | $300.88 | — |
| United | OptionsPPO | $312.64 | — |
| BCBS | PPO | $330.41 | — |
| Healthcare Highways | NarrowNetwork | $474.54 | — |
| Evry Health | BroadNetwork | $508.04 | — |
| Humana | HMO | $616.53 | — |
| Humana | PPO | $616.53 | — |
| BCBS | Traditional | $651.33 | — |
| Coventry National First Health | COMM | $658.77 | — |
| Christus (USFHP) | TRICARE | $744.38 | — |
| Curative Administrators | COMM | $744.38 | — |
| United | GlobalAppendix | $837.42 | — |
| Multiplan | PHCSPrimaryNetwork | $1,395.70 | — |
| Multiplan | ComplementaryNetwork | $1,581.80 | — |
Visitor-reported prices
Comments
Upper Arm (Humerus) X-ray (left side) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $360.85 | $32.08 – $1,031.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $360.85 | $32.08 – $1,031.00 |
| Houston Methodist Willowbrook Hospital | Houston | $632.50 | $87.42 – $170.47 |
| Houston Methodist Hospital | Houston | $542.00 | $87.42 – $349.69 |
| Houston Methodist West Hospital | Houston | $632.50 | $87.42 – $349.69 |
| HCA HOUSTON WEST | HOUSTON | not published | $31.44 – $198.96 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $32.08 – $198.96 |
| Adventhealth Rollins Brook | Lampasas | $536.20 | $307.27 – $307.27 |