Vein x-ray skull 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.
$155.70 with Texas Childrens Healthplans vs $6,438.74 with United — 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 | $155.70 | — |
| Texas Childrens Healthplans | MEDICAID | $155.70 | — |
| Community Health Choice MCD | STAR | $157.04 | — |
| Community Health Choice MCD | CHIP | $157.04 | — |
| Community Health Choice MCD | STAR+PLUS | $157.04 | — |
| Community Health Choice MCD | CHIPPerinatal | $157.04 | — |
| United | MGMCD | $160.18 | — |
| Aetna Better Health | MGMCD | $169.60 | — |
| Molina Healthcare | CHIP | $171.27 | — |
| Molina Healthcare | STAR | $171.27 | — |
| Molina Healthcare | STARKIDS | $171.27 | — |
| Molina Healthcare | STARPLUS | $171.27 | — |
| Humana | MCD | $194.63 | — |
| BCBS | MyBlueHealth | $220.11 | — |
| BCBS | BAV | $278.88 | — |
| Cigna | CSN | $357.55 | — |
| Cigna | OpenAccessPlus | $386.95 | — |
| BCBS | HMO | $425.20 | — |
| Cigna | PPO | $459.97 | — |
| BCBS | EPOSOA | $471.48 | — |
| BCBS | PPO | $517.75 | — |
| Aetna | QHPExchange | $611.22 | — |
| Aetna | NBHMO | $812.37 | — |
| Aetna | NBPOS | $812.37 | — |
| Aetna | NBPPO | $812.37 | — |
| Aetna | COMMPPO | $864.16 | — |
| Aetna | COMMPOS | $864.16 | — |
| Aetna | COMMHMO | $864.16 | — |
| Aetna | OONHMO | $1,016.10 | — |
| Aetna | OONPPO | $1,016.10 | — |
| Aetna | OONPOS | $1,016.10 | — |
| Aetna | ASAPOS | $1,098.12 | — |
| Aetna | ASAHMO | $1,098.12 | — |
| Aetna | ASAPPO | $1,098.12 | — |
| Humana | PPO | $1,595.83 | — |
| Humana | HMO | $1,595.83 | — |
| United | NarrowNetworkIndivExchange | $5,437.15 | — |
| United | SmallGroup | $6,438.74 | — |
| United | AllPayerAppendix | $6,438.74 | — |
Visitor-reported prices
Comments
Vein x-ray skull at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $3,573.15 | $150.07 – $10,209.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $3,573.15 | $140.00 – $10,209.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $157.04 – $611.22 |
| HCA HOUSTON WEST | HOUSTON | not published | $152.59 – $611.22 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,122.85 | $155.70 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,864.02 | $383.68 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,834.89 | $155.70 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,122.85 | $155.70 – $7,896.23 |