X-ray surgical specimen 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.
$42.10 with Community Health Choice MCD vs $1,993.74 with BCBS — 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 |
|---|---|---|---|
| Community Health Choice MCD | CHIPPerinatal | $42.10 | — |
| Community Health Choice MCD | CHIP | $42.10 | — |
| Community Health Choice MCD | STAR+PLUS | $42.10 | — |
| Community Health Choice MCD | STAR | $42.10 | — |
| Texas Childrens Healthplans | MEDICAID | $42.78 | — |
| Texas Childrens Healthplans | CHIP | $42.78 | — |
| United | MGMCD | $42.94 | — |
| Aetna Better Health | MGMCD | $45.47 | — |
| Molina Healthcare | CHIP | $47.06 | — |
| Molina Healthcare | STARPLUS | $47.06 | — |
| Molina Healthcare | STARKIDS | $47.06 | — |
| Molina Healthcare | STAR | $47.06 | — |
| Humana | MCD | $53.48 | — |
| Superior Health Plan | CHIP | $75.38 | — |
| Superior Health Plan | STARPLUS | $75.38 | — |
| Superior Health Plan | STARKids | $75.38 | — |
| Superior Health Plan | STAR | $75.38 | — |
| Superior Health Plan | CHPFC | $75.38 | — |
| Cigna | CSN | $98.06 | — |
| Cigna | OpenAccessPlus | $106.12 | — |
| Cigna | PPO | $126.15 | — |
| Aetna | QHPExchange | $151.09 | — |
| Humana | PPO | $154.38 | — |
| Humana | HMO | $154.38 | — |
| Aetna | NBHMO | $200.81 | — |
| Aetna | NBPPO | $200.81 | — |
| Aetna | NBPOS | $200.81 | — |
| United | OptionsPPO | $211.07 | — |
| Aetna | COMMPOS | $213.61 | — |
| Aetna | COMMPPO | $213.61 | — |
| Aetna | COMMHMO | $213.61 | — |
| Aetna | OONPPO | $251.17 | — |
| Aetna | OONPOS | $251.17 | — |
| Aetna | OONHMO | $251.17 | — |
| Aetna | ASAPPO | $271.44 | — |
| Aetna | ASAHMO | $271.44 | — |
| Aetna | ASAPOS | $271.44 | — |
| Healthcare Highways | NarrowNetwork | $320.38 | — |
| Evry Health | BroadNetwork | $342.99 | — |
| BCBS | Traditional | $439.74 | — |
| Coventry National First Health | COMM | $457.33 | — |
| Christus (USFHP) | TRICARE | $502.56 | — |
| Curative Administrators | COMM | $502.56 | — |
| United | GlobalAppendix | $565.38 | — |
| BCBS | MyBlueHealth | $847.58 | — |
| United | NarrowNetworkIndivExchange | $917.49 | — |
| BCBS | BAV | $1,073.92 | — |
| United | AllPayerAppendix | $1,086.50 | — |
| United | SmallGroup | $1,086.50 | — |
| BCBS | HMO | $1,637.37 | — |
| BCBS | EPOSOA | $1,815.56 | — |
| BCBS | PPO | $1,993.74 | — |
Visitor-reported prices
Comments
X-ray surgical specimen at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $1,549.31 | $42.10 – $847.58 |
| Baylor St Luke's Medical Center | Houston | $642.95 | $42.10 – $1,837.00 |
| HCA HOUSTON WEST | HOUSTON | $1,211.00 | $41.92 – $847.58 |
| St. Luke's Health - The Vintage Hospital | Houston | $642.95 | $42.10 – $1,837.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $458.88 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $638.62 | $131.45 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $565.09 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $458.88 | $42.78 – $1,366.64 |