X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast at HCA HOUSTON TOMBALL
5003 CYPRESS CREEK PKWY, HOUSTON, TX · HCA Houston Healthcare · · NPI 1750819025
$4,637.25
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.
$4,637.25
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.
$139.34 with Texas Childrens Healthplans vs $2,086.76 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 | $139.34 | ↓ -97% |
| Texas Childrens Healthplans | MEDICAID | $139.34 | ↓ -97% |
| Community Health Choice MCD | STAR+PLUS | $141.68 | ↓ -97% |
| Community Health Choice MCD | CHIPPerinatal | $141.68 | ↓ -97% |
| Community Health Choice MCD | CHIP | $141.68 | ↓ -97% |
| Community Health Choice MCD | STAR | $141.68 | ↓ -97% |
| United | MGMCD | $144.51 | ↓ -97% |
| Aetna Better Health | MGMCD | $153.01 | ↓ -97% |
| Molina Healthcare | CHIP | $153.27 | ↓ -97% |
| Molina Healthcare | STARPLUS | $153.27 | ↓ -97% |
| Molina Healthcare | STARKIDS | $153.27 | ↓ -97% |
| Molina Healthcare | STAR | $153.27 | ↓ -97% |
| Humana | MCD | $174.18 | ↓ -96% |
| Superior Health Plan | CHIP | $278.24 | ↓ -94% |
| Superior Health Plan | STARPLUS | $278.24 | ↓ -94% |
| Superior Health Plan | STARKids | $278.24 | ↓ -94% |
| Superior Health Plan | STAR | $278.24 | ↓ -94% |
| Superior Health Plan | CHPFC | $278.24 | ↓ -94% |
| BCBS | MyBlueHealth | $320.71 | ↓ -93% |
| United | NarrowNetworkIndivExchange | $339.25 | ↓ -93% |
| Cigna | CSN | $361.43 | ↓ -92% |
| Cigna | OpenAccessPlus | $391.15 | ↓ -92% |
| United | AllPayerAppendix | $401.74 | ↓ -91% |
| United | SmallGroup | $401.74 | ↓ -91% |
| BCBS | BAV | $406.35 | ↓ -91% |
| Cigna | PPO | $464.97 | ↓ -90% |
| Aetna | QHPExchange | $605.27 | ↓ -87% |
| BCBS | HMO | $619.55 | ↓ -87% |
| BCBS | EPOSOA | $686.97 | ↓ -85% |
| BCBS | PPO | $754.39 | ↓ -84% |
| United | OptionsPPO | $779.06 | ↓ -83% |
| Aetna | NBHMO | $804.46 | ↓ -83% |
| Aetna | NBPOS | $804.46 | ↓ -83% |
| Aetna | NBPPO | $804.46 | ↓ -83% |
| Aetna | COMMHMO | $855.75 | ↓ -82% |
| Aetna | COMMPOS | $855.75 | ↓ -82% |
| Aetna | COMMPPO | $855.75 | ↓ -82% |
| Aetna | OONPOS | $1,006.22 | ↓ -78% |
| Aetna | OONHMO | $1,006.22 | ↓ -78% |
| Aetna | OONPPO | $1,006.22 | ↓ -78% |
| Aetna | ASAPPO | $1,087.43 | ↓ -77% |
| Aetna | ASAHMO | $1,087.43 | ↓ -77% |
| Aetna | ASAPOS | $1,087.43 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $1,182.50 | ↓ -74% |
| Evry Health | BroadNetwork | $1,265.97 | ↓ -73% |
| Humana | PPO | $1,608.16 | ↓ -65% |
| Humana | HMO | $1,608.16 | ↓ -65% |
| BCBS | Traditional | $1,623.04 | ↓ -65% |
| Coventry National First Health | COMM | $1,687.96 | ↓ -64% |
| Curative Administrators | COMM | $1,854.90 | ↓ -60% |
| Christus (USFHP) | TRICARE | $1,854.90 | ↓ -60% |
| United | GlobalAppendix | $2,086.76 | ↓ -55% |
Visitor-reported prices
Comments
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,152.55 | $139.34 – $3,293.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,152.55 | $139.34 – $3,293.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $141.68 – $605.27 |
| HCA HOUSTON WEST | HOUSTON | not published | $136.55 – $605.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $657.77 | $139.34 – $822.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $704.42 | $144.99 – $1,056.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $665.87 | $139.34 – $832.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $657.77 | $139.34 – $822.22 |