App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$4,167.50
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.
$8,335.00
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.
$2,072.68 with Bcbs vs $8,290.73 with Uae — 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 |
|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | $2,072.68 | ↓ -50% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $2,103.77 | ↓ -50% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $2,114.14 | ↓ -49% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $2,134.86 | ↓ -49% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $2,176.32 | ↓ -48% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $2,217.77 | ↓ -47% |
| Procare Advantage | Medicare Managed Care - Hmo | $2,279.95 | ↓ -45% |
| Bcbs | All Commercial Plans | $3,310.39 | ↓ -21% |
| Community Health Choice | Silver & Gold Exchange | $3,378.47 | ↓ -19% |
| Unitedhealthcare | All Commercial Plans | $3,871.00 | ↓ -7% |
| Optum Health | Transplant Medicare Managed Care Plan | $4,041.73 | ↓ -3% |
| Molina Healthcare | Exchange | $4,476.99 | ↑ +7% |
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↑ +76% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↑ +81% |
| Uae | All Commercial Plans | $8,290.73 | ↑ +99% |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $760.80 – $3,326.62 |
| HCA HOUSTON WEST | HOUSTON | not published | $760.80 – $2,823.57 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $760.80 – $2,823.57 |
| Houston Methodist Willowbrook Hospital | Houston | not published | $2,072.68 – $4,041.73 |
| Houston Methodist West Hospital | Houston | not published | $2,072.68 – $8,290.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,078.20 | $784.87 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,730.00 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,843.38 | $71.00 – $4,517.58 |