Bronchial valve remov addl at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$849.00
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.
$1,698.00
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.
$1,788.01 with Bcbs vs $7,542.00 with Aetna — 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 | $1,788.01 | ↑ +111% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,814.83 | ↑ +114% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $1,823.77 | ↑ +115% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $1,841.65 | ↑ +117% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $1,877.41 | ↑ +121% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $1,913.17 | ↑ +125% |
| Procare Advantage | Medicare Managed Care - Hmo | $1,966.81 | ↑ +132% |
| Community Health Choice | Silver & Gold Exchange | $2,914.45 | ↑ +243% |
| Bcbs | All Commercial Plans | $2,918.44 | ↑ +244% |
| Optum Health | Transplant Medicare Managed Care Plan | $3,486.62 | ↑ +311% |
| Molina Healthcare | Exchange | $3,862.10 | ↑ +355% |
| Unitedhealthcare | All Commercial Plans | $3,871.00 | ↑ +356% |
| Uae | All Commercial Plans | $7,152.04 | ↑ +742% |
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↑ +762% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↑ +788% |
Visitor-reported prices
Comments
Bronchial valve remov addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $564.11 – $2,932.75 |
| HCA HOUSTON WEST | HOUSTON | not published | $515.20 – $2,489.26 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $525.71 – $2,489.26 |
| Houston Methodist Willowbrook Hospital | Houston | not published | $1,788.01 – $3,486.62 |
| Houston Methodist West Hospital | Houston | not published | $1,788.01 – $7,152.04 |
| Texas Health Presbyterian Hospital Plano | Plano | $2,611.20 | $525.71 – $567.77 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $2,611.20 | $525.71 – $567.77 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $2,611.20 | $525.71 – $578.28 |