Egd flx trnsorl dplmnt balo at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$454.50
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.
$909.00
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.
$1,927.65 with Bcbs vs $10,072.00 with Unitedhealthcare — 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 | $1,927.65 | ↑ +324% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,956.57 | ↑ +330% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $1,966.20 | ↑ +333% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $1,985.48 | ↑ +337% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $2,024.03 | ↑ +345% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $2,062.59 | ↑ +354% |
| Procare Advantage | Medicare Managed Care - Hmo | $2,120.42 | ↑ +367% |
| Community Health Choice | Silver & Gold Exchange | $3,142.07 | ↑ +591% |
| Bcbs | All Commercial Plans | $3,552.84 | ↑ +682% |
| Optum Health | Transplant Medicare Managed Care Plan | $3,758.92 | ↑ +727% |
| Molina Healthcare | Exchange | $4,163.73 | ↑ +816% |
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↑ +1510% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↑ +1559% |
| Uae | All Commercial Plans | $7,710.61 | ↑ +1597% |
| Unitedhealthcare | All Commercial Plans | $10,072.00 | ↑ +2116% |
Visitor-reported prices
Comments
Egd flx trnsorl dplmnt balo at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist Willowbrook Hospital | Houston | $923.50 | $1,927.65 – $3,758.92 |
| Houston Methodist West Hospital | Houston | $923.50 | $1,927.65 – $7,710.61 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $3,570.26 – $3,570.26 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,937.29 – $3,030.37 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $3,030.37 – $3,030.37 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $1,413.00 | not published |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio | $1,447.05 | $1,584.85 – $3,562.48 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $923.50 | $1,927.65 – $3,855.30 |