ER Visit (level 3) at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$1,121.00
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.
$2,242.00
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.
$274.22 with Bcbs vs $1,096.89 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 | $274.22 | ↓ -76% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $278.33 | ↓ -75% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $279.71 | ↓ -75% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $282.45 | ↓ -75% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $287.93 | ↓ -74% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $293.42 | ↓ -74% |
| Procare Advantage | Medicare Managed Care - Hmo | $301.64 | ↓ -73% |
| Community Health Choice | Silver & Gold Exchange | $446.98 | ↓ -60% |
| Optum Health | Transplant Medicare Managed Care Plan | $534.73 | ↓ -52% |
| Molina Healthcare | Exchange | $592.32 | ↓ -47% |
| Uae | All Commercial Plans | $1,096.89 | ↓ -2% |
Visitor-reported prices
Comments
ER Visit (level 3) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $962.15 | $30.82 – $2,749.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $962.15 | $30.82 – $2,749.00 |
| Houston Methodist Willowbrook Hospital | Houston | $1,217.50 | $274.22 – $534.73 |
| Houston Methodist West Hospital | Houston | $1,217.50 | $274.22 – $1,096.89 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $52.39 – $77.04 |
| HCA HOUSTON WEST | HOUSTON | not published | $50.33 – $77.04 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $51.36 – $77.04 |
| Adventhealth Rollins Brook | Lampasas | $1,470.35 | $859.86 – $859.86 |