Ercp lithotripsy calculi at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$517.00
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.
$1,034.00
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.
$2,412.65 with Humana vs $24,394.25 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 |
|---|---|---|---|
| Humana | Hmo/Pos | $2,412.65 | ↑ +367% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $3,849.00 | ↑ +644% |
| Cigna | Network C-24 Hmo/Ppo | $3,849.00 | ↑ +644% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,074.00 | ↑ +688% |
| Phcs | Ppo | $5,545.00 | ↑ +973% |
| Unitedhealthcare | All Commercial Plans | $5,824.00 | ↑ +1026% |
| Bcbs | Medicare Managed Care - Hmo | $6,098.56 | ↑ +1080% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $6,190.04 | ↑ +1097% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $6,220.53 | ↑ +1103% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $6,281.52 | ↑ +1115% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $6,403.49 | ↑ +1139% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $6,525.46 | ↑ +1162% |
| Procare Advantage | Medicare Managed Care - Hmo | $6,708.42 | ↑ +1198% |
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↑ +1315% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↑ +1359% |
| Bcbs | All Commercial Plans | $9,752.89 | ↑ +1786% |
| Community Health Choice | Silver & Gold Exchange | $9,940.66 | ↑ +1823% |
| Optum Health | Transplant Medicare Managed Care Plan | $11,892.20 | ↑ +2200% |
| Molina Healthcare | Exchange | $13,172.89 | ↑ +2448% |
| Uae | All Commercial Plans | $24,394.25 | ↑ +4618% |
Visitor-reported prices
Comments
Ercp lithotripsy calculi at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist Willowbrook Hospital | Houston | $681.50 | $2,214.47 – $11,892.20 |
| Houston Methodist West Hospital | Houston | $681.50 | $2,214.47 – $24,394.25 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,809.33 – $9,800.70 |
| Baylor St Luke's Medical Center | Houston | not published | $1,285.00 – $1,285.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $1,652.45 – $8,318.64 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $1,285.00 – $1,285.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1,686.17 – $8,318.64 |
| Texas Health Presbyterian Hospital Allen | Allen | $3,571.80 | $1,686.17 – $1,821.06 |