Ghs lac repair mouth.ant tong 2.5cm/less at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$186.50
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.
$373.00
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.
$222.42 with Bcbs vs $5,545.00 with Phcs — 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 | All Commercial Plans | $222.42 | ↑ +19% |
| Bcbs | Medicare Managed Care - Hmo | $448.76 | ↑ +141% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $455.49 | ↑ +144% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $457.74 | ↑ +145% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $462.22 | ↑ +148% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $471.20 | ↑ +153% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $480.17 | ↑ +157% |
| Procare Advantage | Medicare Managed Care - Hmo | $493.64 | ↑ +165% |
| Community Health Choice | Silver & Gold Exchange | $731.48 | ↑ +292% |
| Optum Health | Transplant Medicare Managed Care Plan | $875.08 | ↑ +369% |
| Molina Healthcare | Exchange | $969.32 | ↑ +420% |
| Uae | All Commercial Plans | $1,795.04 | ↑ +862% |
| Humana | Hmo/Pos | $2,412.65 | ↑ +1194% |
| Aetna | New Business Discount Other Commercial Plan | $3,578.00 | ↑ +1818% |
| Aetna | Hmo/Pos/Ppo | $3,689.00 | ↑ +1878% |
| Entrust | All Commercial Plans | $3,695.00 | ↑ +1881% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $3,849.00 | ↑ +1964% |
| Cigna | Network C-24 Hmo/Ppo | $3,849.00 | ↑ +1964% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,074.00 | ↑ +2084% |
| Unitedhealthcare | All Commercial Plans | $4,582.00 | ↑ +2357% |
| Phcs | Ppo | $5,545.00 | ↑ +2873% |
Visitor-reported prices
Comments
Ghs lac repair mouth.ant tong 2.5cm/less at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $328.65 | $103.29 – $939.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $328.65 | $75.12 – $939.00 |
| Houston Methodist Willowbrook Hospital | Houston | $578.50 | $222.42 – $5,545.00 |
| Houston Methodist West Hospital | Houston | $578.50 | $222.42 – $5,545.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $223.51 – $223.51 |
| HCA HOUSTON WEST | HOUSTON | not published | $189.71 – $451.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $189.71 – $189.71 |
| Adventhealth Rollins Brook | Lampasas | $816.85 | $136.29 – $4,826.69 |