Hopd mntl hlt, 30-60 min at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$174.00
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.
$348.00
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.
$102.05 with Bcbs vs $408.21 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 | $102.05 | ↓ -41% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $103.58 | ↓ -40% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $104.09 | ↓ -40% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $105.11 | ↓ -40% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $107.16 | ↓ -38% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $109.20 | ↓ -37% |
| Procare Advantage | Medicare Managed Care - Hmo | $112.26 | ↓ -35% |
| Community Health Choice | Silver & Gold Exchange | $166.35 | ↓ -4% |
| Optum Health | Transplant Medicare Managed Care Plan | $199.00 | ↑ +14% |
| Molina Healthcare | Exchange | $220.43 | ↑ +27% |
| Uae | All Commercial Plans | $408.21 | ↑ +135% |
Visitor-reported prices
Comments
Hopd mntl hlt, 30-60 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist Willowbrook Hospital | Houston | $327.00 | not published |
| Houston Methodist West Hospital | Houston | $327.00 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $206.20 | $58.42 – $257.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $212.33 | $43.71 – $318.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $205.02 | $41.00 – $256.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $206.20 | $54.99 – $257.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $212.33 | $68.16 – $318.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $212.33 | $109.71 – $318.50 |