Ins pm gen w/exist mlt leads at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$10,494.50
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.
$20,989.00
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.
$7,316.00 with Aetna vs $77,397.86 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 |
|---|---|---|---|
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↓ -30% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↓ -28% |
| Unitedhealthcare | All Commercial Plans | $9,739.00 | ↓ -7% |
| Bcbs | Medicare Managed Care - Hmo | $19,349.47 | ↑ +84% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $19,639.71 | ↑ +87% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $19,736.45 | ↑ +88% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $19,929.95 | ↑ +90% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $20,316.94 | ↑ +94% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $20,703.93 | ↑ +97% |
| Procare Advantage | Medicare Managed Care - Hmo | $21,284.41 | ↑ +103% |
| Community Health Choice | Silver & Gold Exchange | $31,539.63 | ↑ +201% |
| Bcbs | All Commercial Plans | $37,358.97 | ↑ +256% |
| Optum Health | Transplant Medicare Managed Care Plan | $37,731.46 | ↑ +260% |
| Molina Healthcare | Exchange | $41,794.85 | ↑ +298% |
| Uae | All Commercial Plans | $77,397.86 | ↑ +638% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $15,162.00 | $11,696.40 – $43,320.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $15,162.00 | $11,696.40 – $43,320.00 |
| Houston Methodist Willowbrook Hospital | Houston | $9,518.50 | $7,316.00 – $37,731.46 |
| Houston Methodist West Hospital | Houston | $9,518.50 | $7,316.00 – $77,397.86 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $10,589.27 – $37,542.10 |
| HCA HOUSTON WEST | HOUSTON | not published | $9,671.11 – $31,865.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $9,868.48 – $31,865.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $19,886.41 | $6,299.00 – $48,269.91 |