Ins/rpl pm gen exist dual lead at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$8,210.00
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.
?
What you pay up front if you don't use insurance.
$16,420.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,757.32 with Humana vs $41,998.50 with Uae — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $2,757.32 | ↓ -66% |
| Cigna | Network C-24 Hmo/Ppo | $4,004.00 | ↓ -51% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $4,004.00 | ↓ -51% |
| Aetna | New Business Discount Other Commercial Plan | $4,093.00 | ↓ -50% |
| Aetna | Hmo/Pos/Ppo | $4,219.00 | ↓ -49% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,239.00 | ↓ -48% |
| Entrust | All Commercial Plans | $4,284.00 | ↓ -48% |
| Phcs | Ppo | $6,337.00 | ↓ -23% |
| Unitedhealthcare | All Commercial Plans | $9,739.00 | ↑ +19% |
| Bcbs | Medicare Managed Care - Hmo | $10,499.62 | ↑ +28% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $10,657.12 | ↑ +30% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $10,709.62 | ↑ +30% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $10,814.61 | ↑ +32% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $11,024.61 | ↑ +34% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $11,234.60 | ↑ +37% |
| Procare Advantage | Medicare Managed Care - Hmo | $11,549.59 | ↑ +41% |
| Community Health Choice | Silver & Gold Exchange | $17,114.39 | ↑ +108% |
| Optum Health | Transplant Medicare Managed Care Plan | $20,474.27 | ↑ +149% |
| Bcbs | All Commercial Plans | $20,913.96 | ↑ +155% |
| Molina Healthcare | Exchange | $22,679.19 | ↑ +176% |
| Uae | All Commercial Plans | $41,998.50 | ↑ +412% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $10,861.39 | $6,907.69 – $21,016.48 |
| Baylor St Luke's Medical Center | Houston | $9,112.95 | $1,609.00 – $26,037.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $9,112.95 | $1,609.00 – $26,037.00 |
| Houston Methodist Willowbrook Hospital | Houston | $8,656.00 | $2,537.60 – $20,474.27 |
| Houston Methodist West Hospital | Houston | $8,656.00 | $2,537.60 – $41,998.50 |
| HCA HOUSTON WEST | HOUSTON | not published | $6,308.75 – $17,838.38 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $6,437.50 – $17,838.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $11,936.76 | $2,763.00 – $26,452.82 |