Ins/rpl pm gen exist sgl lead at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$7,495.00
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.
$14,990.00
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.
$2,757.32 with Humana vs $33,252.40 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 | $2,757.32 | ↓ -63% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $4,004.00 | ↓ -47% |
| Cigna | Network C-24 Hmo/Ppo | $4,004.00 | ↓ -47% |
| Aetna | New Business Discount Other Commercial Plan | $4,093.00 | ↓ -45% |
| Aetna | Hmo/Pos/Ppo | $4,219.00 | ↓ -44% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,239.00 | ↓ -43% |
| Entrust | All Commercial Plans | $4,284.00 | ↓ -43% |
| Phcs | Ppo | $6,337.00 | ↓ -15% |
| Bcbs | Medicare Managed Care - Hmo | $8,313.10 | ↑ +11% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $8,437.80 | ↑ +13% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $8,479.36 | ↑ +13% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $8,562.49 | ↑ +14% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $8,728.75 | ↑ +16% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $8,895.02 | ↑ +19% |
| Procare Advantage | Medicare Managed Care - Hmo | $9,144.41 | ↑ +22% |
| Unitedhealthcare | All Commercial Plans | $9,739.00 | ↑ +30% |
| Community Health Choice | Silver & Gold Exchange | $13,550.35 | ↑ +81% |
| Bcbs | All Commercial Plans | $15,589.37 | ↑ +108% |
| Optum Health | Transplant Medicare Managed Care Plan | $16,210.54 | ↑ +116% |
| Molina Healthcare | Exchange | $17,956.29 | ↑ +140% |
| Uae | All Commercial Plans | $33,252.40 | ↑ +344% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $10,861.39 | $5,901.64 – $15,665.79 |
| Baylor St Luke's Medical Center | Houston | $8,704.15 | $1,609.00 – $24,869.00 |
| HCA HOUSTON WEST | HOUSTON | $25,874.00 | $5,389.92 – $13,296.82 |
| St. Luke's Health - The Vintage Hospital | Houston | $8,704.15 | $1,609.00 – $24,869.00 |
| Houston Methodist Willowbrook Hospital | Houston | $9,705.00 | $2,537.60 – $16,210.54 |
| Houston Methodist West Hospital | Houston | $9,705.00 | $2,537.60 – $33,252.40 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $5,499.92 – $13,296.82 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,687.75 | $2,763.00 – $21,045.99 |