Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$23,270.00
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.
$46,540.00
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 $126,127.60 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 | ↓ -69% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↓ -68% |
| Unitedhealthcare | All Commercial Plans | $7,618.00 | ↓ -67% |
| Cigna | Network C-24 Hmo/Ppo | $15,912.00 | ↓ -32% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $15,912.00 | ↓ -32% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $16,844.00 | ↓ -28% |
| Bcbs | Medicare Managed Care - Hmo | $31,531.90 | ↑ +36% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $32,004.88 | ↑ +38% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $32,162.54 | ↑ +38% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $32,477.86 | ↑ +40% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $33,108.49 | ↑ +42% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $33,739.13 | ↑ +45% |
| Procare Advantage | Medicare Managed Care - Hmo | $34,685.09 | ↑ +49% |
| Community Health Choice | Silver & Gold Exchange | $51,397.00 | ↑ +121% |
| Optum Health | Transplant Medicare Managed Care Plan | $61,487.20 | ↑ +164% |
| Bcbs | All Commercial Plans | $65,856.59 | ↑ +183% |
| Molina Healthcare | Exchange | $68,108.90 | ↑ +193% |
| Uae | All Commercial Plans | $126,127.60 | ↑ +442% |
Visitor-reported prices
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Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $216,668.89 | $23,448.86 – $66,179.41 |
| Baylor St Luke's Medical Center | Houston | $25,130.00 | $19,386.00 – $71,800.00 |
| HCA HOUSTON WEST | HOUSTON | $60,141.00 | $21,415.69 – $56,171.79 |
| St. Luke's Health - The Vintage Hospital | Houston | $25,130.00 | $19,386.00 – $71,800.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $181,126.80 | $21,852.74 – $56,171.79 |
| Houston Methodist Willowbrook Hospital | Houston | $25,759.50 | $7,316.00 – $61,487.20 |
| Houston Methodist West Hospital | Houston | $25,759.50 | $7,316.00 – $126,127.60 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $43,324.90 | $6,299.00 – $81,499.55 |