Ortho hnd/fngr w/jnt cstm w/fit&adj at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$571.50
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.
?
What you pay up front if you don't use insurance.
$1,143.00
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.
$361.14 with Bcbs vs $1,444.56 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 |
|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | $361.14 | ↓ -37% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $366.56 | ↓ -36% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $368.36 | ↓ -36% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $371.97 | ↓ -35% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $379.20 | ↓ -34% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $386.42 | ↓ -32% |
| Procare Advantage | Medicare Managed Care - Hmo | $397.25 | ↓ -30% |
| Community Health Choice | Silver & Gold Exchange | $588.66 | ↑ +3% |
| Optum Health | Transplant Medicare Managed Care Plan | $704.22 | ↑ +23% |
| Molina Healthcare | Exchange | $780.06 | ↑ +36% |
| Uae | All Commercial Plans | $1,444.56 | ↑ +153% |
Visitor-reported prices
Comments
Ortho hnd/fngr w/jnt cstm w/fit&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON TOMBALL | HOUSTON | $554.00 | $353.92 – $776.45 |
| Houston Methodist Willowbrook Hospital | Houston | $571.50 | $361.14 – $704.22 |
| Houston Methodist West Hospital | Houston | $571.50 | $361.14 – $1,444.56 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $353.92 – $776.45 |
| HCA HOUSTON WEST | HOUSTON | not published | $353.92 – $776.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $306.00 | $62.98 – $459.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $306.00 | $61.20 – $408.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $306.00 | $98.23 – $459.00 |