Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$86.50
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.
$173.00
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.
$52.05 with Bcbs vs $208.20 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 |
|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | $52.05 | ↓ -40% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $52.83 | ↓ -39% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $53.09 | ↓ -39% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $53.61 | ↓ -38% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $54.65 | ↓ -37% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $55.69 | ↓ -36% |
| Procare Advantage | Medicare Managed Care - Hmo | $57.26 | ↓ -34% |
| Community Health Choice | Silver & Gold Exchange | $84.84 | ↓ -2% |
| Optum Health | Transplant Medicare Managed Care Plan | $101.50 | ↑ +17% |
| Molina Healthcare | Exchange | $112.43 | ↑ +30% |
| Bcbs | All Commercial Plans | $160.80 | ↑ +86% |
| Uae | All Commercial Plans | $208.20 | ↑ +141% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $129.15 | $60.82 – $369.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $129.15 | $75.25 – $369.00 |
| Houston Methodist Willowbrook Hospital | Houston | $188.00 | $52.05 – $101.50 |
| Houston Methodist West Hospital | Houston | $188.00 | $52.05 – $208.20 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $43.22 – $233.78 |
| HCA HOUSTON WEST | HOUSTON | not published | $43.22 – $94.83 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $43.22 – $94.83 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $124.35 | $35.23 – $176.16 |