Rmvl pm gen w/rplc pm gen sgl lead sys at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$9,568.50
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.
$19,137.00
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 $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 |
|---|---|---|---|
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↓ -24% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↓ -21% |
| Bcbs | Medicare Managed Care - Hmo | $8,313.10 | ↓ -13% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $8,437.80 | ↓ -12% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $8,479.36 | ↓ -11% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $8,562.49 | ↓ -11% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $8,728.75 | ↓ -9% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $8,895.02 | ↓ -7% |
| Procare Advantage | Medicare Managed Care - Hmo | $9,144.41 | ↓ -4% |
| Unitedhealthcare | All Commercial Plans | $9,739.00 | ↑ +2% |
| Community Health Choice | Silver & Gold Exchange | $13,550.35 | ↑ +42% |
| Bcbs | All Commercial Plans | $15,589.37 | ↑ +63% |
| Optum Health | Transplant Medicare Managed Care Plan | $16,210.54 | ↑ +69% |
| Molina Healthcare | Exchange | $17,956.29 | ↑ +88% |
| Uae | All Commercial Plans | $33,252.40 | ↑ +248% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen sgl lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $6,574.75 | $5,071.95 – $18,785.00 |
| HCA HOUSTON WEST | HOUSTON | $30,071.00 | $5,153.85 – $13,296.82 |
| St. Luke's Health - The Vintage Hospital | Houston | $6,574.75 | $5,071.95 – $18,785.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $94,953.99 | $5,259.03 – $13,296.82 |
| Houston Methodist Willowbrook Hospital | Houston | $6,720.00 | $7,316.00 – $16,210.54 |
| Houston Methodist West Hospital | Houston | $6,720.00 | $7,316.00 – $33,252.40 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $18,220.94 | $5,259.03 – $22,776.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $15,676.55 | $3,226.76 – $23,514.83 |