Virus isolation addl studies ea at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$44.00
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.
$88.00
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.
$20.20 with Cigna vs $209.69 with Cigna — 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 |
|---|---|---|---|
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $20.20 | ↓ -54% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $20.50 | ↓ -53% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $20.60 | ↓ -53% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $21.21 | ↓ -52% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $21.61 | ↓ -51% |
| Procare Advantage | Medicare Managed Care - Hmo | $22.22 | ↓ -50% |
| Community Health Choice | Silver & Gold Exchange | $32.93 | ↓ -25% |
| Optum Health | Transplant Medicare Managed Care Plan | $39.39 | ↓ -10% |
| Molina Healthcare | Exchange | $43.63 | ↓ -1% |
| Uae | All Commercial Plans | $80.80 | ↑ +84% |
| Bcbs | All Commercial Plans | $84.03 | ↑ +91% |
| Cigna | Network C-24 Hmo/Ppo | $198.08 | ↑ +350% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $198.08 | ↑ +350% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $209.69 | ↑ +377% |
Visitor-reported prices
Comments
Virus isolation addl studies ea at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist Willowbrook Hospital | Houston | $44.00 | $20.20 – $84.03 |
| Houston Methodist West Hospital | Houston | $44.00 | $20.20 – $84.03 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $16.97 – $83.66 |
| Adventhealth Rollins Brook | Lampasas | $269.02 | $18.18 – $77.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $235.31 | $10.00 – $294.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $235.31 | $12.00 – $206.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $235.31 | $12.00 – $172.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $235.31 | $10.00 – $294.13 |