Warde apolipoprotein b at Houston Methodist Hospital
6565 Fannin, Houston, TX · Houstonmethodist · · NPI 1548387418
$12.00
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.
?
What you pay up front if you don't use insurance.
$24.00
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.
$21.09 with Cigna vs $191.28 with Cigna — 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 |
|---|---|---|---|
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $21.09 | ↑ +76% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $21.41 | ↑ +78% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $21.51 | ↑ +79% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $22.14 | ↑ +85% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $22.57 | ↑ +88% |
| Procare Advantage | Medicare Managed Care - Hmo | $23.20 | ↑ +93% |
| Community Health Choice | Silver & Gold Exchange | $34.38 | ↑ +187% |
| Optum Health | Transplant Medicare Managed Care Plan | $41.13 | ↑ +243% |
| Molina Healthcare | Exchange | $45.55 | ↑ +280% |
| Uae | All Commercial Plans | $84.36 | ↑ +603% |
| Bcbs | All Commercial Plans | $87.73 | ↑ +631% |
| Cigna | Network C-24 Hmo/Ppo | $180.69 | ↑ +1406% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $180.69 | ↑ +1406% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $191.28 | ↑ +1494% |
Visitor-reported prices
Comments
Warde apolipoprotein b at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $47.60 | $15.18 – $136.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $47.60 | $15.18 – $136.00 |
| Houston Methodist Willowbrook Hospital | Houston | $12.00 | $21.09 – $87.73 |
| Houston Methodist West Hospital | Houston | $12.00 | $21.09 – $87.73 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $17.72 – $86.43 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $17.72 – $86.43 |
| Adventhealth Rollins Brook | Lampasas | $246.48 | $18.98 – $81.20 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $106.43 | $7.87 – $50.62 |