ER Visit (level 5, high severity) at Houston Methodist West Hospital
18500 Katy Freeway, Houston, TX · Houstonmethodist · · NPI 1083937593
$2,491.50
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.
$4,983.00
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.
$598.24 with Bcbs vs $2,392.98 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 | $598.24 | ↓ -76% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $607.22 | ↓ -76% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $610.21 | ↓ -76% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $616.19 | ↓ -75% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $628.16 | ↓ -75% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $640.12 | ↓ -74% |
| Procare Advantage | Medicare Managed Care - Hmo | $658.07 | ↓ -74% |
| Community Health Choice | Silver & Gold Exchange | $975.14 | ↓ -61% |
| Optum Health | Transplant Medicare Managed Care Plan | $1,166.58 | ↓ -53% |
| Molina Healthcare | Exchange | $1,196.49 | ↓ -52% |
| Uae | All Commercial Plans | $2,392.98 | ↓ -4% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,760.15 | $553.19 – $5,029.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,760.15 | $402.32 – $5,029.00 |
| Houston Methodist Willowbrook Hospital | Houston | $2,491.50 | $598.24 – $1,166.58 |
| Houston Methodist Hospital | Houston | $2,376.00 | $598.24 – $2,392.98 |
| Adventhealth Rollins Brook | Lampasas | $3,127.54 | $1,942.36 – $1,942.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,327.80 | $568.33 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,377.55 | $489.38 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,377.55 | $475.51 – $6,643.00 |