Flexible Sigmoidoscopy at Houston Methodist West Hospital
18500 Katy Freeway, Houston, TX · Houstonmethodist · · NPI 1083937593
$535.50
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.
$1,071.00
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.
$212.34 with Bcbs vs $7,542.00 with Aetna — 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 | All Commercial Plans | $212.34 | ↓ -60% |
| Bcbs | Medicare Managed Care - Hmo | $934.20 | ↑ +74% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $948.21 | ↑ +77% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $952.88 | ↑ +78% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $962.22 | ↑ +80% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $980.91 | ↑ +83% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $999.59 | ↑ +87% |
| Procare Advantage | Medicare Managed Care - Hmo | $1,027.61 | ↑ +92% |
| Community Health Choice | Silver & Gold Exchange | $1,522.74 | ↑ +184% |
| Optum Health | Transplant Medicare Managed Care Plan | $1,821.68 | ↑ +240% |
| Molina Healthcare | Exchange | $1,868.39 | ↑ +249% |
| Cigna | Network C-24 Hmo/Ppo | $2,052.00 | ↑ +283% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $2,052.00 | ↑ +283% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $2,173.00 | ↑ +306% |
| Entrust | All Commercial Plans | $2,956.00 | ↑ +452% |
| Uae | All Commercial Plans | $3,736.78 | ↑ +598% |
| Unitedhealthcare | All Commercial Plans | $3,913.00 | ↑ +631% |
| Phcs | Ppo | $4,138.00 | ↑ +673% |
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↑ +1266% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↑ +1308% |
Visitor-reported prices
Comments
Flexible Sigmoidoscopy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $723.80 | $558.36 – $2,068.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $723.80 | $558.36 – $2,068.00 |
| Houston Methodist Willowbrook Hospital | Houston | $535.50 | $212.34 – $4,138.00 |
| Houston Methodist Hospital | Houston | $291.00 | $212.34 – $4,138.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $140.21 – $1,050.08 |
| HCA HOUSTON WEST | HOUSTON | not published | $128.06 – $1,050.08 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $130.67 – $1,050.08 |
| Covenant Children's Hospital | Lubbock | $1,047.06 | $118.14 – $2,444.00 |