Inj roctavian ml 2x10^13vc g at Houston Methodist West Hospital
18500 Katy Freeway, Houston, TX · Houstonmethodist · · NPI 1083937593
not published by hospital
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.
not published by hospital
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.
$12,553.71 with Bcbs vs $71,026.20 with Unitedhealthcare — 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 | $12,553.71 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $12,742.02 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo | $12,804.79 | — |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $12,930.32 | — |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $13,181.40 | — |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $13,432.47 | — |
| Procare Advantage | Medicare Managed Care - Hmo | $13,809.08 | — |
| Community Health Choice | Silver & Gold Exchange | $20,462.55 | — |
| Optum Health | Transplant Medicare Managed Care Plan | $24,479.74 | — |
| Molina Healthcare | Exchange | $25,107.43 | — |
| Bcbs | All Commercial Plans | $44,002.96 | — |
| Uae | All Commercial Plans | $50,214.85 | — |
| Unitedhealthcare | All Commercial Plans | $71,026.20 | — |
Visitor-reported prices
Comments
Inj roctavian ml 2x10^13vc g at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $20,713.62 – $22,114.31 |
| HCA HOUSTON WEST | HOUSTON | not published | $20,713.62 – $22,114.31 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $20,713.62 – $22,114.31 |
| Houston Methodist Willowbrook Hospital | Houston | not published | $12,553.71 – $24,479.74 |
| Houston Methodist Hospital | Houston | not published | $12,553.71 – $50,214.85 |
| Adventhealth Rollins Brook | Lampasas | not published | $43,438.82 – $43,438.82 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $20,713.62 – $22,114.31 |
| Covenant Children's Hospital | Lubbock | not published | $42,197.71 – $45,629.68 |