Pt re-evaluation patient/family at Houston Methodist West Hospital
18500 Katy Freeway, Houston, TX · Houstonmethodist · · NPI 1083937593
$229.50
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.
$459.00
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.
$65.65 with Bcbs vs $262.60 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 | $65.65 | ↓ -71% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $66.63 | ↓ -71% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $66.96 | ↓ -71% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $67.62 | ↓ -71% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $68.93 | ↓ -70% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $70.25 | ↓ -69% |
| Procare Advantage | Medicare Managed Care - Hmo | $72.22 | ↓ -69% |
| Community Health Choice | Silver & Gold Exchange | $107.01 | ↓ -53% |
| Optum Health | Transplant Medicare Managed Care Plan | $128.02 | ↓ -44% |
| Molina Healthcare | Exchange | $131.30 | ↓ -43% |
| Bcbs | All Commercial Plans | $183.27 | ↓ -20% |
| Uae | All Commercial Plans | $262.60 | ↑ +14% |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist Willowbrook Hospital | Houston | $229.50 | $65.65 – $128.02 |
| Houston Methodist Hospital | Houston | $132.50 | $65.65 – $262.60 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $58.31 – $205.51 |
| HCA HOUSTON WEST | HOUSTON | not published | $58.31 – $127.92 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $58.31 – $127.92 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $128.83 | $36.50 – $204.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $205.19 | $42.24 – $307.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $224.67 | $44.93 – $280.84 |