Repair lip full thkns =<one-half vert height at Houston Methodist West Hospital
18500 Katy Freeway, Houston, TX · Houstonmethodist · · NPI 1083937593
$1,564.00
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.
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What you pay up front if you don't use insurance.
$3,128.00
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.
$541.79 with Bcbs vs $6,337.00 with Phcs — 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 | $541.79 | ↓ -65% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $549.91 | ↓ -65% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $552.62 | ↓ -65% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $558.04 | ↓ -64% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $568.88 | ↓ -64% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $579.71 | ↓ -63% |
| Procare Advantage | Medicare Managed Care - Hmo | $595.96 | ↓ -62% |
| Community Health Choice | Silver & Gold Exchange | $883.11 | ↓ -44% |
| Bcbs | All Commercial Plans | $901.11 | ↓ -42% |
| Optum Health | Transplant Medicare Managed Care Plan | $1,056.48 | ↓ -32% |
| Molina Healthcare | Exchange | $1,083.57 | ↓ -31% |
| Uae | All Commercial Plans | $2,167.14 | ↑ +39% |
| Humana | Hmo/Pos | $2,537.60 | ↑ +62% |
| Aetna | New Business Discount Other Commercial Plan | $3,416.00 | ↑ +118% |
| Aetna | Hmo/Pos/Ppo | $3,522.00 | ↑ +125% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $4,004.00 | ↑ +156% |
| Cigna | Network C-24 Hmo/Ppo | $4,004.00 | ↑ +156% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,239.00 | ↑ +171% |
| Entrust | All Commercial Plans | $4,284.00 | ↑ +174% |
| Unitedhealthcare | All Commercial Plans | $4,610.00 | ↑ +195% |
| Phcs | Ppo | $6,337.00 | ↑ +305% |
Visitor-reported prices
Comments
Repair lip full thkns =<one-half vert height at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $388.15 | $299.43 – $1,109.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $388.15 | $299.43 – $1,109.00 |
| Houston Methodist Willowbrook Hospital | Houston | $1,564.00 | $541.79 – $6,337.00 |
| Houston Methodist Hospital | Houston | $2,123.50 | $541.79 – $6,337.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $200.90 – $905.53 |
| HCA HOUSTON WEST | HOUSTON | not published | $183.48 – $768.59 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $187.22 – $768.59 |
| Adventhealth Rollins Brook | Lampasas | $2,935.92 | $552.15 – $4,826.69 |