Egd/insert intraluminal tube/cath 43241 at Houston Methodist Willowbrook Hospital
18220 Tomball Parkway, Houston, TX · Houstonmethodist · · NPI 1871619254
$573.50
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.
$1,147.00
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.
$1,927.65 with Bcbs vs $5,545.00 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 | $1,927.65 | ↑ +236% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,956.57 | ↑ +241% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $1,966.20 | ↑ +243% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $1,985.48 | ↑ +246% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $2,024.03 | ↑ +253% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $2,062.59 | ↑ +260% |
| Procare Advantage | Medicare Managed Care - Hmo | $2,120.42 | ↑ +270% |
| Humana | Hmo/Pos | $2,214.47 | ↑ +286% |
| Aetna | New Business Discount Other Commercial Plan | $2,989.00 | ↑ +421% |
| Aetna | Hmo/Pos/Ppo | $3,081.00 | ↑ +437% |
| Community Health Choice | Silver & Gold Exchange | $3,142.07 | ↑ +448% |
| Bcbs | All Commercial Plans | $3,177.10 | ↑ +454% |
| Entrust | All Commercial Plans | $3,695.00 | ↑ +544% |
| Optum Health | Transplant Medicare Managed Care Plan | $3,758.92 | ↑ +555% |
| Cigna | Network C-24 Hmo/Ppo | $3,849.00 | ↑ +571% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $3,849.00 | ↑ +571% |
| Molina Healthcare | Exchange | $3,855.30 | ↑ +572% |
| Unitedhealthcare | All Commercial Plans | $3,894.00 | ↑ +579% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,074.00 | ↑ +610% |
| Phcs | Ppo | $5,545.00 | ↑ +867% |
Visitor-reported prices
Comments
Egd/insert intraluminal tube/cath 43241 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist Hospital | Houston | $396.50 | $1,927.65 – $7,710.61 |
| Houston Methodist West Hospital | Houston | $573.50 | $1,927.65 – $7,710.61 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $606.24 – $3,192.67 |
| Baylor St Luke's Medical Center | Houston | not published | $1,285.00 – $1,285.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $553.67 – $2,709.88 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $1,285.00 – $1,285.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $564.97 – $2,709.88 |
| Texas Health Presbyterian Hospital Allen | Allen | $1,138.20 | $564.97 – $610.17 |