Ghs simple repair 20.1 - 30.0 cm - 12017 at Houston Methodist Willowbrook Hospital
18220 Tomball Parkway, Houston, TX · Houstonmethodist · · NPI 1871619254
$759.00
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.
$1,518.00
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.
$408.37 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 | $408.37 | ↓ -46% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $414.49 | ↓ -45% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $416.53 | ↓ -45% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $420.62 | ↓ -45% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $428.79 | ↓ -44% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $436.95 | ↓ -42% |
| Procare Advantage | Medicare Managed Care - Hmo | $449.20 | ↓ -41% |
| Bcbs | All Commercial Plans | $651.80 | ↓ -14% |
| Community Health Choice | Silver & Gold Exchange | $665.64 | ↓ -12% |
| Optum Health | Transplant Medicare Managed Care Plan | $796.32 | ↑ +5% |
| Molina Healthcare | Exchange | $816.74 | ↑ +8% |
| Humana | Hmo/Pos | $2,214.47 | ↑ +192% |
| Aetna | New Business Discount Other Commercial Plan | $2,989.00 | ↑ +294% |
| Aetna | Hmo/Pos/Ppo | $3,081.00 | ↑ +306% |
| Entrust | All Commercial Plans | $3,695.00 | ↑ +387% |
| Cigna | Network C-24 Hmo/Ppo | $3,849.00 | ↑ +407% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $3,849.00 | ↑ +407% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,074.00 | ↑ +437% |
| Unitedhealthcare | All Commercial Plans | $4,610.00 | ↑ +507% |
| Phcs | Ppo | $5,545.00 | ↑ +631% |
Visitor-reported prices
Comments
Ghs simple repair 20.1 - 30.0 cm - 12017 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist West Hospital | Houston | $759.00 | $408.37 – $5,545.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $153.53 – $655.00 |
| Baylor St Luke's Medical Center | Houston | not published | $1,285.00 – $1,285.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $140.22 – $555.95 |
| St. Luke's Health - The Vintage Hospital | Houston | not published | $1,285.00 – $1,285.00 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $143.08 – $555.95 |
| Houston Methodist Hospital | Houston | not published | $408.37 – $5,545.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $564.61 | $143.08 – $987.79 |