Porfimer sodium injection at Houston Methodist Willowbrook Hospital
18220 Tomball Parkway, Houston, TX · Houstonmethodist · · NPI 1871619254
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.
$24,228.42 with Bcbs vs $143,311.10 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 | $24,228.42 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $24,591.85 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo | $24,712.99 | — |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $24,955.27 | — |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $25,439.84 | — |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $25,924.41 | — |
| Procare Advantage | Medicare Managed Care - Hmo | $26,651.26 | — |
| Community Health Choice | Silver & Gold Exchange | $39,492.32 | — |
| Optum Health | Transplant Medicare Managed Care Plan | $47,245.42 | — |
| Molina Healthcare | Exchange | $48,456.84 | — |
| Cigna | Network C-24 Hmo/Ppo | $55,905.23 | — |
| Cigna | Local Plus/Surefit Hmo/Ppo | $55,905.23 | — |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $59,473.65 | — |
| Bcbs | All Commercial Plans | $84,517.68 | — |
| Unitedhealthcare | All Commercial Plans | $143,311.10 | — |
Visitor-reported prices
Comments
Porfimer sodium injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $39,976.89 – $204,927.75 |
| HCA HOUSTON WEST | HOUSTON | not published | $39,976.89 – $204,927.75 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $39,976.89 – $204,927.75 |
| Houston Methodist Hospital | Houston | not published | $24,228.42 – $96,913.68 |
| Houston Methodist West Hospital | Houston | not published | $24,228.42 – $96,913.68 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $8,396.28 | $22,490.02 – $22,490.02 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $8,396.28 | $22,490.02 – $22,490.02 |
| Methodist Dallas Medical Center | Dallas | $25,789.12 | $24,228.42 – $65,416.73 |