Apl(pml-rara) quant - sendout at HCA HOUSTON KINGWOOD
5324 ATASCOCITA RD, HUMBLE, TX · HCA Houston Healthcare · · NPI 1811942238
$280.93
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.
$280.93
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.
$8.89 with Superior Health Plan vs $2,769.27 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | CHPFC | $8.89 | ↓ -97% |
| Superior Health Plan | STARPLUS | $8.89 | ↓ -97% |
| Superior Health Plan | CHIP | $8.89 | ↓ -97% |
| Superior Health Plan | STARKids | $8.89 | ↓ -97% |
| Superior Health Plan | STAR | $8.89 | ↓ -97% |
| United | OptionsPPO | $29.92 | ↓ -89% |
| Evry Health | BroadNetwork | $40.44 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $46.63 | ↓ -83% |
| BCBS | Traditional | $51.85 | ↓ -82% |
| Christus (USFHP) | TRICARE | $59.25 | ↓ -79% |
| United | GlobalAppendix | $66.66 | ↓ -76% |
| Coventry National First Health | COMM | $78.95 | ↓ -72% |
| Kelsey Care (Boon-Chapman) | COMM | $98.33 | ↓ -65% |
| Imagine Health | PPO | $98.33 | ↓ -65% |
| Multiplan | PHCSPrimaryNetwork | $111.10 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $120.80 | ↓ -57% |
| Multiplan | ComplementaryNetwork | $125.91 | ↓ -55% |
| Averde Health | Commercial | $126.42 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $126.42 | ↓ -55% |
| Rockport Workers Comp | COMM | $154.51 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $154.51 | ↓ -45% |
| Independent Medical System | COMM | $168.56 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $168.56 | ↓ -40% |
| National Healthcare Solutions | COMM | $168.56 | ↓ -40% |
| Texas Health Network | MCD | $170.66 | ↓ -39% |
| Community Health Choice MCD | STAR | $174.14 | ↓ -38% |
| Community Health Choice MCD | STAR+PLUS | $174.14 | ↓ -38% |
| Community Health Choice MCD | CHIP | $174.14 | ↓ -38% |
| Amerigroup | MGMCD | $174.14 | ↓ -38% |
| Texas Childrens Health Plans | STARKIDS | $174.14 | ↓ -38% |
| Texas Childrens Health Plans | STAR | $174.14 | ↓ -38% |
| Amerigroup | MCDCHIPBH | $174.14 | ↓ -38% |
| Community Health Choice MCD | CHIPPerinatal | $174.14 | ↓ -38% |
| United | MGMCD | $177.62 | ↓ -37% |
| Coastal Comp | COMM | $182.60 | ↓ -35% |
| Aetna Better Health | MGMCD | $188.07 | ↓ -33% |
| Molina Healthcare | STAR | $191.55 | ↓ -32% |
| Molina Healthcare | STARPLUS | $191.55 | ↓ -32% |
| Molina Healthcare | CHIP | $191.55 | ↓ -32% |
| Molina Healthcare | STARKIDS | $191.55 | ↓ -32% |
| Oscar | MGMCR | $203.16 | ↓ -28% |
| WellMed | MGMCR | $206.27 | ↓ -27% |
| Humana | MedicareAdvantagePPOPFFS | $207.31 | ↓ -26% |
| Humana | MedicareAdvantageHMO | $207.31 | ↓ -26% |
| United | AllPayerAppendix | $207.31 | ↓ -26% |
| TriWest Healthcare Alliance | Veterans | $207.31 | ↓ -26% |
| Cigna HealthSpring | PFFS | $207.31 | ↓ -26% |
| Kelsey Seybold | MGMCR | $207.31 | ↓ -26% |
| Renaissance IPA Radiology | COMM | $207.31 | ↓ -26% |
| Renaissance IPA Radiology | MCR | $207.31 | ↓ -26% |
| Cigna HealthSpring | MMP | $207.31 | ↓ -26% |
| CHC Harris Health | Indigent | $207.31 | ↓ -26% |
| Devoted Health | MGMCR | $207.31 | ↓ -26% |
| Cigna HealthSpring | MCRPPO | $207.31 | ↓ -26% |
| Amerigroup | DualEligible | $207.31 | ↓ -26% |
| Cigna HealthSpring | MCRSNP | $207.31 | ↓ -26% |
| Cigna HealthSpring | MCRHMO | $207.31 | ↓ -26% |
| United | NarrowNetworkIndivExchange | $207.31 | ↓ -26% |
| United | SmallGroup | $207.31 | ↓ -26% |
| BCBS | MedicareAdvantageHMO | $207.31 | ↓ -26% |
| BCBS | MCRPPO | $207.31 | ↓ -26% |
| Aetna | MCR | $209.07 | ↓ -26% |
| Van Lang IPA | MCR | $209.38 | ↓ -25% |
| United | MCR | $211.46 | ↓ -25% |
| WellCare | PPO | $213.53 | ↓ -24% |
| WellCare | SNP | $213.53 | ↓ -24% |
| WellCare | POS | $213.53 | ↓ -24% |
| WellCare | MCRHMO | $213.53 | ↓ -24% |
| WellCare | PFFS | $213.53 | ↓ -24% |
| Integranet Amerigroup IPA | MCR | $213.53 | ↓ -24% |
| Humana | MCD | $217.67 | ↓ -23% |
| Superior Health Plan | MCRSNP | $217.68 | ↓ -23% |
| Superior Health Plan | PFFS | $217.68 | ↓ -23% |
| American Health Plan | MGMCR | $217.68 | ↓ -23% |
| ProCare Advantage | MGMCR | $217.68 | ↓ -23% |
| Shared Health | MGMCR | $217.68 | ↓ -23% |
| Superior Health Plan | DualEligible | $217.68 | ↓ -23% |
| Superior Health Plan | MCRHMO | $217.68 | ↓ -23% |
| Superior Health Plan | MCRPOS | $217.68 | ↓ -23% |
| Superior Health Plan | MCRPPO | $217.68 | ↓ -23% |
| Provider Partners Health Plan of Texas | PPO | $219.75 | ↓ -22% |
| Provider Partners Health Plan of Texas | MCRHMO | $219.75 | ↓ -22% |
| Provider Partners Health Plan of Texas | PFFS | $219.75 | ↓ -22% |
| Provider Partners Health Plan of Texas | POS | $219.75 | ↓ -22% |
| Provider Partners Health Plan of Texas | SNP | $219.75 | ↓ -22% |
| Molina | MGMCR | $225.97 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $230.36 | ↓ -18% |
| Physicians, INC | COMM | $238.79 | ↓ -15% |
| USA Managed Care | COMM | $238.79 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $238.79 | ↓ -15% |
| Universal Healthcare Group | MCR | $248.77 | ↓ -11% |
| Affiliated PPO | COMM | $252.84 | ↓ -10% |
| Verda Health Plan | MCR | $269.50 | ↓ -4% |
| Community Health Choice | HIX | $300.60 | ↑ +7% |
| Superior | ValueHMO | $300.60 | ↑ +7% |
| Superior | HMO | $321.33 | ↑ +14% |
| Superior | EPO | $321.33 | ↑ +14% |
| USA Managed Care | WORKERSCOMP | $393.89 | ↑ +40% |
| Corvel Corporation | WORKERSCOMP | $410.47 | ↑ +46% |
| BCBS | MyBlueHealth | $418.77 | ↑ +49% |
| OMNI Healthcare | WORKERSCOMP | $435.35 | ↑ +55% |
| Molina Healthcare | HIX | $445.72 | ↑ +59% |
| BCBS | BAV | $462.30 | ↑ +65% |
| BCBS | HMO | $578.39 | ↑ +106% |
| Oscar | HIX | $599.13 | ↑ +113% |
| BCBS | EPOSOA | $619.86 | ↑ +121% |
| Healthcare Highways | NarrowNetwork | $621.93 | ↑ +121% |
| BCBS | PPO | $661.32 | ↑ +135% |
| Aetna | QHPExchange | $759.44 | ↑ +170% |
| Cigna | CSN | $853.10 | ↑ +204% |
| Cigna | OpenAccessPlus | $924.02 | ↑ +229% |
| Aetna | NBPOS | $1,009.96 | ↑ +260% |
| Aetna | NBHMO | $1,009.96 | ↑ +260% |
| Aetna | NBPPO | $1,009.96 | ↑ +260% |
| Aetna | COMMPPO | $1,072.98 | ↑ +282% |
| Aetna | COMMPOS | $1,072.98 | ↑ +282% |
| Aetna | COMMHMO | $1,072.98 | ↑ +282% |
| Cigna | PPO | $1,099.37 | ↑ +291% |
| Aetna | OONPPO | $1,260.48 | ↑ +349% |
| Aetna | OONHMO | $1,260.48 | ↑ +349% |
| Aetna | OONPOS | $1,260.48 | ↑ +349% |
| Aetna | ASAHMO | $1,362.89 | ↑ +385% |
| Aetna | ASAPOS | $1,362.89 | ↑ +385% |
| Aetna | ASAPPO | $1,362.89 | ↑ +385% |
| Humana | HMO | $2,769.27 | ↑ +886% |
| Humana | PPO | $2,769.27 | ↑ +886% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $673.04 | $10.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $650.81 | $12.00 – $735.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $567.00 | $12.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $673.04 | $10.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $650.81 | $12.00 – $735.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $650.81 | $8.00 – $735.75 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $567.00 | $12.00 – $735.75 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $673.04 | $10.00 – $613.12 |