Biliary endo perq dx w/speci at HCA HOUSTON KINGWOOD
5324 ATASCOCITA RD, HUMBLE, TX · HCA Houston Healthcare · · NPI 1811942238
$4,262.78
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.
$4,262.78
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.
$861.08 with United vs $7,524.60 with BCBS — 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 |
|---|---|---|---|
| United | OptionsPPO | $861.08 | ↓ -80% |
| Superior Health Plan | CHIP | $948.00 | ↓ -78% |
| Superior Health Plan | STARPLUS | $948.00 | ↓ -78% |
| Superior Health Plan | STARKids | $948.00 | ↓ -78% |
| Superior Health Plan | STAR | $948.00 | ↓ -78% |
| Superior Health Plan | CHPFC | $948.00 | ↓ -78% |
| Texas Health Network | MCD | $1,128.51 | ↓ -74% |
| Amerigroup | MGMCD | $1,209.12 | ↓ -72% |
| United | MGMCD | $1,235.65 | ↓ -71% |
| Molina Healthcare | CHIP | $1,266.69 | ↓ -70% |
| Molina Healthcare | STARKIDS | $1,266.69 | ↓ -70% |
| Molina Healthcare | STAR | $1,266.69 | ↓ -70% |
| Molina Healthcare | STARPLUS | $1,266.69 | ↓ -70% |
| Community Health Choice MCD | STAR | $1,289.72 | ↓ -70% |
| Community Health Choice MCD | CHIP | $1,289.72 | ↓ -70% |
| Community Health Choice MCD | CHIPPerinatal | $1,289.72 | ↓ -70% |
| Community Health Choice MCD | STAR+PLUS | $1,289.72 | ↓ -70% |
| Humana | MCD | $1,439.42 | ↓ -66% |
| Aetna Better Health | MGMCD | $1,453.70 | ↓ -66% |
| BCBS | Traditional | $1,491.97 | ↓ -65% |
| Aetna | QHPExchange | $1,579.00 | ↓ -63% |
| Christus (USFHP) | TRICARE | $1,705.11 | ↓ -60% |
| United | GlobalAppendix | $1,918.25 | ↓ -55% |
| Aetna | NBPOS | $2,098.00 | ↓ -51% |
| Aetna | NBHMO | $2,098.00 | ↓ -51% |
| Fidelis SecureCare of TX | MGMCR | $2,115.00 | ↓ -50% |
| Aetna | COMMHMO | $2,229.00 | ↓ -48% |
| Aetna | COMMPOS | $2,229.00 | ↓ -48% |
| Coventry National First Health | COMM | $2,272.06 | ↓ -47% |
| Aetna | NBPPO | $2,299.00 | ↓ -46% |
| Aetna | COMMPPO | $2,444.00 | ↓ -43% |
| Aetna | OONHMO | $2,623.00 | ↓ -38% |
| Aetna | OONPOS | $2,623.00 | ↓ -38% |
| Aetna | ASAPOS | $2,832.00 | ↓ -34% |
| Aetna | ASAHMO | $2,832.00 | ↓ -34% |
| Aetna | OONPPO | $2,876.00 | ↓ -33% |
| Cigna | CSN | $3,099.00 | ↓ -27% |
| Aetna | ASAPPO | $3,106.00 | ↓ -27% |
| Multiplan | PHCSPrimaryNetwork | $3,197.09 | ↓ -25% |
| Cigna | OpenAccessPlus | $3,358.00 | ↓ -21% |
| Multiplan | ComplementaryNetwork | $3,623.36 | ↓ -15% |
| Cigna | PPO | $3,993.00 | ↓ -6% |
| Kelsey Care (Boon-Chapman) | COMM | $4,255.00 | ↓ -0% |
| Humana | PPO | $4,690.00 | ↑ +10% |
| Humana | HMO | $4,690.00 | ↑ +10% |
| United | SmallGroup | $4,760.00 | ↑ +12% |
| Healthcare Highways | NarrowNetwork | $4,988.00 | ↑ +17% |
| BCBS | MyBlueHealth | $5,534.63 | ↑ +30% |
| Oscar | HIX | $5,571.00 | ↑ +31% |
| Curative Administrators | COMM | $5,849.00 | ↑ +37% |
| United | NarrowNetworkIndivExchange | $5,951.00 | ↑ +40% |
| Evry Health | BroadNetwork | $6,077.00 | ↑ +43% |
| BCBS | BAV | $6,094.31 | ↑ +43% |
| BCBS | HMO | $6,436.33 | ↑ +51% |
| WellMed | MGMCR | $6,535.84 | ↑ +53% |
| United | AllPayerAppendix | $6,800.00 | ↑ +60% |
| BCBS | EPOSOA | $6,996.02 | ↑ +64% |
| BCBS | PPO | $7,524.60 | ↑ +77% |
Visitor-reported prices
Comments
Biliary endo perq dx w/speci at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $1,414.67 | $2,425.14 – $3,031.43 |
| Baylor St Luke's Medical Center | Houston | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $6,238.05 | $4,812.21 – $17,823.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $6,238.05 | $1,285.00 – $17,823.00 |
| Ascension Providence | Waco | $1,286.28 | $758.25 – $5,876.65 |
| Texas Health Hospital Mansfield | Mansfield | $17,730.45 | $3,283.46 – $13,006.64 |