Bld prd mix at HCA HOUSTON KINGWOOD
5324 ATASCOCITA RD, HUMBLE, TX · HCA Houston Healthcare · · NPI 1811942238
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.
$12.63 with Superior Health Plan vs $600.00 with Texas Athletic Network — 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 | STARKids | $12.63 | — |
| Superior Health Plan | STARPLUS | $12.63 | — |
| Superior Health Plan | CHIP | $12.63 | — |
| Superior Health Plan | CHPFC | $12.63 | — |
| Superior Health Plan | STAR | $12.63 | — |
| Community Health Choice MCD | STAR | $27.37 | — |
| Community Health Choice MCD | STAR+PLUS | $27.37 | — |
| Community Health Choice MCD | CHIP | $27.37 | — |
| Community Health Choice MCD | CHIPPerinatal | $27.37 | — |
| Amerigroup | MCDCHIPBH | $29.48 | — |
| Amerigroup | MGMCD | $29.48 | — |
| Cigna | CSN | $31.16 | — |
| Cigna | OpenAccessPlus | $33.69 | — |
| Texas Childrens Health Plans | CHIP | $34.95 | — |
| United | OptionsPPO | $35.37 | — |
| Cigna | PPO | $40.00 | — |
| Oscar | HIX | $41.06 | — |
| Texas Childrens Health Plans | STARKIDS | $49.90 | — |
| Texas Childrens Health Plans | STAR | $49.90 | — |
| Healthcare Highways | NarrowNetwork | $53.69 | — |
| Evry Health | BroadNetwork | $57.48 | — |
| Humana | PPO | $67.18 | — |
| Humana | HMO | $67.18 | — |
| BCBS | Traditional | $73.69 | — |
| Kelsey Care (Boon-Chapman) | COMM | $73.69 | — |
| Imagine Health | PPO | $73.69 | — |
| Christus (USFHP) | TRICARE | $84.22 | — |
| HealthSmart Preferred Care | ACCEL | $90.53 | — |
| United | GlobalAppendix | $94.74 | — |
| Averde Health | Commercial | $94.74 | — |
| Fidelis SecureCare of TX | MGMCR | $94.74 | — |
| Coventry National First Health | COMM | $112.22 | — |
| Rockport Workers Comp | COMM | $115.80 | — |
| Physicians Cooperative of Texas | WC | $115.80 | — |
| Aetna | QHPExchange | $123.92 | — |
| National Healthcare Solutions | COMM | $126.32 | — |
| Independent Medical System | COMM | $126.32 | — |
| SouthWest Medical | WORKERSCOMP | $126.32 | — |
| Coastal Comp | COMM | $136.85 | — |
| United | SmallGroup | $149.16 | — |
| United | AllPayerAppendix | $149.16 | — |
| United | NarrowNetworkIndivExchange | $149.16 | — |
| Multiplan | PHCSPrimaryNetwork | $157.91 | — |
| Aetna | NBPOS | $164.80 | — |
| Aetna | NBPPO | $164.80 | — |
| Aetna | NBHMO | $164.80 | — |
| HealthSmart Preferred Care | PPO | $172.64 | — |
| Aetna | COMMPPO | $175.09 | — |
| Aetna | COMMPOS | $175.09 | — |
| Aetna | COMMHMO | $175.09 | — |
| Physicians, INC | COMM | $178.96 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $178.96 | — |
| USA Managed Care | COMM | $178.96 | — |
| Multiplan | ComplementaryNetwork | $178.96 | — |
| Affiliated PPO | COMM | $189.49 | — |
| Aetna | OONPPO | $205.68 | — |
| Aetna | OONHMO | $205.68 | — |
| Aetna | OONPOS | $205.68 | — |
| Aetna | ASAHMO | $222.39 | — |
| Aetna | ASAPPO | $222.39 | — |
| Aetna | ASAPOS | $222.39 | — |
| BCBS | MyBlueHealth | $289.87 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| BCBS | BAV | $320.00 | — |
| BCBS | HMO | $400.37 | — |
| BCBS | EPOSOA | $429.07 | — |
| BCBS | PPO | $457.76 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Bld prd mix at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $139.21 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $117.37 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $117.37 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $139.21 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $117.37 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $117.37 | $8.00 – $423.12 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $117.37 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $139.21 | $10.00 – $423.12 |