Contact layer >16<= 48 sq in 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.
$10.26 with Oscar vs $80.45 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 |
|---|---|---|---|
| Oscar | MGMCR | $10.26 | — |
| WellMed | MGMCR | $10.42 | — |
| Devoted Health | MGMCR | $10.47 | — |
| Humana | MedicareAdvantageHMO | $10.47 | — |
| Humana | MedicareAdvantagePPOPFFS | $10.47 | — |
| Amerigroup | DualEligible | $10.47 | — |
| Cigna HealthSpring | MCRHMO | $10.47 | — |
| Cigna HealthSpring | MCRPPO | $10.47 | — |
| Cigna HealthSpring | MCRSNP | $10.47 | — |
| Cigna HealthSpring | PFFS | $10.47 | — |
| Cigna HealthSpring | MMP | $10.47 | — |
| TriWest Health Alliance | TRCR | $10.47 | — |
| BCBS | MCRPPO | $10.47 | — |
| BCBS | MedicareAdvantageHMO | $10.47 | — |
| CHC Harris Health | Indigent | $10.47 | — |
| Christus (USFHP) | TRICARE | $10.47 | — |
| Kelsey Seybold | MGMCR | $10.47 | — |
| Renaissance IPA Radiology | COMM | $10.47 | — |
| Renaissance IPA Radiology | MCR | $10.47 | — |
| TriWest Healthcare Alliance | Veterans | $10.47 | — |
| Aetna | MCR | $10.56 | — |
| Van Lang IPA | MCR | $10.57 | — |
| BCBS | MyBlueHealth | $10.58 | — |
| United | MCR | $10.68 | — |
| WellCare | POS | $10.78 | — |
| WellCare | PPO | $10.78 | — |
| Integranet Amerigroup IPA | MCR | $10.78 | — |
| WellCare | PFFS | $10.78 | — |
| WellCare | MCRHMO | $10.78 | — |
| WellCare | SNP | $10.78 | — |
| Superior Health Plan | PFFS | $10.99 | — |
| Superior Health Plan | MCRSNP | $10.99 | — |
| Superior Health Plan | MCRHMO | $10.99 | — |
| Superior Health Plan | DualEligible | $10.99 | — |
| American Health Plan | MGMCR | $10.99 | — |
| ProCare Advantage | MGMCR | $10.99 | — |
| Shared Health | MGMCR | $10.99 | — |
| Superior Health Plan | MCRPOS | $10.99 | — |
| Superior Health Plan | MCRPPO | $10.99 | — |
| Provider Partners Health Plan of Texas | PFFS | $11.10 | — |
| Provider Partners Health Plan of Texas | PPO | $11.10 | — |
| Provider Partners Health Plan of Texas | SNP | $11.10 | — |
| Provider Partners Health Plan of Texas | POS | $11.10 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $11.10 | — |
| Molina | MGMCR | $11.41 | — |
| BCBS | BAV | $11.69 | — |
| Universal Healthcare Group | MCR | $12.56 | — |
| Verda Health Plan | MCR | $13.61 | — |
| BCBS | HMO | $14.59 | — |
| Superior | ValueHMO | $15.18 | — |
| Community Health Choice | HIX | $15.18 | — |
| BCBS | EPOSOA | $15.44 | — |
| Superior | EPO | $16.23 | — |
| Superior | HMO | $16.23 | — |
| BCBS | PPO | $16.29 | — |
| USA Managed Care | WORKERSCOMP | $19.89 | — |
| Corvel Corporation | WORKERSCOMP | $20.73 | — |
| OMNI Healthcare | WORKERSCOMP | $21.99 | — |
| Molina Healthcare | HIX | $22.51 | — |
| Humana | PPO | $80.45 | — |
| Humana | HMO | $80.45 | — |
Visitor-reported prices
Comments
Contact layer >16<= 48 sq in at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $9.45 | $6.88 – $48.60 |
| St. Luke's Health Memorial Lufkin | Lufkin | $4.73 | $7.88 – $31.50 |
| St. Joseph Health College Station Hospital | College Station | $9.45 | $12.28 – $45.90 |
| St. Joseph Health Grimes Hospital | Navasota | $9.45 | $12.28 – $59.94 |
| St. Luke's Health Memorial Livingston | Livingston | $4.73 | $6.93 – $31.50 |
| St. Luke's Health Memorial San Augustine | San Augustine | $4.73 | $5.67 – $32.76 |
| St. Joseph Health Burleson Hospital | Caldwell | $9.45 | $11.88 – $48.60 |
| Ascension Providence | Waco | $14.49 | $9.55 – $10.66 |