Epoetin alfa, 100 units esrd 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.
$0.77 with TriWest Health Alliance vs $1,121.22 with Affiliated PPO — 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 |
|---|---|---|---|
| TriWest Health Alliance | TRCR | $0.77 | — |
| Christus (USFHP) | TRICARE | $0.77 | — |
| United | SmallGroup | $1.27 | — |
| United | NarrowNetworkIndivExchange | $1.27 | — |
| United | AllPayerAppendix | $1.27 | — |
| Cigna | CSN | $1.86 | — |
| Cigna | OpenAccessPlus | $2.02 | — |
| Cigna | PPO | $2.40 | — |
| BCBS | MyBlueHealth | $3.14 | — |
| BCBS | HMO | $4.32 | — |
| BCBS | EPOSOA | $4.32 | — |
| BCBS | PPO | $4.32 | — |
| BCBS | BAV | $5.39 | — |
| Humana | HMO | $11.98 | — |
| Humana | PPO | $11.98 | — |
| Superior Health Plan | CHIP | $74.75 | — |
| Superior Health Plan | STAR | $74.75 | — |
| Superior Health Plan | CHPFC | $74.75 | — |
| Superior Health Plan | STARPLUS | $74.75 | — |
| Superior Health Plan | STARKids | $74.75 | — |
| Aetna | MCR | $82.60 | — |
| Community Health Choice MCD | CHIP | $161.95 | — |
| Community Health Choice MCD | STAR | $161.95 | — |
| Community Health Choice MCD | CHIPPerinatal | $161.95 | — |
| Community Health Choice MCD | STAR+PLUS | $161.95 | — |
| Amerigroup | MCDCHIPBH | $174.41 | — |
| Amerigroup | MGMCD | $174.41 | — |
| Texas Childrens Health Plans | CHIP | $206.80 | — |
| United | OptionsPPO | $209.29 | — |
| Superior | EPO | $218.01 | — |
| Superior | HMO | $218.01 | — |
| Oscar | HIX | $242.93 | — |
| Superior | ValueHMO | $246.67 | — |
| Texas Childrens Health Plans | STAR | $295.25 | — |
| Texas Childrens Health Plans | STARKIDS | $295.25 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Healthcare Highways | NarrowNetwork | $317.68 | — |
| Aetna | QHPExchange | $330.14 | — |
| Molina Healthcare | HIX | $336.37 | — |
| Evry Health | BroadNetwork | $340.10 | — |
| CHC Harris Health | Indigent | $373.74 | — |
| Aetna | NBHMO | $399.90 | — |
| Aetna | NBPPO | $399.90 | — |
| Aetna | NBPOS | $399.90 | — |
| Aetna | COMMPPO | $426.06 | — |
| Aetna | COMMHMO | $426.06 | — |
| Aetna | COMMPOS | $426.06 | — |
| Imagine Health | PPO | $436.03 | — |
| Kelsey Care (Boon-Chapman) | COMM | $436.03 | — |
| BCBS | Traditional | $436.03 | — |
| Curative Administrators | COMM | $498.32 | — |
| Aetna | OONPPO | $499.57 | — |
| Aetna | OONHMO | $499.57 | — |
| Aetna | OONPOS | $499.57 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| HealthSmart Preferred Care | ACCEL | $535.69 | — |
| Aetna | ASAPPO | $539.43 | — |
| Aetna | ASAHMO | $539.43 | — |
| Aetna | ASAPOS | $539.43 | — |
| United | GlobalAppendix | $560.61 | — |
| Averde Health | Commercial | $560.61 | — |
| Fidelis SecureCare of TX | MGMCR | $560.61 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Coventry National First Health | COMM | $664.01 | — |
| Rockport Workers Comp | COMM | $685.19 | — |
| Physicians Cooperative of Texas | WC | $685.19 | — |
| National Healthcare Solutions | COMM | $747.48 | — |
| SouthWest Medical | WORKERSCOMP | $747.48 | — |
| Independent Medical System | COMM | $747.48 | — |
| Coastal Comp | COMM | $809.77 | — |
| Multiplan | PHCSPrimaryNetwork | $934.35 | — |
| TriWest Healthcare Alliance | Veterans | $996.64 | — |
| HealthSmart Preferred Care | PPO | $1,021.56 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,058.93 | — |
| Multiplan | ComplementaryNetwork | $1,058.93 | — |
| USA Managed Care | COMM | $1,058.93 | — |
| Physicians, INC | COMM | $1,058.93 | — |
| Affiliated PPO | COMM | $1,121.22 | — |
Visitor-reported prices
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Epoetin alfa, 100 units esrd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $41.32 | $0.65 – $101.58 |
| St. Joseph Health College Station Hospital | College Station | $41.32 | $0.65 – $95.94 |
| St. Joseph Health Grimes Hospital | Navasota | $41.32 | $0.65 – $125.28 |
| St. Joseph Health Burleson Hospital | Caldwell | $41.32 | $0.65 – $101.58 |
| HCA HOUSTON TOMBALL | HOUSTON | $415.04 | $0.71 – $11.98 |
| Adventhealth Rollins Brook | Lampasas | not published | $6.16 – $6.16 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $0.71 – $11.98 |
| Covenant Children's Hospital | Lubbock | not published | $2.69 – $6.39 |