Established Patient Office Visit (level 1) at HCA HOUSTON KINGWOOD
5324 ATASCOCITA RD, HUMBLE, TX · HCA Houston Healthcare · · NPI 1811942238
$129.27
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.
$129.27
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.
$7.76 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 | STAR | $7.76 | ↓ -94% |
| Superior Health Plan | STARPLUS | $7.76 | ↓ -94% |
| Superior Health Plan | STARKids | $7.76 | ↓ -94% |
| Superior Health Plan | CHIP | $7.76 | ↓ -94% |
| Superior Health Plan | CHPFC | $7.76 | ↓ -94% |
| Aetna | MCR | $8.57 | ↓ -93% |
| Community Health Choice MCD | STAR+PLUS | $16.81 | ↓ -87% |
| Community Health Choice MCD | STAR | $16.81 | ↓ -87% |
| Community Health Choice MCD | CHIP | $16.81 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $16.81 | ↓ -87% |
| Amerigroup | MGMCD | $18.10 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $18.10 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $21.46 | ↓ -83% |
| United | OptionsPPO | $21.72 | ↓ -83% |
| BCBS | MyBlueHealth | $21.93 | ↓ -83% |
| Superior | EPO | $22.62 | ↓ -83% |
| Superior | HMO | $22.62 | ↓ -83% |
| BCBS | BAV | $24.17 | ↓ -81% |
| Superior | ValueHMO | $25.60 | ↓ -80% |
| BCBS | PPO | $30.27 | ↓ -77% |
| BCBS | HMO | $30.27 | ↓ -77% |
| BCBS | EPOSOA | $30.27 | ↓ -77% |
| Texas Childrens Health Plans | STAR | $30.64 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $30.64 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $32.96 | ↓ -75% |
| Molina Healthcare | HIX | $34.90 | ↓ -73% |
| Evry Health | BroadNetwork | $35.29 | ↓ -73% |
| CHC Harris Health | Indigent | $38.78 | ↓ -70% |
| Aetna | NBPPO | $41.50 | ↓ -68% |
| Aetna | NBHMO | $41.50 | ↓ -68% |
| Aetna | NBPOS | $41.50 | ↓ -68% |
| Aetna | COMMHMO | $44.21 | ↓ -66% |
| Aetna | COMMPPO | $44.21 | ↓ -66% |
| Aetna | COMMPOS | $44.21 | ↓ -66% |
| BCBS | Traditional | $45.24 | ↓ -65% |
| Kelsey Care (Boon-Chapman) | COMM | $45.24 | ↓ -65% |
| Imagine Health | PPO | $45.24 | ↓ -65% |
| Christus (USFHP) | TRICARE | $51.71 | ↓ -60% |
| Curative Administrators | COMM | $51.71 | ↓ -60% |
| Aetna | OONPPO | $51.84 | ↓ -60% |
| Aetna | OONHMO | $51.84 | ↓ -60% |
| Aetna | OONPOS | $51.84 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $55.59 | ↓ -57% |
| Aetna | ASAPOS | $55.97 | ↓ -57% |
| Aetna | ASAPPO | $55.97 | ↓ -57% |
| Aetna | ASAHMO | $55.97 | ↓ -57% |
| Averde Health | Commercial | $58.17 | ↓ -55% |
| United | GlobalAppendix | $58.17 | ↓ -55% |
| Fidelis SecureCare of TX | MGMCR | $58.17 | ↓ -55% |
| Coventry National First Health | COMM | $68.90 | ↓ -47% |
| Rockport Workers Comp | COMM | $71.10 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $71.10 | ↓ -45% |
| National Healthcare Solutions | COMM | $77.56 | ↓ -40% |
| Independent Medical System | COMM | $77.56 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $77.56 | ↓ -40% |
| Coastal Comp | COMM | $84.03 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $96.95 | ↓ -25% |
| TriWest Healthcare Alliance | Veterans | $103.42 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $106.00 | ↓ -18% |
| USA Managed Care | COMM | $109.88 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $109.88 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $109.88 | ↓ -15% |
| Physicians, INC | COMM | $109.88 | ↓ -15% |
| Humana | PPO | $115.13 | ↓ -11% |
| Humana | HMO | $115.13 | ↓ -11% |
| Affiliated PPO | COMM | $116.34 | ↓ -10% |
| Cigna | CSN | $165.26 | ↑ +28% |
| Cigna | OpenAccessPlus | $178.66 | ↑ +38% |
| Cigna | PPO | $212.15 | ↑ +64% |
| Aetna | QHPExchange | $295.90 | ↑ +129% |
| Texas Athletic Network | Premier | $300.00 | ↑ +132% |
| Texas Athletic Network | PremierPlus | $500.00 | ↑ +287% |
| Texas Athletic Network | TexasCustomUC | $600.00 | ↑ +364% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $256.64 | $36.07 – $36.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.02 | $15.44 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $96.94 | $15.00 – $93.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.02 | $24.07 – $112.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.02 | $38.75 – $112.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $96.94 | $25.00 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $134.02 | $15.00 – $106.25 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $134.02 | $8.82 – $112.50 |