Established Patient Office Visit (level 5) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$55.07 with Superior Health Plan vs $780.19 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | CHIP | $55.07 | — |
| Superior Health Plan | STARPLUS | $55.07 | — |
| Superior Health Plan | STARKids | $55.07 | — |
| Superior Health Plan | STAR | $55.07 | — |
| Superior Health Plan | CHPFC | $55.07 | — |
| Community Health Choice MCD | CHIP | $119.32 | — |
| Community Health Choice MCD | STAR+PLUS | $119.32 | — |
| Community Health Choice MCD | STAR | $119.32 | — |
| Community Health Choice MCD | CHIPPerinatal | $119.32 | — |
| United | OptionsPPO | $185.41 | — |
| Healthcare Highways | NarrowNetwork | $234.06 | — |
| Molina Healthcare | HIX | $247.82 | — |
| Evry Health | BroadNetwork | $250.58 | — |
| Cigna | CSN | $256.01 | — |
| BCBS | MyBlueHealth | $263.95 | — |
| CHC Harris Health | Indigent | $275.36 | — |
| Cigna | OpenAccessPlus | $276.77 | — |
| BCBS | BAV | $291.02 | — |
| Aetna | NBPOS | $294.64 | — |
| Aetna | NBHMO | $294.64 | — |
| Aetna | NBPPO | $294.64 | — |
| Aetna | COMMPOS | $313.91 | — |
| Aetna | COMMHMO | $313.91 | — |
| Aetna | COMMPPO | $313.91 | — |
| Humana | HMO | $315.77 | — |
| Humana | PPO | $315.77 | — |
| BCBS | Traditional | $321.25 | — |
| Cigna | PPO | $328.67 | — |
| BCBS | HMO | $364.34 | — |
| BCBS | EPOSOA | $364.34 | — |
| BCBS | PPO | $364.34 | — |
| Christus (USFHP) | TRICARE | $367.15 | — |
| Curative Administrators | COMM | $367.15 | — |
| Aetna | OONPOS | $368.07 | — |
| Aetna | OONPPO | $368.07 | — |
| Aetna | OONHMO | $368.07 | — |
| Aetna | ASAPPO | $397.44 | — |
| Aetna | ASAPOS | $397.44 | — |
| Aetna | ASAHMO | $397.44 | — |
| United | GlobalAppendix | $413.04 | — |
| Aetna | QHPExchange | $458.40 | — |
| Coventry National First Health | COMM | $489.22 | — |
| Multiplan | PHCSPrimaryNetwork | $688.40 | — |
| TriWest Healthcare Alliance | Veterans | $734.30 | — |
| Multiplan | ComplementaryNetwork | $780.19 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $450.00 | $434.28 – $434.28 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $884.58 | $263.95 – $315.77 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,971.10 | $263.95 – $315.77 |
| Baylor St Luke's Medical Center | Houston | $174.65 | $82.00 – $499.00 |
| St. Joseph Health Madison Hospital | Madisonville | $113.58 | $30.45 – $224.47 |
| St. Luke's Health Memorial Lufkin | Lufkin | $253.49 | $83.24 – $499.40 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $174.65 | $74.00 – $499.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $174.65 | $74.00 – $499.00 |