Factor ix complex 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.
$1.70 with TriWest Health Alliance vs $39.52 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 | $1.70 | — |
| Christus (USFHP) | TRICARE | $1.70 | — |
| BCBS | MyBlueHealth | $1.84 | — |
| BCBS | EPOSOA | $2.54 | — |
| BCBS | PPO | $2.54 | — |
| BCBS | HMO | $2.54 | — |
| Superior Health Plan | STARPLUS | $2.63 | — |
| Superior Health Plan | CHIP | $2.63 | — |
| Superior Health Plan | CHPFC | $2.63 | — |
| Superior Health Plan | STAR | $2.63 | — |
| Superior Health Plan | STARKids | $2.63 | — |
| United | AllPayerAppendix | $2.81 | — |
| United | NarrowNetworkIndivExchange | $2.81 | — |
| United | SmallGroup | $2.81 | — |
| BCBS | BAV | $3.17 | — |
| Cigna | CSN | $4.11 | — |
| Cigna | OpenAccessPlus | $4.45 | — |
| Cigna | PPO | $5.30 | — |
| Community Health Choice MCD | CHIPPerinatal | $5.71 | — |
| Community Health Choice MCD | STAR+PLUS | $5.71 | — |
| Community Health Choice MCD | STAR | $5.71 | — |
| Community Health Choice MCD | CHIP | $5.71 | — |
| Amerigroup | MCDCHIPBH | $6.15 | — |
| Amerigroup | MGMCD | $6.15 | — |
| Texas Childrens Health Plans | CHIP | $7.29 | — |
| United | OptionsPPO | $7.38 | — |
| Texas Childrens Health Plans | STARKIDS | $10.41 | — |
| Texas Childrens Health Plans | STAR | $10.41 | — |
| Humana | HMO | $13.83 | — |
| Humana | PPO | $13.83 | — |
| BCBS | Traditional | $15.37 | — |
| HealthSmart Preferred Care | ACCEL | $18.88 | — |
| United | GlobalAppendix | $19.76 | — |
| Coventry National First Health | COMM | $23.40 | — |
| Physicians Cooperative of Texas | WC | $24.15 | — |
| Rockport Workers Comp | COMM | $24.15 | — |
| Independent Medical System | COMM | $26.35 | — |
| National Healthcare Solutions | COMM | $26.35 | — |
| SouthWest Medical | WORKERSCOMP | $26.35 | — |
| Coastal Comp | COMM | $28.54 | — |
| Multiplan | PHCSPrimaryNetwork | $32.93 | — |
| HealthSmart Preferred Care | PPO | $36.01 | — |
| USA Managed Care | COMM | $37.32 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $37.32 | — |
| Physicians, INC | COMM | $37.32 | — |
| Multiplan | ComplementaryNetwork | $37.32 | — |
| Affiliated PPO | COMM | $39.52 | — |
Visitor-reported prices
Comments
Factor ix complex at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Cedar Park Hospital | Cedar Park | $1.42 | $1.19 – $1.62 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $1.35 | $1.19 – $3.58 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $1.35 | $1.19 – $3.58 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $1.35 | $1.19 – $3.58 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $2.63 | $1.19 – $3.58 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $1.35 | $1.19 – $3.58 |
| Adventhealth Rollins Brook | Lampasas | not published | $3.62 – $3.62 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $1.66 – $13.83 |