Ghs moderate sedation, > 5 yr, 30 min, other 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.
$53.43 with Superior Health Plan vs $801.50 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $53.43 | — |
| Superior Health Plan | STARPLUS | $53.43 | — |
| Superior Health Plan | STARKids | $53.43 | — |
| Superior Health Plan | STAR | $53.43 | — |
| Superior Health Plan | CHPFC | $53.43 | — |
| Aetna | MCR | $59.04 | — |
| Community Health Choice MCD | CHIP | $115.77 | — |
| Community Health Choice MCD | STAR+PLUS | $115.77 | — |
| Community Health Choice MCD | STAR | $115.77 | — |
| Community Health Choice MCD | CHIPPerinatal | $115.77 | — |
| Amerigroup | MCDCHIPBH | $124.68 | — |
| Amerigroup | MGMCD | $124.68 | — |
| Cigna | CSN | $131.80 | — |
| Cigna | OpenAccessPlus | $142.49 | — |
| Texas Childrens Health Plans | CHIP | $147.83 | — |
| United | OptionsPPO | $149.61 | — |
| Superior | EPO | $155.85 | — |
| Superior | HMO | $155.85 | — |
| Cigna | PPO | $169.20 | — |
| Oscar | HIX | $173.66 | — |
| Superior | ValueHMO | $176.33 | — |
| BCBS | MyBlueHealth | $188.91 | — |
| BCBS | BAV | $208.28 | — |
| Texas Childrens Health Plans | STAR | $211.06 | — |
| Texas Childrens Health Plans | STARKIDS | $211.06 | — |
| Healthcare Highways | NarrowNetwork | $227.09 | — |
| Aetna | QHPExchange | $236.00 | — |
| Molina Healthcare | HIX | $240.45 | — |
| Evry Health | BroadNetwork | $243.12 | — |
| BCBS | HMO | $260.76 | — |
| BCBS | EPOSOA | $260.76 | — |
| BCBS | PPO | $260.76 | — |
| CHC Harris Health | Indigent | $267.17 | — |
| Humana | PPO | $284.17 | — |
| Humana | HMO | $284.17 | — |
| Aetna | NBHMO | $285.87 | — |
| Aetna | NBPPO | $285.87 | — |
| Aetna | NBPOS | $285.87 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Aetna | COMMPOS | $304.57 | — |
| Aetna | COMMPPO | $304.57 | — |
| Aetna | COMMHMO | $304.57 | — |
| BCBS | Traditional | $311.69 | — |
| Kelsey Care (Boon-Chapman) | COMM | $311.69 | — |
| Imagine Health | PPO | $311.69 | — |
| Curative Administrators | COMM | $356.22 | — |
| Christus (USFHP) | TRICARE | $356.22 | — |
| Aetna | OONHMO | $357.11 | — |
| Aetna | OONPOS | $357.11 | — |
| Aetna | OONPPO | $357.11 | — |
| HealthSmart Preferred Care | ACCEL | $382.94 | — |
| Aetna | ASAHMO | $385.61 | — |
| Aetna | ASAPOS | $385.61 | — |
| Aetna | ASAPPO | $385.61 | — |
| Averde Health | Commercial | $400.75 | — |
| United | GlobalAppendix | $400.75 | — |
| Fidelis SecureCare of TX | MGMCR | $400.75 | — |
| Coventry National First Health | COMM | $474.66 | — |
| Rockport Workers Comp | COMM | $489.80 | — |
| Physicians Cooperative of Texas | WC | $489.80 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| SouthWest Medical | WORKERSCOMP | $534.33 | — |
| National Healthcare Solutions | COMM | $534.33 | — |
| Independent Medical System | COMM | $534.33 | — |
| Coastal Comp | COMM | $578.86 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Multiplan | PHCSPrimaryNetwork | $667.91 | — |
| TriWest Healthcare Alliance | Veterans | $712.44 | — |
| HealthSmart Preferred Care | PPO | $730.25 | — |
| USA Managed Care | COMM | $756.97 | — |
| Physicians, INC | COMM | $756.97 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $756.97 | — |
| Multiplan | ComplementaryNetwork | $756.97 | — |
| Affiliated PPO | COMM | $801.50 | — |
Visitor-reported prices
Comments
Ghs moderate sedation, > 5 yr, 30 min, other at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $310.81 – $310.81 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $170.15 | $48.21 – $247.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $123.30 | $25.38 – $184.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $127.39 | $25.48 – $243.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $170.15 | $45.37 – $241.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $123.30 | $39.58 – $297.89 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $123.30 | $63.70 – $184.95 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $127.39 | $42.46 – $243.80 |