Injection, caplacizumab-yhdp 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.
$166.61 with Superior Health Plan vs $2,499.12 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 | CHPFC | $166.61 | — |
| Superior Health Plan | STAR | $166.61 | — |
| Superior Health Plan | STARKids | $166.61 | — |
| Superior Health Plan | STARPLUS | $166.61 | — |
| Superior Health Plan | CHIP | $166.61 | — |
| Aetna | MCR | $184.10 | — |
| Community Health Choice MCD | STAR+PLUS | $360.98 | — |
| Community Health Choice MCD | STAR | $360.98 | — |
| Community Health Choice MCD | CHIPPerinatal | $360.98 | — |
| Community Health Choice MCD | CHIP | $360.98 | — |
| Amerigroup | MCDCHIPBH | $388.75 | — |
| Amerigroup | MGMCD | $388.75 | — |
| Texas Childrens Health Plans | CHIP | $460.95 | — |
| United | OptionsPPO | $466.50 | — |
| Superior | HMO | $485.94 | — |
| Superior | EPO | $485.94 | — |
| Superior | ValueHMO | $549.81 | — |
| Texas Childrens Health Plans | STAR | $658.10 | — |
| Texas Childrens Health Plans | STARKIDS | $658.10 | — |
| Molina Healthcare | HIX | $749.74 | — |
| CHC Harris Health | Indigent | $833.04 | — |
| Humana | PPO | $886.08 | — |
| Humana | HMO | $886.08 | — |
| BCBS | Traditional | $971.88 | — |
| Christus (USFHP) | TRICARE | $1,110.72 | — |
| HealthSmart Preferred Care | ACCEL | $1,194.02 | — |
| United | GlobalAppendix | $1,249.56 | — |
| United | NarrowNetworkIndivExchange | $1,323.71 | — |
| United | SmallGroup | $1,323.71 | — |
| United | AllPayerAppendix | $1,323.71 | — |
| BCBS | MyBlueHealth | $1,351.20 | — |
| Coventry National First Health | COMM | $1,480.03 | — |
| Physicians Cooperative of Texas | WC | $1,527.24 | — |
| Rockport Workers Comp | COMM | $1,527.24 | — |
| SouthWest Medical | WORKERSCOMP | $1,666.08 | — |
| National Healthcare Solutions | COMM | $1,666.08 | — |
| Independent Medical System | COMM | $1,666.08 | — |
| Coastal Comp | COMM | $1,804.92 | — |
| BCBS | EPOSOA | $1,861.35 | — |
| BCBS | HMO | $1,861.35 | — |
| BCBS | PPO | $1,861.35 | — |
| Cigna | CSN | $1,923.49 | — |
| Cigna | OpenAccessPlus | $2,082.45 | — |
| Multiplan | PHCSPrimaryNetwork | $2,082.60 | — |
| TriWest Healthcare Alliance | Veterans | $2,221.44 | — |
| HealthSmart Preferred Care | PPO | $2,276.98 | — |
| BCBS | BAV | $2,323.24 | — |
| Multiplan | ComplementaryNetwork | $2,360.28 | — |
| Physicians, INC | COMM | $2,360.28 | — |
| USA Managed Care | COMM | $2,360.28 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $2,360.28 | — |
| Cigna | PPO | $2,479.87 | — |
| Affiliated PPO | COMM | $2,499.12 | — |
Visitor-reported prices
Comments
Injection, caplacizumab-yhdp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $16,745.11 | $620.45 – $47,843.16 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $16,745.11 | $751.44 – $47,843.16 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $16,745.11 | $751.44 – $47,843.16 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $16,745.11 | $751.44 – $47,843.16 |
| St. Luke's Health - The Vintage Hospital | Houston | $16,745.11 | $751.44 – $47,843.16 |
| Covenant Medical Center | Lubbock | $47,821.09 | $801.26 – $2,999.57 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $14,289.03 | $744.95 – $744.95 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $14,289.03 | $744.95 – $744.95 |