Mayo factor v 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.
$14.53 with Texas Health Network vs $805.63 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 |
|---|---|---|---|
| Texas Health Network | MCD | $14.53 | — |
| Community Health Choice MCD | CHIPPerinatal | $14.83 | — |
| Community Health Choice MCD | STAR | $14.83 | — |
| Community Health Choice MCD | STAR+PLUS | $14.83 | — |
| Amerigroup | MCDCHIPBH | $14.83 | — |
| Texas Childrens Health Plans | STAR | $14.83 | — |
| Texas Childrens Health Plans | STARKIDS | $14.83 | — |
| Amerigroup | MGMCD | $14.83 | — |
| Community Health Choice MCD | CHIP | $14.83 | — |
| United | MGMCD | $15.13 | — |
| Aetna Better Health | MGMCD | $16.02 | — |
| Molina Healthcare | CHIP | $16.31 | — |
| Molina Healthcare | STARPLUS | $16.31 | — |
| Molina Healthcare | STARKIDS | $16.31 | — |
| Molina Healthcare | STAR | $16.31 | — |
| Oscar | MGMCR | $17.30 | — |
| WellMed | MGMCR | $17.56 | — |
| United | SmallGroup | $17.65 | — |
| TriWest Healthcare Alliance | Veterans | $17.65 | — |
| Humana | MedicareAdvantageHMO | $17.65 | — |
| Humana | MedicareAdvantagePPOPFFS | $17.65 | — |
| Renaissance IPA Radiology | MCR | $17.65 | — |
| Renaissance IPA Radiology | COMM | $17.65 | — |
| Devoted Health | MGMCR | $17.65 | — |
| Kelsey Seybold | MGMCR | $17.65 | — |
| CHC Harris Health | Indigent | $17.65 | — |
| BCBS | MedicareAdvantageHMO | $17.65 | — |
| BCBS | MCRPPO | $17.65 | — |
| Cigna HealthSpring | MMP | $17.65 | — |
| Cigna HealthSpring | PFFS | $17.65 | — |
| Cigna HealthSpring | MCRSNP | $17.65 | — |
| Cigna HealthSpring | MCRPPO | $17.65 | — |
| Cigna HealthSpring | MCRHMO | $17.65 | — |
| Amerigroup | DualEligible | $17.65 | — |
| United | AllPayerAppendix | $17.65 | — |
| United | NarrowNetworkIndivExchange | $17.65 | — |
| Aetna | MCR | $17.80 | — |
| Van Lang IPA | MCR | $17.83 | — |
| United | MCR | $18.00 | — |
| WellCare | SNP | $18.18 | — |
| Integranet Amerigroup IPA | MCR | $18.18 | — |
| WellCare | PFFS | $18.18 | — |
| WellCare | MCRHMO | $18.18 | — |
| WellCare | POS | $18.18 | — |
| WellCare | PPO | $18.18 | — |
| ProCare Advantage | MGMCR | $18.53 | — |
| Shared Health | MGMCR | $18.53 | — |
| Superior Health Plan | DualEligible | $18.53 | — |
| Superior Health Plan | MCRHMO | $18.53 | — |
| American Health Plan | MGMCR | $18.53 | — |
| Superior Health Plan | MCRPOS | $18.53 | — |
| Superior Health Plan | MCRPPO | $18.53 | — |
| Superior Health Plan | MCRSNP | $18.53 | — |
| Superior Health Plan | PFFS | $18.53 | — |
| Humana | MCD | $18.54 | — |
| Provider Partners Health Plan of Texas | PPO | $18.71 | — |
| Provider Partners Health Plan of Texas | SNP | $18.71 | — |
| Provider Partners Health Plan of Texas | POS | $18.71 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $18.71 | — |
| Provider Partners Health Plan of Texas | PFFS | $18.71 | — |
| TriWest Health Alliance | TRCR | $19.10 | — |
| Christus (USFHP) | TRICARE | $19.10 | — |
| Molina | MGMCR | $19.24 | — |
| Universal Healthcare Group | MCR | $21.18 | — |
| Verda Health Plan | MCR | $22.95 | — |
| Community Health Choice | HIX | $25.59 | — |
| Superior | ValueHMO | $25.59 | — |
| Superior | HMO | $27.36 | — |
| Superior | EPO | $27.36 | — |
| USA Managed Care | WORKERSCOMP | $33.53 | — |
| Corvel Corporation | WORKERSCOMP | $34.95 | — |
| BCBS | MyBlueHealth | $35.65 | — |
| OMNI Healthcare | WORKERSCOMP | $37.06 | — |
| Molina Healthcare | HIX | $37.95 | — |
| BCBS | BAV | $39.36 | — |
| BCBS | HMO | $49.24 | — |
| Oscar | HIX | $51.01 | — |
| BCBS | EPOSOA | $52.77 | — |
| Healthcare Highways | NarrowNetwork | $52.95 | — |
| Superior Health Plan | STARPLUS | $53.71 | — |
| Superior Health Plan | CHIP | $53.71 | — |
| Superior Health Plan | CHPFC | $53.71 | — |
| Superior Health Plan | STAR | $53.71 | — |
| Superior Health Plan | STARKids | $53.71 | — |
| BCBS | PPO | $56.30 | — |
| Aetna | QHPExchange | $64.64 | — |
| Cigna | CSN | $72.48 | — |
| Cigna | OpenAccessPlus | $78.51 | — |
| Aetna | NBHMO | $85.96 | — |
| Aetna | NBPOS | $85.96 | — |
| Aetna | NBPPO | $85.96 | — |
| Aetna | COMMHMO | $91.32 | — |
| Aetna | COMMPOS | $91.32 | — |
| Aetna | COMMPPO | $91.32 | — |
| Cigna | PPO | $93.41 | — |
| Aetna | OONPPO | $107.28 | — |
| Aetna | OONHMO | $107.28 | — |
| Aetna | OONPOS | $107.28 | — |
| Aetna | ASAHMO | $116.00 | — |
| Aetna | ASAPPO | $116.00 | — |
| Aetna | ASAPOS | $116.00 | — |
| Texas Childrens Health Plans | CHIP | $148.59 | — |
| United | OptionsPPO | $150.38 | — |
| Humana | HMO | $235.77 | — |
| Humana | PPO | $235.77 | — |
| Evry Health | BroadNetwork | $244.37 | — |
| Imagine Health | PPO | $313.30 | — |
| Kelsey Care (Boon-Chapman) | COMM | $313.30 | — |
| BCBS | Traditional | $313.30 | — |
| HealthSmart Preferred Care | ACCEL | $384.91 | — |
| Averde Health | Commercial | $402.81 | — |
| United | GlobalAppendix | $402.81 | — |
| Fidelis SecureCare of TX | MGMCR | $402.81 | — |
| Coventry National First Health | COMM | $477.11 | — |
| Physicians Cooperative of Texas | WC | $492.33 | — |
| Rockport Workers Comp | COMM | $492.33 | — |
| Independent Medical System | COMM | $537.08 | — |
| National Healthcare Solutions | COMM | $537.08 | — |
| SouthWest Medical | WORKERSCOMP | $537.08 | — |
| Coastal Comp | COMM | $581.84 | — |
| Multiplan | PHCSPrimaryNetwork | $671.36 | — |
| HealthSmart Preferred Care | PPO | $734.01 | — |
| Physicians, INC | COMM | $760.87 | — |
| USA Managed Care | COMM | $760.87 | — |
| Multiplan | ComplementaryNetwork | $760.87 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $760.87 | — |
| Affiliated PPO | COMM | $805.63 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Mayo factor v at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $530.23 | $15.89 – $67.95 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $220.03 | $10.00 – $275.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $221.11 | $12.00 – $331.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $208.24 | $12.00 – $260.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $220.03 | $10.00 – $275.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $221.11 | $12.00 – $331.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $221.11 | $8.00 – $331.67 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $208.24 | $12.00 – $312.35 |