Mon cable elec/pneum vad rep 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.
$354.94 with Oscar vs $2,785.93 with Humana — 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 |
|---|---|---|---|
| Oscar | MGMCR | $354.94 | — |
| WellMed | MGMCR | $360.37 | — |
| Devoted Health | MGMCR | $362.18 | — |
| Humana | MedicareAdvantageHMO | $362.18 | — |
| Humana | MedicareAdvantagePPOPFFS | $362.18 | — |
| Amerigroup | DualEligible | $362.18 | — |
| Cigna HealthSpring | MCRHMO | $362.18 | — |
| Cigna HealthSpring | MCRPPO | $362.18 | — |
| Cigna HealthSpring | MCRSNP | $362.18 | — |
| Cigna HealthSpring | PFFS | $362.18 | — |
| Cigna HealthSpring | MMP | $362.18 | — |
| TriWest Health Alliance | TRCR | $362.18 | — |
| BCBS | MCRPPO | $362.18 | — |
| BCBS | MedicareAdvantageHMO | $362.18 | — |
| CHC Harris Health | Indigent | $362.18 | — |
| Christus (USFHP) | TRICARE | $362.18 | — |
| Kelsey Seybold | MGMCR | $362.18 | — |
| Renaissance IPA Radiology | COMM | $362.18 | — |
| Renaissance IPA Radiology | MCR | $362.18 | — |
| TriWest Healthcare Alliance | Veterans | $362.18 | — |
| Aetna | MCR | $365.26 | — |
| Van Lang IPA | MCR | $365.80 | — |
| United | MCR | $369.42 | — |
| WellCare | POS | $373.05 | — |
| WellCare | MCRHMO | $373.05 | — |
| WellCare | PPO | $373.05 | — |
| WellCare | PFFS | $373.05 | — |
| WellCare | SNP | $373.05 | — |
| Integranet Amerigroup IPA | MCR | $373.05 | — |
| American Health Plan | MGMCR | $380.29 | — |
| Superior Health Plan | PFFS | $380.29 | — |
| Superior Health Plan | MCRSNP | $380.29 | — |
| ProCare Advantage | MGMCR | $380.29 | — |
| Superior Health Plan | MCRPPO | $380.29 | — |
| Shared Health | MGMCR | $380.29 | — |
| Superior Health Plan | MCRPOS | $380.29 | — |
| Superior Health Plan | MCRHMO | $380.29 | — |
| Superior Health Plan | DualEligible | $380.29 | — |
| Provider Partners Health Plan of Texas | PFFS | $383.91 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $383.91 | — |
| Provider Partners Health Plan of Texas | POS | $383.91 | — |
| Provider Partners Health Plan of Texas | SNP | $383.91 | — |
| Provider Partners Health Plan of Texas | PPO | $383.91 | — |
| Molina | MGMCR | $394.78 | — |
| Universal Healthcare Group | MCR | $434.62 | — |
| Verda Health Plan | MCR | $470.83 | — |
| Community Health Choice | HIX | $525.16 | — |
| Superior | ValueHMO | $525.16 | — |
| Superior | HMO | $561.38 | — |
| Superior | EPO | $561.38 | — |
| USA Managed Care | WORKERSCOMP | $688.14 | — |
| Corvel Corporation | WORKERSCOMP | $717.12 | — |
| OMNI Healthcare | WORKERSCOMP | $760.58 | — |
| Molina Healthcare | HIX | $778.69 | — |
| Humana | HMO | $2,785.93 | — |
| Humana | PPO | $2,785.93 | — |
Visitor-reported prices
Comments
Mon cable elec/pneum vad rep at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,596.00 | $114.75 – $540.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,596.00 | $108.00 – $540.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,596.00 | $108.00 – $540.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,596.00 | $101.25 – $540.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,596.00 | $74.25 – $540.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $1,596.00 | $74.25 – $540.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,596.00 | $114.75 – $540.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,596.00 | $189.00 – $540.00 |