MRI w/cont, breast, bi 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.
$672.06 with BCBS vs $2,241.00 with Cigna — 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $672.06 | — |
| United | NarrowNetworkIndivExchange | $699.43 | — |
| United | AllPayerAppendix | $828.27 | — |
| United | SmallGroup | $828.27 | — |
| BCBS | BAV | $851.53 | — |
| BCBS | HMO | $1,298.29 | — |
| BCBS | EPOSOA | $1,347.93 | — |
| BCBS | PPO | $1,393.75 | — |
| Cigna | CSN | $1,740.00 | — |
| Cigna | OpenAccessPlus | $1,885.00 | — |
| Cigna | PPO | $2,241.00 | — |
Visitor-reported prices
Comments
MRI w/cont, breast, bi at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $13,295.12 | $672.06 – $699.43 |
| HCA HOUSTON MEDICAL CENTER | Houston | $17,966.06 | $672.06 – $699.43 |
| Baylor St Luke's Medical Center | Houston | $1,885.45 | $458.22 – $5,387.00 |
| St. Joseph Health Madison Hospital | Madisonville | $472.50 | $343.98 – $2,430.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $674.85 | $400.00 – $4,049.10 |
| HCA HOUSTON PEARLAND | Pearland | $10,610.87 | $672.06 – $699.43 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,885.45 | $538.41 – $5,387.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,885.45 | $538.41 – $5,387.00 |