MRI without fol w/cont, breast 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.
$510.62 with Superior Health Plan vs $7,659.23 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 | $510.62 | — |
| Superior Health Plan | CHPFC | $510.62 | — |
| Superior Health Plan | STARPLUS | $510.62 | — |
| Superior Health Plan | STARKids | $510.62 | — |
| Superior Health Plan | STAR | $510.62 | — |
| BCBS | MyBlueHealth | $672.06 | — |
| United | NarrowNetworkIndivExchange | $699.43 | — |
| United | SmallGroup | $828.27 | — |
| United | AllPayerAppendix | $828.27 | — |
| BCBS | BAV | $851.53 | — |
| Community Health Choice MCD | CHIPPerinatal | $1,106.33 | — |
| Community Health Choice MCD | STAR+PLUS | $1,106.33 | — |
| Community Health Choice MCD | STAR | $1,106.33 | — |
| Community Health Choice MCD | CHIP | $1,106.33 | — |
| Amerigroup | MGMCD | $1,191.43 | — |
| Amerigroup | MCDCHIPBH | $1,191.43 | — |
| BCBS | HMO | $1,298.29 | — |
| BCBS | EPOSOA | $1,347.93 | — |
| BCBS | PPO | $1,393.75 | — |
| Texas Childrens Health Plans | CHIP | $1,412.70 | — |
| United | OptionsPPO | $1,429.72 | — |
| Cigna | CSN | $1,740.00 | — |
| Cigna | OpenAccessPlus | $1,885.00 | — |
| Texas Childrens Health Plans | STARKIDS | $2,016.93 | — |
| Texas Childrens Health Plans | STAR | $2,016.93 | — |
| Cigna | PPO | $2,241.00 | — |
| Aetna | QHPExchange | $2,255.22 | — |
| Aetna | NBPPO | $2,731.79 | — |
| Aetna | NBHMO | $2,731.79 | — |
| Aetna | NBPOS | $2,731.79 | — |
| Aetna | COMMPOS | $2,910.51 | — |
| Aetna | COMMPPO | $2,910.51 | — |
| Aetna | COMMHMO | $2,910.51 | — |
| BCBS | Traditional | $2,978.59 | — |
| Christus (USFHP) | TRICARE | $3,404.10 | — |
| Aetna | OONPPO | $3,412.61 | — |
| Aetna | OONPOS | $3,412.61 | — |
| Aetna | OONHMO | $3,412.61 | — |
| HealthSmart Preferred Care | ACCEL | $3,659.41 | — |
| Aetna | ASAPOS | $3,684.94 | — |
| Aetna | ASAHMO | $3,684.94 | — |
| Aetna | ASAPPO | $3,684.94 | — |
| United | GlobalAppendix | $3,829.61 | — |
| Fidelis SecureCare of TX | MGMCR | $3,829.61 | — |
| Coventry National First Health | COMM | $4,535.96 | — |
| Rockport Workers Comp | COMM | $4,680.64 | — |
| Physicians Cooperative of Texas | WC | $4,680.64 | — |
| National Healthcare Solutions | COMM | $5,106.15 | — |
| Independent Medical System | COMM | $5,106.15 | — |
| SouthWest Medical | WORKERSCOMP | $5,106.15 | — |
| Coastal Comp | COMM | $5,531.66 | — |
| Multiplan | PHCSPrimaryNetwork | $6,382.69 | — |
| HealthSmart Preferred Care | PPO | $6,978.40 | — |
| Multiplan | ComplementaryNetwork | $7,233.71 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $7,233.71 | — |
| USA Managed Care | COMM | $7,233.71 | — |
| Physicians, INC | COMM | $7,233.71 | — |
| Affiliated PPO | COMM | $7,659.23 | — |
Visitor-reported prices
Comments
MRI without fol w/cont, breast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,056.69 | $332.94 – $2,570.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,221.52 | $457.26 – $3,332.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,049.50 | $332.94 – $2,561.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,056.69 | $332.94 – $2,570.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,221.52 | $332.94 – $3,332.28 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,221.52 | $952.69 – $3,332.28 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,049.50 | $332.94 – $3,074.25 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,056.69 | $332.94 – $2,570.86 |