Ortho elbow w/lock w/ft&adj at HCA HOUSTON KINGWOOD
5324 ATASCOCITA RD, HUMBLE, TX · HCA Houston Healthcare · · NPI 1811942238
$1,480.00
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.
$1,480.00
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.
$88.80 with Superior Health Plan vs $4,325.34 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $88.80 | ↓ -94% |
| Superior Health Plan | STARPLUS | $88.80 | ↓ -94% |
| Superior Health Plan | STARKids | $88.80 | ↓ -94% |
| Superior Health Plan | STAR | $88.80 | ↓ -94% |
| Superior Health Plan | CHPFC | $88.80 | ↓ -94% |
| Community Health Choice MCD | STAR | $192.40 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $192.40 | ↓ -87% |
| Community Health Choice MCD | CHIP | $192.40 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $192.40 | ↓ -87% |
| Amerigroup | MGMCD | $207.20 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $207.20 | ↓ -86% |
| Cigna | CSN | $219.04 | ↓ -85% |
| Cigna | OpenAccessPlus | $236.80 | ↓ -84% |
| BCBS | MyBlueHealth | $241.24 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $245.68 | ↓ -83% |
| United | OptionsPPO | $248.64 | ↓ -83% |
| BCBS | BAV | $266.40 | ↓ -82% |
| Cigna | PPO | $281.20 | ↓ -81% |
| BCBS | HMO | $333.00 | ↓ -78% |
| BCBS | EPOSOA | $340.40 | ↓ -77% |
| BCBS | PPO | $346.32 | ↓ -77% |
| Texas Childrens Health Plans | STAR | $350.76 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $350.76 | ↓ -76% |
| BCBS | Traditional | $518.00 | ↓ -65% |
| Oscar | MGMCR | $551.06 | ↓ -63% |
| WellMed | MGMCR | $559.50 | ↓ -62% |
| Devoted Health | MGMCR | $562.31 | ↓ -62% |
| Humana | MedicareAdvantageHMO | $562.31 | ↓ -62% |
| Humana | MedicareAdvantagePPOPFFS | $562.31 | ↓ -62% |
| Amerigroup | DualEligible | $562.31 | ↓ -62% |
| Cigna HealthSpring | MCRHMO | $562.31 | ↓ -62% |
| Cigna HealthSpring | MCRPPO | $562.31 | ↓ -62% |
| Cigna HealthSpring | MCRSNP | $562.31 | ↓ -62% |
| Cigna HealthSpring | PFFS | $562.31 | ↓ -62% |
| Cigna HealthSpring | MMP | $562.31 | ↓ -62% |
| TriWest Health Alliance | TRCR | $562.31 | ↓ -62% |
| BCBS | MCRPPO | $562.31 | ↓ -62% |
| BCBS | MedicareAdvantageHMO | $562.31 | ↓ -62% |
| CHC Harris Health | Indigent | $562.31 | ↓ -62% |
| Christus (USFHP) | TRICARE | $562.31 | ↓ -62% |
| Kelsey Seybold | MGMCR | $562.31 | ↓ -62% |
| Renaissance IPA Radiology | COMM | $562.31 | ↓ -62% |
| Renaissance IPA Radiology | MCR | $562.31 | ↓ -62% |
| TriWest Healthcare Alliance | Veterans | $562.31 | ↓ -62% |
| Aetna | MCR | $567.09 | ↓ -62% |
| Van Lang IPA | MCR | $567.93 | ↓ -62% |
| United | MCR | $573.56 | ↓ -61% |
| WellCare | PFFS | $579.18 | ↓ -61% |
| WellCare | POS | $579.18 | ↓ -61% |
| WellCare | MCRHMO | $579.18 | ↓ -61% |
| Integranet Amerigroup IPA | MCR | $579.18 | ↓ -61% |
| WellCare | PPO | $579.18 | ↓ -61% |
| WellCare | SNP | $579.18 | ↓ -61% |
| Superior Health Plan | PFFS | $590.43 | ↓ -60% |
| Superior Health Plan | MCRPOS | $590.43 | ↓ -60% |
| Superior Health Plan | MCRPPO | $590.43 | ↓ -60% |
| Superior Health Plan | MCRSNP | $590.43 | ↓ -60% |
| Superior Health Plan | MCRHMO | $590.43 | ↓ -60% |
| Superior Health Plan | DualEligible | $590.43 | ↓ -60% |
| Shared Health | MGMCR | $590.43 | ↓ -60% |
| American Health Plan | MGMCR | $590.43 | ↓ -60% |
| ProCare Advantage | MGMCR | $590.43 | ↓ -60% |
| Provider Partners Health Plan of Texas | PPO | $596.05 | ↓ -60% |
| Provider Partners Health Plan of Texas | SNP | $596.05 | ↓ -60% |
| Provider Partners Health Plan of Texas | PFFS | $596.05 | ↓ -60% |
| Provider Partners Health Plan of Texas | POS | $596.05 | ↓ -60% |
| Provider Partners Health Plan of Texas | MCRHMO | $596.05 | ↓ -60% |
| Molina | MGMCR | $612.92 | ↓ -59% |
| HealthSmart Preferred Care | ACCEL | $636.40 | ↓ -57% |
| United | GlobalAppendix | $666.00 | ↓ -55% |
| Universal Healthcare Group | MCR | $674.77 | ↓ -54% |
| Verda Health Plan | MCR | $731.00 | ↓ -51% |
| Coventry National First Health | COMM | $788.84 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $814.00 | ↓ -45% |
| Rockport Workers Comp | COMM | $814.00 | ↓ -45% |
| Superior | ValueHMO | $815.35 | ↓ -45% |
| Community Health Choice | HIX | $815.35 | ↓ -45% |
| Superior | HMO | $871.58 | ↓ -41% |
| Superior | EPO | $871.58 | ↓ -41% |
| National Healthcare Solutions | COMM | $888.00 | ↓ -40% |
| Independent Medical System | COMM | $888.00 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $888.00 | ↓ -40% |
| USA Managed Care | WORKERSCOMP | $1,068.39 | ↓ -28% |
| Multiplan | PHCSPrimaryNetwork | $1,110.00 | ↓ -25% |
| Corvel Corporation | WORKERSCOMP | $1,113.37 | ↓ -25% |
| OMNI Healthcare | WORKERSCOMP | $1,180.85 | ↓ -20% |
| Molina Healthcare | HIX | $1,208.97 | ↓ -18% |
| HealthSmart Preferred Care | PPO | $1,213.60 | ↓ -18% |
| USA Managed Care | COMM | $1,258.00 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $1,258.00 | ↓ -15% |
| Physicians, INC | COMM | $1,258.00 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,258.00 | ↓ -15% |
| Affiliated PPO | COMM | $1,332.00 | ↓ -10% |
| Humana | HMO | $4,325.34 | ↑ +192% |
| Humana | PPO | $4,325.34 | ↑ +192% |
Visitor-reported prices
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Ortho elbow w/lock w/ft&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $348.29 | $98.68 – $493.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $428.40 | $56.89 – $414.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $428.40 | $55.28 – $368.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $348.29 | $92.88 – $493.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $428.40 | $88.73 – $414.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $428.40 | $142.81 – $414.61 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $428.40 | $92.14 – $414.61 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $348.29 | $92.88 – $493.41 |