Oth resp proc, indiv at HCA HOUSTON KINGWOOD
5324 ATASCOCITA RD, HUMBLE, TX · HCA Houston Healthcare · · NPI 1811942238
$86.91
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.
?
What you pay up front if you don't use insurance.
$86.91
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.21 with Superior Health Plan vs $94.87 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | CHPFC | $5.21 | ↓ -94% |
| Superior Health Plan | CHIP | $5.21 | ↓ -94% |
| Superior Health Plan | STARPLUS | $5.21 | ↓ -94% |
| Superior Health Plan | STARKids | $5.21 | ↓ -94% |
| Superior Health Plan | STAR | $5.21 | ↓ -94% |
| Community Health Choice MCD | CHIP | $11.30 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $11.30 | ↓ -87% |
| Community Health Choice MCD | STAR | $11.30 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $11.30 | ↓ -87% |
| Oscar | HIX | $16.95 | ↓ -80% |
| United | OptionsPPO | $17.56 | ↓ -80% |
| Aetna | QHPExchange | $23.03 | ↓ -74% |
| BCBS | MyBlueHealth | $23.61 | ↓ -73% |
| BCBS | BAV | $26.03 | ↓ -70% |
| Aetna | NBHMO | $27.90 | ↓ -68% |
| Aetna | NBPOS | $27.90 | ↓ -68% |
| Aetna | NBPPO | $27.90 | ↓ -68% |
| Aetna | COMMHMO | $29.72 | ↓ -66% |
| Aetna | COMMPOS | $29.72 | ↓ -66% |
| Aetna | COMMPPO | $29.72 | ↓ -66% |
| BCBS | Traditional | $30.42 | ↓ -65% |
| BCBS | PPO | $32.59 | ↓ -63% |
| BCBS | EPOSOA | $32.59 | ↓ -63% |
| BCBS | HMO | $32.59 | ↓ -63% |
| Christus (USFHP) | TRICARE | $34.76 | ↓ -60% |
| Aetna | OONPOS | $34.85 | ↓ -60% |
| Aetna | OONHMO | $34.85 | ↓ -60% |
| Aetna | OONPPO | $34.85 | ↓ -60% |
| Aetna | ASAPPO | $37.63 | ↓ -57% |
| Aetna | ASAPOS | $37.63 | ↓ -57% |
| Aetna | ASAHMO | $37.63 | ↓ -57% |
| United | GlobalAppendix | $39.11 | ↓ -55% |
| Coventry National First Health | COMM | $46.32 | ↓ -47% |
| Multiplan | PHCSPrimaryNetwork | $65.18 | ↓ -25% |
| Multiplan | ComplementaryNetwork | $73.87 | ↓ -15% |
| Humana | HMO | $94.87 | ↑ +9% |
| Humana | PPO | $94.87 | ↑ +9% |
Visitor-reported prices
Comments
Oth resp proc, indiv at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $487.56 | $23.61 – $94.87 |
| Covenant Children's Hospital | Lubbock | $67.20 | $34.41 – $34.41 |
| HCA HOUSTON NORTHWEST | SPRING | $339.63 | $23.61 – $94.87 |
| St. Luke's Health - Patients Medical Center | Pasadena | $132.30 | $14.73 – $978.00 |
| Baylor St Luke's Medical Center | Houston | $105.35 | $11.91 – $301.00 |
| St. Joseph Health Madison Hospital | Madisonville | $35.53 | $20.08 – $670.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $105.35 | $14.73 – $301.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $105.35 | $14.73 – $301.00 |