Pr moderate sedation same physician >= 5 years initial 15 minutes 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.
$8.58 with Superior Health Plan vs $600.00 with Texas Athletic Network — 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 | $8.58 | — |
| Superior Health Plan | STARPLUS | $8.58 | — |
| Superior Health Plan | STARKids | $8.58 | — |
| Superior Health Plan | STAR | $8.58 | — |
| Superior Health Plan | CHPFC | $8.58 | — |
| Aetna | MCR | $9.48 | — |
| Community Health Choice MCD | STAR | $18.59 | — |
| Community Health Choice MCD | CHIPPerinatal | $18.59 | — |
| Community Health Choice MCD | CHIP | $18.59 | — |
| Community Health Choice MCD | STAR+PLUS | $18.59 | — |
| Amerigroup | MGMCD | $20.02 | — |
| Amerigroup | MCDCHIPBH | $20.02 | — |
| Cigna | CSN | $21.16 | — |
| Cigna | OpenAccessPlus | $22.88 | — |
| Texas Childrens Health Plans | CHIP | $23.74 | — |
| United | OptionsPPO | $24.02 | — |
| Superior | HMO | $25.02 | — |
| Superior | EPO | $25.02 | — |
| Cigna | PPO | $27.17 | — |
| Oscar | HIX | $27.89 | — |
| Superior | ValueHMO | $28.31 | — |
| BCBS | MyBlueHealth | $29.51 | — |
| BCBS | BAV | $32.53 | — |
| Texas Childrens Health Plans | STAR | $33.89 | — |
| Texas Childrens Health Plans | STARKIDS | $33.89 | — |
| Healthcare Highways | NarrowNetwork | $36.47 | — |
| Aetna | QHPExchange | $37.90 | — |
| Molina Healthcare | HIX | $38.61 | — |
| Evry Health | BroadNetwork | $39.04 | — |
| BCBS | HMO | $40.73 | — |
| BCBS | EPOSOA | $40.73 | — |
| BCBS | PPO | $40.73 | — |
| CHC Harris Health | Indigent | $42.90 | — |
| Humana | PPO | $45.63 | — |
| Humana | HMO | $45.63 | — |
| Aetna | NBHMO | $45.90 | — |
| Aetna | NBPOS | $45.90 | — |
| Aetna | NBPPO | $45.90 | — |
| Aetna | COMMHMO | $48.91 | — |
| Aetna | COMMPOS | $48.91 | — |
| Aetna | COMMPPO | $48.91 | — |
| Imagine Health | PPO | $50.05 | — |
| Kelsey Care (Boon-Chapman) | COMM | $50.05 | — |
| BCBS | Traditional | $50.05 | — |
| Curative Administrators | COMM | $57.20 | — |
| Christus (USFHP) | TRICARE | $57.20 | — |
| Aetna | OONPPO | $57.34 | — |
| Aetna | OONPOS | $57.34 | — |
| Aetna | OONHMO | $57.34 | — |
| HealthSmart Preferred Care | ACCEL | $61.49 | — |
| Aetna | ASAPOS | $61.92 | — |
| Aetna | ASAPPO | $61.92 | — |
| Aetna | ASAHMO | $61.92 | — |
| Averde Health | Commercial | $64.35 | — |
| United | GlobalAppendix | $64.35 | — |
| Fidelis SecureCare of TX | MGMCR | $64.35 | — |
| Coventry National First Health | COMM | $76.22 | — |
| Rockport Workers Comp | COMM | $78.65 | — |
| Physicians Cooperative of Texas | WC | $78.65 | — |
| Independent Medical System | COMM | $85.80 | — |
| National Healthcare Solutions | COMM | $85.80 | — |
| SouthWest Medical | WORKERSCOMP | $85.80 | — |
| Coastal Comp | COMM | $92.95 | — |
| Multiplan | PHCSPrimaryNetwork | $107.25 | — |
| TriWest Healthcare Alliance | Veterans | $114.40 | — |
| HealthSmart Preferred Care | PPO | $117.26 | — |
| Physicians, INC | COMM | $121.55 | — |
| USA Managed Care | COMM | $121.55 | — |
| Multiplan | ComplementaryNetwork | $121.55 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $121.55 | — |
| Affiliated PPO | COMM | $128.70 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $48.55 – $48.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $232.42 | $38.71 – $329.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $232.42 | $38.08 – $348.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $232.42 | $38.08 – $290.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $232.42 | $29.51 – $329.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $232.42 | $46.53 – $348.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $232.42 | $120.08 – $348.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $232.42 | $38.08 – $348.63 |