Prostate biopsy, any mthd at HCA HOUSTON KINGWOOD
5324 ATASCOCITA RD, HUMBLE, TX · HCA Houston Healthcare · · NPI 1811942238
$1,117.32
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.
$1,117.32
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.
$67.04 with Superior Health Plan vs $2,261.34 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 | $67.04 | ↓ -94% |
| Superior Health Plan | STARPLUS | $67.04 | ↓ -94% |
| Superior Health Plan | STARKids | $67.04 | ↓ -94% |
| Superior Health Plan | STAR | $67.04 | ↓ -94% |
| Superior Health Plan | CHPFC | $67.04 | ↓ -94% |
| Community Health Choice MCD | CHIP | $145.25 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $145.25 | ↓ -87% |
| Community Health Choice MCD | STAR | $145.25 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $145.25 | ↓ -87% |
| Oscar | HIX | $217.88 | ↓ -80% |
| United | OptionsPPO | $225.70 | ↓ -80% |
| Healthcare Highways | NarrowNetwork | $284.92 | ↓ -74% |
| United | AllPayerAppendix | $291.26 | ↓ -74% |
| United | SmallGroup | $291.26 | ↓ -74% |
| United | NarrowNetworkIndivExchange | $291.26 | ↓ -74% |
| Evry Health | BroadNetwork | $305.03 | ↓ -73% |
| BCBS | Traditional | $391.06 | ↓ -65% |
| Christus (USFHP) | TRICARE | $446.93 | ↓ -60% |
| Curative Administrators | COMM | $446.93 | ↓ -60% |
| Aetna | QHPExchange | $493.23 | ↓ -56% |
| United | GlobalAppendix | $502.79 | ↓ -55% |
| BCBS | MyBlueHealth | $572.49 | ↓ -49% |
| Coventry National First Health | COMM | $595.53 | ↓ -47% |
| BCBS | BAV | $632.00 | ↓ -43% |
| Aetna | NBPOS | $655.94 | ↓ -41% |
| Aetna | NBHMO | $655.94 | ↓ -41% |
| Aetna | NBPPO | $655.94 | ↓ -41% |
| Aetna | COMMHMO | $696.87 | ↓ -38% |
| Aetna | COMMPPO | $696.87 | ↓ -38% |
| Aetna | COMMPOS | $696.87 | ↓ -38% |
| Cigna | CSN | $773.90 | ↓ -31% |
| BCBS | HMO | $790.71 | ↓ -29% |
| Aetna | OONHMO | $818.64 | ↓ -27% |
| Aetna | OONPPO | $818.64 | ↓ -27% |
| Aetna | OONPOS | $818.64 | ↓ -27% |
| Multiplan | PHCSPrimaryNetwork | $837.99 | ↓ -25% |
| Cigna | OpenAccessPlus | $838.24 | ↓ -25% |
| BCBS | EPOSOA | $847.40 | ↓ -24% |
| Aetna | ASAPPO | $885.15 | ↓ -21% |
| Aetna | ASAPOS | $885.15 | ↓ -21% |
| Aetna | ASAHMO | $885.15 | ↓ -21% |
| BCBS | PPO | $904.08 | ↓ -19% |
| Multiplan | ComplementaryNetwork | $949.72 | ↓ -15% |
| Cigna | PPO | $997.31 | ↓ -11% |
| Humana | HMO | $2,261.34 | ↑ +102% |
| Humana | PPO | $2,261.34 | ↑ +102% |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $920.58 | $1,091.13 – $1,091.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $614.11 | $35.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $444.48 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $586.20 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $614.11 | $35.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $444.48 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $444.48 | $26.00 – $890.45 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $586.20 | $36.00 – $890.45 |