Rtm dev sply mscskl 16-30 d 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.
$50.19 with Oscar vs $122.84 with BCBS — 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 |
|---|---|---|---|
| Oscar | MGMCR | $50.19 | — |
| WellMed | MGMCR | $50.95 | — |
| Amerigroup | DualEligible | $51.21 | — |
| Cigna HealthSpring | MCRHMO | $51.21 | — |
| Cigna HealthSpring | MCRPPO | $51.21 | — |
| Devoted Health | MGMCR | $51.21 | — |
| Humana | MedicareAdvantageHMO | $51.21 | — |
| Humana | MedicareAdvantagePPOPFFS | $51.21 | — |
| TriWest Healthcare Alliance | Veterans | $51.21 | — |
| Cigna HealthSpring | PFFS | $51.21 | — |
| Cigna HealthSpring | MCRSNP | $51.21 | — |
| BCBS | MedicareAdvantageHMO | $51.21 | — |
| BCBS | MCRPPO | $51.21 | — |
| Cigna HealthSpring | MMP | $51.21 | — |
| Renaissance IPA Radiology | MCR | $51.21 | — |
| Renaissance IPA Radiology | COMM | $51.21 | — |
| Kelsey Seybold | MGMCR | $51.21 | — |
| CHC Harris Health | Indigent | $51.21 | — |
| Aetna | MCR | $51.65 | — |
| Van Lang IPA | MCR | $51.72 | — |
| United | MCR | $52.23 | — |
| WellCare | SNP | $52.75 | — |
| WellCare | PPO | $52.75 | — |
| WellCare | POS | $52.75 | — |
| WellCare | MCRHMO | $52.75 | — |
| WellCare | PFFS | $52.75 | — |
| Integranet Amerigroup IPA | MCR | $52.75 | — |
| Superior Health Plan | DualEligible | $53.77 | — |
| Superior Health Plan | MCRPOS | $53.77 | — |
| Superior Health Plan | MCRHMO | $53.77 | — |
| Superior Health Plan | MCRPPO | $53.77 | — |
| Superior Health Plan | MCRSNP | $53.77 | — |
| ProCare Advantage | MGMCR | $53.77 | — |
| American Health Plan | MGMCR | $53.77 | — |
| Superior Health Plan | PFFS | $53.77 | — |
| Shared Health | MGMCR | $53.77 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $54.28 | — |
| Provider Partners Health Plan of Texas | PFFS | $54.28 | — |
| Provider Partners Health Plan of Texas | PPO | $54.28 | — |
| Provider Partners Health Plan of Texas | SNP | $54.28 | — |
| Provider Partners Health Plan of Texas | POS | $54.28 | — |
| Molina | MGMCR | $55.82 | — |
| Universal Healthcare Group | MCR | $61.45 | — |
| Verda Health Plan | MCR | $66.57 | — |
| Community Health Choice | HIX | $74.25 | — |
| Superior | ValueHMO | $74.25 | — |
| Superior | EPO | $79.38 | — |
| Superior | HMO | $79.38 | — |
| BCBS | MyBlueHealth | $88.99 | — |
| USA Managed Care | WORKERSCOMP | $97.30 | — |
| BCBS | BAV | $98.12 | — |
| Corvel Corporation | WORKERSCOMP | $101.40 | — |
| OMNI Healthcare | WORKERSCOMP | $107.54 | — |
| Molina Healthcare | HIX | $110.10 | — |
| BCBS | EPOSOA | $122.84 | — |
| BCBS | HMO | $122.84 | — |
| BCBS | PPO | $122.84 | — |
Visitor-reported prices
Comments
Rtm dev sply mscskl 16-30 d at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $146.42 – $146.42 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $50.19 – $110.10 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $50.19 – $110.10 |
| Covenant Children's Hospital | Lubbock | not published | $129.68 – $129.68 |
| HCA HOUSTON CONROE | CONROE | not published | $47.82 – $104.92 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $50.19 – $110.10 |
| HCA HOUSTON PEARLAND | Pearland | not published | $50.19 – $110.10 |
| CHRISTUS Health - West Beaumont | Beaumont | not published | $37.35 – $137.29 |