Shoulder MRI (with contrast) 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.
$304.71 with Superior Health Plan vs $5,235.90 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 | CHPFC | $304.71 | — |
| Superior Health Plan | STARKids | $304.71 | — |
| Superior Health Plan | CHIP | $304.71 | — |
| Superior Health Plan | STARPLUS | $304.71 | — |
| Superior Health Plan | STAR | $304.71 | — |
| Texas Health Network | MCD | $316.64 | — |
| Texas Childrens Health Plans | STARKIDS | $323.10 | — |
| Amerigroup | MCDCHIPBH | $323.10 | — |
| Amerigroup | MGMCD | $323.10 | — |
| Texas Childrens Health Plans | STAR | $323.10 | — |
| Community Health Choice MCD | CHIP | $328.45 | — |
| Community Health Choice MCD | STAR+PLUS | $328.45 | — |
| Community Health Choice MCD | STAR | $328.45 | — |
| Community Health Choice MCD | CHIPPerinatal | $328.45 | — |
| United | MGMCD | $335.02 | — |
| Aetna Better Health | MGMCD | $354.73 | — |
| Molina Healthcare | CHIP | $355.41 | — |
| Molina Healthcare | STAR | $355.41 | — |
| Molina Healthcare | STARKIDS | $355.41 | — |
| Molina Healthcare | STARPLUS | $355.41 | — |
| Humana | MCD | $403.88 | — |
| Texas Childrens Health Plans | CHIP | $937.30 | — |
| United | OptionsPPO | $948.59 | — |
| Aetna | QHPExchange | $1,210.00 | — |
| Aetna | ASAPPO | $1,301.00 | — |
| United | NarrowNetworkIndivExchange | $1,358.84 | — |
| BCBS | MyBlueHealth | $1,477.38 | — |
| Aetna | NBPPO | $1,605.00 | — |
| Aetna | NBHMO | $1,605.00 | — |
| Aetna | NBPOS | $1,605.00 | — |
| United | SmallGroup | $1,609.16 | — |
| United | AllPayerAppendix | $1,609.16 | — |
| BCBS | BAV | $1,688.43 | — |
| Aetna | COMMPPO | $1,706.00 | — |
| Aetna | COMMHMO | $1,706.00 | — |
| Aetna | COMMPOS | $1,706.00 | — |
| Cigna | CSN | $1,740.00 | — |
| BCBS | Traditional | $1,777.45 | — |
| Cigna | OpenAccessPlus | $1,885.00 | — |
| Aetna | OONPPO | $2,007.00 | — |
| Aetna | OONPOS | $2,007.00 | — |
| Aetna | OONHMO | $2,007.00 | — |
| Christus (USFHP) | TRICARE | $2,031.38 | — |
| Aetna | ASAHMO | $2,168.00 | — |
| Aetna | ASAPOS | $2,168.00 | — |
| Cigna | PPO | $2,241.00 | — |
| United | GlobalAppendix | $2,285.30 | — |
| HealthSmart Preferred Care | ACCEL | $2,427.93 | — |
| Fidelis SecureCare of TX | MGMCR | $2,540.86 | — |
| BCBS | HMO | $2,566.69 | — |
| Coventry National First Health | COMM | $2,706.81 | — |
| BCBS | EPOSOA | $2,798.17 | — |
| BCBS | PPO | $3,029.65 | — |
| Rockport Workers Comp | COMM | $3,105.50 | — |
| Physicians Cooperative of Texas | WC | $3,105.50 | — |
| National Healthcare Solutions | COMM | $3,387.82 | — |
| SouthWest Medical | WORKERSCOMP | $3,387.82 | — |
| Independent Medical System | COMM | $3,387.82 | — |
| Coastal Comp | COMM | $3,670.13 | — |
| Multiplan | PHCSPrimaryNetwork | $3,808.83 | — |
| Multiplan | ComplementaryNetwork | $4,316.67 | — |
| HealthSmart Preferred Care | PPO | $4,630.02 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $4,799.41 | — |
| Physicians, INC | COMM | $4,799.41 | — |
| USA Managed Care | COMM | $4,799.41 | — |
| Affiliated PPO | COMM | $5,081.72 | — |
| Humana | HMO | $5,235.90 | — |
| Humana | PPO | $5,235.90 | — |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,857.68 | $323.10 – $3,572.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,895.55 | $596.00 – $4,343.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,838.31 | $323.10 – $3,547.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,857.68 | $323.10 – $3,572.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,895.55 | $345.72 – $4,343.33 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,895.55 | $323.10 – $4,343.33 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,838.31 | $323.10 – $4,257.47 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,857.68 | $323.10 – $3,572.10 |