Sirolimus, oral at HCA HOUSTON KINGWOOD
5324 ATASCOCITA RD, HUMBLE, TX · HCA Houston Healthcare · · NPI 1811942238
$434.94
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.
$434.94
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.
$0.97 with TriWest Health Alliance vs $391.45 with Affiliated PPO — 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 |
|---|---|---|---|
| TriWest Health Alliance | TRCR | $0.97 | ↓ -100% |
| Christus (USFHP) | TRICARE | $0.97 | ↓ -100% |
| United | AllPayerAppendix | $1.60 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $1.60 | ↓ -100% |
| United | SmallGroup | $1.60 | ↓ -100% |
| Cigna | CSN | $2.32 | ↓ -99% |
| Cigna | OpenAccessPlus | $2.52 | ↓ -99% |
| Cigna | PPO | $3.00 | ↓ -99% |
| BCBS | MyBlueHealth | $17.78 | ↓ -96% |
| BCBS | EPOSOA | $24.49 | ↓ -94% |
| BCBS | HMO | $24.49 | ↓ -94% |
| BCBS | PPO | $24.49 | ↓ -94% |
| Superior Health Plan | CHPFC | $26.10 | ↓ -94% |
| Superior Health Plan | CHIP | $26.10 | ↓ -94% |
| Superior Health Plan | STAR | $26.10 | ↓ -94% |
| Superior Health Plan | STARKids | $26.10 | ↓ -94% |
| Superior Health Plan | STARPLUS | $26.10 | ↓ -94% |
| Aetna | MCR | $28.84 | ↓ -93% |
| BCBS | BAV | $30.57 | ↓ -93% |
| Community Health Choice MCD | STAR | $56.54 | ↓ -87% |
| Community Health Choice MCD | CHIP | $56.54 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $56.54 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $56.54 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $60.89 | ↓ -86% |
| Amerigroup | MGMCD | $60.89 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $72.20 | ↓ -83% |
| United | OptionsPPO | $73.07 | ↓ -83% |
| Humana | HMO | $75.87 | ↓ -83% |
| Humana | PPO | $75.87 | ↓ -83% |
| Superior | HMO | $76.11 | ↓ -83% |
| Superior | EPO | $76.11 | ↓ -83% |
| Superior | ValueHMO | $86.12 | ↓ -80% |
| Texas Childrens Health Plans | STARKIDS | $103.08 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $103.08 | ↓ -76% |
| Molina Healthcare | HIX | $117.43 | ↓ -73% |
| CHC Harris Health | Indigent | $130.48 | ↓ -70% |
| BCBS | Traditional | $152.23 | ↓ -65% |
| HealthSmart Preferred Care | ACCEL | $187.02 | ↓ -57% |
| United | GlobalAppendix | $195.72 | ↓ -55% |
| Coventry National First Health | COMM | $231.82 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $239.22 | ↓ -45% |
| Rockport Workers Comp | COMM | $239.22 | ↓ -45% |
| Independent Medical System | COMM | $260.96 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $260.96 | ↓ -40% |
| National Healthcare Solutions | COMM | $260.96 | ↓ -40% |
| Coastal Comp | COMM | $282.71 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $326.20 | ↓ -25% |
| TriWest Healthcare Alliance | Veterans | $347.95 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $356.65 | ↓ -18% |
| Physicians, INC | COMM | $369.70 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $369.70 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $369.70 | ↓ -15% |
| USA Managed Care | COMM | $369.70 | ↓ -15% |
| Affiliated PPO | COMM | $391.45 | ↓ -10% |
Visitor-reported prices
Comments
Sirolimus, oral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $42.11 | $1.39 – $24.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $42.11 | $1.08 – $7.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $42.11 | $1.05 – $24.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $42.11 | $1.39 – $24.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $42.11 | $1.39 – $24.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $42.11 | $1.39 – $7.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $42.11 | $1.39 – $24.68 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $42.11 | $1.39 – $24.32 |