Surgical pathology level 3 gross & microscopic examination 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$46.56 with Superior Health Plan vs $1,354.79 with Affiliated PPO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $46.56 | — |
| Superior Health Plan | STAR | $46.56 | — |
| Superior Health Plan | CHIP | $46.56 | — |
| Superior Health Plan | STARKids | $46.56 | — |
| Superior Health Plan | STARPLUS | $46.56 | — |
| United | AllPayerAppendix | $49.76 | — |
| United | SmallGroup | $49.76 | — |
| United | NarrowNetworkIndivExchange | $49.76 | — |
| BCBS | MyBlueHealth | $99.93 | — |
| Community Health Choice MCD | CHIP | $100.88 | — |
| Community Health Choice MCD | CHIPPerinatal | $100.88 | — |
| Community Health Choice MCD | STAR | $100.88 | — |
| Community Health Choice MCD | STAR+PLUS | $100.88 | — |
| BCBS | BAV | $110.32 | — |
| Aetna | QHPExchange | $115.92 | — |
| Cigna | CSN | $130.77 | — |
| BCBS | HMO | $138.02 | — |
| Cigna | OpenAccessPlus | $141.64 | — |
| BCBS | EPOSOA | $147.92 | — |
| Oscar | HIX | $151.32 | — |
| Aetna | NBPPO | $154.16 | — |
| Aetna | NBHMO | $154.16 | — |
| Aetna | NBPOS | $154.16 | — |
| United | OptionsPPO | $156.75 | — |
| BCBS | PPO | $157.81 | — |
| Aetna | COMMPOS | $163.78 | — |
| Aetna | COMMPPO | $163.78 | — |
| Aetna | COMMHMO | $163.78 | — |
| Cigna | PPO | $168.52 | — |
| Aetna | OONHMO | $192.40 | — |
| Aetna | OONPPO | $192.40 | — |
| Aetna | OONPOS | $192.40 | — |
| Healthcare Highways | NarrowNetwork | $197.88 | — |
| Aetna | ASAHMO | $208.03 | — |
| Aetna | ASAPOS | $208.03 | — |
| Aetna | ASAPPO | $208.03 | — |
| Amerigroup | MGMCD | $210.74 | — |
| Amerigroup | MCDCHIPBH | $210.74 | — |
| Evry Health | BroadNetwork | $211.85 | — |
| Texas Childrens Health Plans | CHIP | $249.88 | — |
| BCBS | Traditional | $271.60 | — |
| Humana | PPO | $299.06 | — |
| Humana | HMO | $299.06 | — |
| Christus (USFHP) | TRICARE | $310.40 | — |
| United | GlobalAppendix | $349.20 | — |
| Texas Childrens Health Plans | STARKIDS | $356.76 | — |
| Texas Childrens Health Plans | STAR | $356.76 | — |
| Coventry National First Health | COMM | $413.61 | — |
| Imagine Health | PPO | $526.86 | — |
| Kelsey Care (Boon-Chapman) | COMM | $526.86 | — |
| Multiplan | PHCSPrimaryNetwork | $582.00 | — |
| HealthSmart Preferred Care | ACCEL | $647.29 | — |
| Multiplan | ComplementaryNetwork | $659.60 | — |
| Fidelis SecureCare of TX | MGMCR | $677.39 | — |
| Averde Health | Commercial | $677.39 | — |
| Rockport Workers Comp | COMM | $827.93 | — |
| Physicians Cooperative of Texas | WC | $827.93 | — |
| National Healthcare Solutions | COMM | $903.19 | — |
| Independent Medical System | COMM | $903.19 | — |
| SouthWest Medical | WORKERSCOMP | $903.19 | — |
| Coastal Comp | COMM | $978.46 | — |
| HealthSmart Preferred Care | PPO | $1,234.36 | — |
| Physicians, INC | COMM | $1,279.52 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,279.52 | — |
| USA Managed Care | COMM | $1,279.52 | — |
| Affiliated PPO | COMM | $1,354.79 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 3 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $659.75 | $190.46 – $190.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $239.50 | $35.00 – $299.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $266.74 | $36.00 – $400.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $217.32 | $36.00 – $271.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $239.50 | $35.00 – $299.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $266.74 | $36.00 – $400.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $266.74 | $26.00 – $400.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $217.32 | $36.00 – $325.98 |