Afo rig ant tib tcf/= custom at Houston Methodist Clear Lake Hospital
18300 St John Drive, Nassau Bay, TX · Houstonmethodist · · NPI 1952723967
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.
$1,102.55 with Bcbs vs $2,205.10 with Molina Healthcare — 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 |
|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | $1,102.55 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,119.09 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo | $1,124.60 | — |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $1,135.63 | — |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $1,157.68 | — |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $1,179.73 | — |
| Procare Advantage | Medicare Managed Care - Hmo | $1,212.80 | — |
| Community Health Choice | Silver & Gold Exchange | $1,797.16 | — |
| Optum Health | Transplant Medicare Managed Care Plan | $2,149.97 | — |
| Molina Healthcare | Exchange | $2,205.10 | — |
Visitor-reported prices
Comments
Afo rig ant tib tcf/= custom at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,225.69 | $252.29 – $1,838.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,225.69 | $245.14 – $1,634.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,225.69 | $393.45 – $1,838.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,225.69 | $633.27 – $1,838.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,225.69 | $408.56 – $1,838.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,225.69 | $245.14 – $1,634.25 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,225.69 | $306.42 – $1,838.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,225.69 | $224.71 – $1,838.53 |