Arthrd si jt prq wo tfxj dev 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.
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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.
$7,316.00 with Aetna vs $36,222.81 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 |
|---|---|---|---|
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | — |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | — |
| Unitedhealthcare | All Commercial Plans | $9,799.00 | — |
| Bcbs | Blue Advantage Exchange | $10,298.64 | — |
| Bcbs | Medicare Managed Care - Hmo | $17,613.72 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $17,877.92 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo | $17,965.99 | — |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $18,142.13 | — |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $18,494.40 | — |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $18,846.68 | — |
| Procare Advantage | Medicare Managed Care - Hmo | $19,375.09 | — |
| Community Health Choice | Silver & Gold Exchange | $28,710.36 | — |
| Optum Health | Transplant Medicare Managed Care Plan | $34,346.75 | — |
| Molina Healthcare | Exchange | $35,227.43 | — |
| Bcbs | All Commercial Plans | $36,222.81 | — |
Visitor-reported prices
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Arthrd si jt prq wo tfxj dev at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Celina Medical Center | Celina | $16,475.00 | $17,046.03 – $44,034.29 |
| Methodist Charlton Medical Center | Dallas | $16,475.00 | $17,227.86 – $46,515.22 |
| Methodist Dallas Medical Center | Dallas | $16,475.00 | $13,478.00 – $47,557.03 |
| Methodist Midlothian Medical Center | Midlothian | $16,475.00 | $17,613.72 – $47,557.03 |
| Methodist Richardson Medical Center | Richardson | $16,475.00 | $15,447.96 – $47,557.03 |
| Methodist Southlake Medical Center | Souhtlake | $16,475.00 | $11,232.00 – $47,635.39 |
| Methodist Mansfield Medical Center | Mansfield | $16,475.00 | $17,642.74 – $47,635.39 |
| Adventhealth Rollins Brook | Lampasas | not published | $4,826.69 – $22,195.35 |