Biopsy arm/elbow soft tissue at Houston Methodist Clear Lake Hospital
18300 St John Drive, Nassau Bay, TX · Houstonmethodist · · NPI 1952723967
$3,943.00
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.
$7,886.00
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.
$1,344.96 with Bcbs vs $5,835.90 with Molina Healthcare — 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 |
|---|---|---|---|
| Bcbs | Blue Advantage Exchange | $1,344.96 | ↓ -66% |
| Humana | Hmo/Pos | $2,214.47 | ↓ -44% |
| Bcbs | Medicare Managed Care - Hmo | $2,917.95 | ↓ -26% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $2,961.72 | ↓ -25% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $2,976.31 | ↓ -25% |
| Aetna | New Business Discount Other Commercial Plan | $2,989.00 | ↓ -24% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $3,005.49 | ↓ -24% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $3,063.85 | ↓ -22% |
| Aetna | Hmo/Pos/Ppo | $3,081.00 | ↓ -22% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $3,122.21 | ↓ -21% |
| Procare Advantage | Medicare Managed Care - Hmo | $3,209.75 | ↓ -19% |
| Entrust | All Commercial Plans | $3,695.00 | ↓ -6% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $3,849.00 | ↓ -2% |
| Cigna | Network C-24 Hmo/Ppo | $3,849.00 | ↓ -2% |
| Unitedhealthcare | All Commercial Plans | $3,894.00 | ↓ -1% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,074.00 | ↑ +3% |
| Bcbs | All Commercial Plans | $4,730.54 | ↑ +20% |
| Community Health Choice | Silver & Gold Exchange | $4,756.26 | ↑ +21% |
| Phcs | Ppo | $5,545.00 | ↑ +41% |
| Optum Health | Transplant Medicare Managed Care Plan | $5,690.01 | ↑ +44% |
| Molina Healthcare | Exchange | $5,835.90 | ↑ +48% |
Visitor-reported prices
Comments
Biopsy arm/elbow soft tissue at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,629.27 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,629.27 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,629.27 | $85.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,629.27 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,629.27 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $2,629.27 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $2,629.27 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $2,629.27 | $71.00 – $7,039.11 |