C-1 esterase, berinert 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.
$75.86 with Bcbs vs $427.48 with Unitedhealthcare — 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 | Medicare Managed Care - Hmo | $75.86 | — |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $75.86 | — |
| Aetna | Medicare Managed Care - Hmo/Ppo | $77.00 | — |
| Unitedhealthcare | Medicare Managed Care - Hmo | $77.38 | — |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $79.65 | — |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $81.17 | — |
| Procare Advantage | Medicare Managed Care - Hmo | $83.44 | — |
| Community Health Choice | Silver & Gold Exchange | $123.65 | — |
| Optum Health | Transplant Medicare Managed Care Plan | $147.93 | — |
| Molina Healthcare | Exchange | $151.72 | — |
| Aetna | New Business Discount Other Commercial Plan | $160.86 | — |
| Aetna | Hmo/Pos/Ppo | $165.93 | — |
| Cigna | Network C-24 Hmo/Ppo | $178.27 | — |
| Cigna | Local Plus/Surefit Hmo/Ppo | $178.27 | — |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $189.65 | — |
| Bcbs | All Commercial Plans | $230.49 | — |
| Unitedhealthcare | All Commercial Plans | $427.48 | — |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $7,322.76 | $72.25 – $9,153.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,322.76 | $83.32 – $10,984.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,322.76 | $72.25 – $9,153.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $7,322.76 | $72.25 – $9,153.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,322.76 | $72.25 – $10,984.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,322.76 | $83.66 – $10,984.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $7,322.76 | $72.25 – $10,984.14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $7,322.76 | $72.25 – $9,153.45 |