Colonoscopy for foreign body at Houston Methodist Clear Lake Hospital
18300 St John Drive, Nassau Bay, TX · Houstonmethodist · · NPI 1952723967
$671.00
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.
$1,342.00
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.
$443.05 with Bcbs vs $4,138.00 with Phcs — 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 | $443.05 | ↓ -34% |
| Bcbs | Medicare Managed Care - Hmo | $934.20 | ↑ +39% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $948.21 | ↑ +41% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $952.88 | ↑ +42% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $962.22 | ↑ +43% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $980.91 | ↑ +46% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $999.59 | ↑ +49% |
| Procare Advantage | Medicare Managed Care - Hmo | $1,027.61 | ↑ +53% |
| Community Health Choice | Silver & Gold Exchange | $1,522.74 | ↑ +127% |
| Bcbs | All Commercial Plans | $1,558.32 | ↑ +132% |
| Humana | Hmo/Pos | $1,650.09 | ↑ +146% |
| Optum Health | Transplant Medicare Managed Care Plan | $1,821.68 | ↑ +171% |
| Molina Healthcare | Exchange | $1,868.39 | ↑ +178% |
| Cigna | Network C-24 Hmo/Ppo | $2,052.00 | ↑ +206% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $2,052.00 | ↑ +206% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $2,173.00 | ↑ +224% |
| Aetna | New Business Discount Other Commercial Plan | $2,221.00 | ↑ +231% |
| Aetna | Hmo/Pos/Ppo | $2,290.00 | ↑ +241% |
| Entrust | All Commercial Plans | $2,956.00 | ↑ +341% |
| Unitedhealthcare | All Commercial Plans | $3,894.00 | ↑ +480% |
| Phcs | Ppo | $4,138.00 | ↑ +517% |
Visitor-reported prices
Comments
Colonoscopy for foreign body at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio | $924.66 | $328.50 – $1,712.16 |
| CHRISTUS Health - West Beaumont | Beaumont | $2,178.33 | $328.50 – $3,215.00 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $671.00 | $934.20 – $4,138.00 |
| Houston Methodist Cypress Hospital | Cypress | $671.00 | $934.20 – $4,138.00 |
| Houston Methodist Willowbrook Hospital | Houston | $671.00 | $934.20 – $4,138.00 |
| Houston Methodist Continuing Care Hospital | Katy | $671.00 | $2,290.00 – $3,894.00 |
| Houston Methodist Sugar Land Hospital | Sugar Land | $671.00 | $934.20 – $4,138.00 |
| Houston Methodist West Hospital | Houston | $671.00 | $934.20 – $4,138.00 |