Ankle arthroscopy/surgery at HCA HOUSTON SOUTHEAST
6002 FAIRMONT PKWY, PASADENA, TX · HCA Houston Healthcare · · NPI 1174576698
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.
$2,369.00 with Superior Health Plan vs $13,519.21 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | CHPFC | $2,369.00 | — |
| Superior Health Plan | STAR | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Texas Health Network | MCD | $3,140.43 | — |
| Amerigroup | MGMCD | $3,364.75 | — |
| United | MGMCD | $3,438.58 | — |
| Molina Healthcare | CHIP | $3,524.97 | — |
| Molina Healthcare | STAR | $3,524.97 | — |
| Molina Healthcare | STARKIDS | $3,524.97 | — |
| Molina Healthcare | STARPLUS | $3,524.97 | — |
| Community Health Choice MCD | CHIP | $3,589.06 | — |
| Community Health Choice MCD | CHIPPerinatal | $3,589.06 | — |
| Community Health Choice MCD | STAR | $3,589.06 | — |
| Community Health Choice MCD | STAR+PLUS | $3,589.06 | — |
| Aetna | QHPExchange | $3,744.00 | — |
| Humana | MCD | $4,005.65 | — |
| Aetna Better Health | MGMCD | $4,045.39 | — |
| Fidelis SecureCare of TX | MGMCR | $4,505.00 | — |
| Humana | PPO | $4,690.00 | — |
| Humana | HMO | $4,690.00 | — |
| Aetna | NBHMO | $4,973.00 | — |
| Aetna | NBPPO | $4,973.00 | — |
| Aetna | NBPOS | $4,973.00 | — |
| Aetna | COMMPOS | $5,284.00 | — |
| Aetna | COMMHMO | $5,284.00 | — |
| Aetna | COMMPPO | $5,284.00 | — |
| Multiplan | SAVILITYNETWORK | $5,350.00 | — |
| Aetna | OONHMO | $6,217.00 | — |
| Aetna | OONPOS | $6,217.00 | — |
| Aetna | OONPPO | $6,217.00 | — |
| United | SmallGroup | $6,300.00 | — |
| Aetna | ASAHMO | $6,717.00 | — |
| Aetna | ASAPOS | $6,717.00 | — |
| Aetna | ASAPPO | $6,717.00 | — |
| Averde Health | Commercial | $7,500.00 | — |
| Cigna | CSN | $8,217.00 | — |
| Curative Administrators | COMM | $8,778.00 | — |
| Cigna | OpenAccessPlus | $8,903.00 | — |
| United | NarrowNetworkIndivExchange | $8,987.00 | — |
| United | AllPayerAppendix | $9,000.00 | — |
| Healthcare Highways | NarrowNetwork | $9,124.00 | — |
| Evry Health | BroadNetwork | $9,493.00 | — |
| Oscar | HIX | $9,653.00 | — |
| BCBS | MyBlueHealth | $10,408.59 | — |
| Cigna | PPO | $10,586.00 | — |
| Multiplan | PRIMARYPPO | $11,500.00 | — |
| BCBS | BAV | $11,724.62 | — |
| BCBS | HMO | $12,382.64 | — |
| BCBS | EPOSOA | $12,980.83 | — |
| BCBS | PPO | $13,519.21 | — |
Visitor-reported prices
Comments
Ankle arthroscopy/surgery at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,334.74 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,334.74 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,334.74 | $85.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,334.74 | $3,204.52 – $17,722.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,334.74 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $8,334.74 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $8,334.74 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $8,334.74 | $71.00 – $17,722.46 |