Assay of phenylketones 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.
$3.27 with Texas Health Network vs $48.91 with Humana — 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 |
|---|---|---|---|
| Texas Health Network | MCD | $3.27 | — |
| Texas Childrens Health Plans | STARKIDS | $3.34 | — |
| Community Health Choice MCD | CHIP | $3.34 | — |
| Texas Childrens Health Plans | STAR | $3.34 | — |
| Amerigroup | MCDCHIPBH | $3.34 | — |
| Amerigroup | MGMCD | $3.34 | — |
| Community Health Choice MCD | CHIPPerinatal | $3.34 | — |
| Community Health Choice MCD | STAR | $3.34 | — |
| Community Health Choice MCD | STAR+PLUS | $3.34 | — |
| United | MGMCD | $3.41 | — |
| Aetna Better Health | MGMCD | $3.61 | — |
| Molina Healthcare | STARKIDS | $3.67 | — |
| Molina Healthcare | CHIP | $3.67 | — |
| Molina Healthcare | STAR | $3.67 | — |
| Molina Healthcare | STARPLUS | $3.67 | — |
| Oscar | MGMCR | $3.90 | — |
| United | SmallGroup | $3.98 | — |
| Amerigroup | DualEligible | $3.98 | — |
| Cigna HealthSpring | MCRSNP | $3.98 | — |
| Cigna HealthSpring | MCRPPO | $3.98 | — |
| Cigna HealthSpring | MCRHMO | $3.98 | — |
| Humana | MedicareAdvantageHMO | $3.98 | — |
| Humana | MedicareAdvantagePPOPFFS | $3.98 | — |
| Renaissance IPA Radiology | MCR | $3.98 | — |
| Renaissance IPA Radiology | COMM | $3.98 | — |
| Kelsey Seybold | MGMCR | $3.98 | — |
| CHC Harris Health | Indigent | $3.98 | — |
| BCBS | MedicareAdvantageHMO | $3.98 | — |
| BCBS | MCRPPO | $3.98 | — |
| Cigna HealthSpring | MMP | $3.98 | — |
| Devoted Health | MGMCR | $3.98 | — |
| TriWest Healthcare Alliance | Veterans | $3.98 | — |
| Cigna HealthSpring | PFFS | $3.98 | — |
| United | AllPayerAppendix | $3.98 | — |
| United | NarrowNetworkIndivExchange | $3.98 | — |
| WellMed | MGMCR | $4.00 | — |
| Van Lang IPA | MCR | $4.02 | — |
| United | MCR | $4.06 | — |
| WellCare | PPO | $4.10 | — |
| WellCare | MCRHMO | $4.10 | — |
| WellCare | POS | $4.10 | — |
| Integranet Amerigroup IPA | MCR | $4.10 | — |
| WellCare | PFFS | $4.10 | — |
| WellCare | SNP | $4.10 | — |
| Humana | MCD | $4.17 | — |
| Superior Health Plan | MCRPPO | $4.18 | — |
| American Health Plan | MGMCR | $4.18 | — |
| Superior Health Plan | DualEligible | $4.18 | — |
| Superior Health Plan | MCRHMO | $4.18 | — |
| Superior Health Plan | MCRPOS | $4.18 | — |
| Superior Health Plan | MCRSNP | $4.18 | — |
| Superior Health Plan | PFFS | $4.18 | — |
| ProCare Advantage | MGMCR | $4.18 | — |
| Shared Health | MGMCR | $4.18 | — |
| Provider Partners Health Plan of Texas | SNP | $4.22 | — |
| Provider Partners Health Plan of Texas | PFFS | $4.22 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $4.22 | — |
| Provider Partners Health Plan of Texas | POS | $4.22 | — |
| Provider Partners Health Plan of Texas | PPO | $4.22 | — |
| Christus (USFHP) | TRICARE | $4.31 | — |
| Molina | MGMCR | $4.34 | — |
| Kindred Hospital | MGMCR | $4.58 | — |
| Universal Healthcare Group | MCR | $4.78 | — |
| Verda Health Plan | MCRSkilledNursing | $5.17 | — |
| Community Health Choice | HIX | $5.77 | — |
| Superior | ValueHMO | $5.77 | — |
| Superior | HMO | $6.17 | — |
| Superior | EPO | $6.17 | — |
| Corvel Corporation | WORKERSCOMP | $7.88 | — |
| BCBS | MyBlueHealth | $8.04 | — |
| OMNI Healthcare | WORKERSCOMP | $8.36 | — |
| Molina Healthcare | HIX | $8.56 | — |
| BCBS | BAV | $8.88 | — |
| Healthcare Highways | NarrowNetwork | $10.99 | — |
| BCBS | HMO | $11.10 | — |
| Oscar | HIX | $11.50 | — |
| BCBS | EPOSOA | $11.90 | — |
| BCBS | PPO | $12.70 | — |
| Aetna | QHPExchange | $14.56 | — |
| Cigna | CSN | $16.71 | — |
| Cigna | OpenAccessPlus | $18.10 | — |
| Aetna | NBPPO | $19.36 | — |
| Aetna | NBHMO | $19.36 | — |
| Aetna | NBPOS | $19.36 | — |
| Aetna | COMMPOS | $20.57 | — |
| Aetna | COMMHMO | $20.57 | — |
| Aetna | COMMPPO | $20.57 | — |
| Cigna | PPO | $21.54 | — |
| Aetna | OONHMO | $24.16 | — |
| Aetna | OONPOS | $24.16 | — |
| Aetna | OONPPO | $24.16 | — |
| Aetna | ASAPPO | $26.12 | — |
| Aetna | ASAPOS | $26.12 | — |
| Aetna | ASAHMO | $26.12 | — |
| Humana | PPO | $48.91 | — |
| Humana | HMO | $48.91 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Assay of phenylketones at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5.42 | $1.12 – $9.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5.42 | $3.34 – $9.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5.42 | $3.57 – $9.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5.42 | $3.34 – $9.55 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5.42 | $3.34 – $9.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $5.42 | $2.98 – $9.55 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $5.42 | $3.16 – $9.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $5.42 | $3.34 – $20.58 |