C-1 esterase, berinert at HCA HOUSTON SOUTHEAST
6002 FAIRMONT PKWY, PASADENA, TX · HCA Houston Healthcare · · NPI 1174576698
$19,377.48
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.
$19,377.48
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.
$72.27 with Christus (USFHP) vs $17,439.73 with Affiliated PPO — 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 |
|---|---|---|---|
| Christus (USFHP) | TRICARE | $72.27 | ↓ -100% |
| BCBS | MyBlueHealth | $115.84 | ↓ -99% |
| United | AllPayerAppendix | $125.17 | ↓ -99% |
| United | SmallGroup | $125.17 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $125.17 | ↓ -99% |
| BCBS | BAV | $127.66 | ↓ -99% |
| BCBS | HMO | $159.57 | ↓ -99% |
| BCBS | EPOSOA | $159.57 | ↓ -99% |
| BCBS | PPO | $159.57 | ↓ -99% |
| Cigna | CSN | $183.58 | ↓ -99% |
| Cigna | OpenAccessPlus | $198.75 | ↓ -99% |
| Cigna | PPO | $236.68 | ↓ -99% |
| Humana | PPO | $476.68 | ↓ -98% |
| Humana | HMO | $476.68 | ↓ -98% |
| Superior Health Plan | STARPLUS | $1,162.65 | ↓ -94% |
| Superior Health Plan | CHPFC | $1,162.65 | ↓ -94% |
| Superior Health Plan | CHIP | $1,162.65 | ↓ -94% |
| Superior Health Plan | STAR | $1,162.65 | ↓ -94% |
| Superior Health Plan | STARKids | $1,162.65 | ↓ -94% |
| Community Health Choice MCD | CHIPPerinatal | $2,519.07 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $2,519.07 | ↓ -87% |
| Community Health Choice MCD | CHIP | $2,519.07 | ↓ -87% |
| Community Health Choice MCD | STAR | $2,519.07 | ↓ -87% |
| Amerigroup | MCDCHIPBH | $2,712.85 | ↓ -86% |
| Amerigroup | MGMCD | $2,712.85 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $3,410.44 | ↓ -82% |
| United | OptionsPPO | $3,914.25 | ↓ -80% |
| Texas Childrens Health Plans | STARKIDS | $4,592.46 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $4,592.46 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $4,650.60 | ↓ -76% |
| BCBS | Traditional | $6,782.12 | ↓ -65% |
| HealthSmart Preferred Care | ACCEL | $8,332.32 | ↓ -57% |
| United | GlobalAppendix | $8,719.87 | ↓ -55% |
| Coventry National First Health | COMM | $10,328.20 | ↓ -47% |
| Physicians Cooperative of Texas | WC | $10,657.61 | ↓ -45% |
| Rockport Workers Comp | COMM | $10,657.61 | ↓ -45% |
| Independent Medical System | COMM | $11,626.49 | ↓ -40% |
| Prime Health Services | WORKERSCOMP | $11,626.49 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $11,626.49 | ↓ -40% |
| Beech Street | WCOMP | $11,626.49 | ↓ -40% |
| National Healthcare Solutions | COMM | $11,626.49 | ↓ -40% |
| Coastal Comp | COMM | $12,595.36 | ↓ -35% |
| Fiesta Mart, Inc | COMM | $14,533.11 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $15,501.98 | ↓ -20% |
| Beech Street | COMMPPO | $15,501.98 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $15,889.53 | ↓ -18% |
| Physicians, INC | COMM | $16,470.86 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $16,470.86 | ↓ -15% |
| Multiplan | COMPLEMENTARYPPO | $17,439.73 | ↓ -10% |
| Affiliated PPO | COMM | $17,439.73 | ↓ -10% |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON NORTHWEST | SPRING | $28,953.24 | $72.27 – $476.68 |
| St. Luke's Health Memorial Lufkin | Lufkin | $10,255.04 | $77.25 – $61,530.20 |
| St. Luke's Health Memorial Livingston | Livingston | $10,255.04 | $77.25 – $61,530.20 |
| St. Luke's Health Memorial San Augustine | San Augustine | $10,255.04 | $77.25 – $61,530.20 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $2,853.72 | $40.52 – $247.63 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $2,853.72 | $40.52 – $247.63 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $2,853.72 | $40.52 – $247.63 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $5,548.90 | $40.52 – $247.63 |