Established Patient Office Visit (level 5) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$17.75 with Superior Health Plan vs $600.00 with Texas Athletic Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | CHIP | $17.75 | — |
| Superior Health Plan | STARPLUS | $17.75 | — |
| Superior Health Plan | STARKids | $17.75 | — |
| Superior Health Plan | STAR | $17.75 | — |
| Superior Health Plan | CHPFC | $17.75 | — |
| Community Health Choice MCD | STAR+PLUS | $38.46 | — |
| Community Health Choice MCD | CHIPPerinatal | $38.46 | — |
| Community Health Choice MCD | STAR | $38.46 | — |
| Community Health Choice MCD | CHIP | $38.46 | — |
| Amerigroup | MCDCHIPBH | $41.42 | — |
| Amerigroup | MGMCD | $41.42 | — |
| Texas Childrens Health Plans | CHIP | $52.07 | — |
| United | OptionsPPO | $59.76 | — |
| Texas Childrens Health Plans | STARKIDS | $70.11 | — |
| Texas Childrens Health Plans | STAR | $70.11 | — |
| Texas Workforce Commission | WCOMP | $71.00 | — |
| Healthcare Highways | NarrowNetwork | $75.44 | — |
| Molina Healthcare | HIX | $79.87 | — |
| Evry Health | BroadNetwork | $80.76 | — |
| CHC Harris Health | Indigent | $88.75 | — |
| Aetna | NBHMO | $94.96 | — |
| Aetna | NBPPO | $94.96 | — |
| Aetna | NBPOS | $94.96 | — |
| Aetna | COMMHMO | $101.17 | — |
| Aetna | COMMPPO | $101.17 | — |
| Aetna | COMMPOS | $101.17 | — |
| BCBS | Traditional | $103.54 | — |
| Imagine Health | PPO | $103.54 | — |
| Christus (USFHP) | TRICARE | $118.33 | — |
| Curative Administrators | COMM | $118.33 | — |
| Aetna | OONHMO | $118.63 | — |
| Aetna | OONPOS | $118.63 | — |
| Aetna | OONPPO | $118.63 | — |
| HealthSmart Preferred Care | ACCEL | $127.21 | — |
| Aetna | ASAPPO | $128.09 | — |
| Aetna | ASAPOS | $128.09 | — |
| Aetna | ASAHMO | $128.09 | — |
| Averde Health | Commercial | $133.12 | — |
| United | GlobalAppendix | $133.12 | — |
| Fidelis SecureCare of TX | MGMCR | $133.12 | — |
| Multiplan | SAVILITYNETWORK | $147.91 | — |
| Coventry National First Health | COMM | $157.68 | — |
| Rockport Workers Comp | COMM | $162.71 | — |
| Physicians Cooperative of Texas | WC | $162.71 | — |
| Beech Street | WCOMP | $177.50 | — |
| National Healthcare Solutions | COMM | $177.50 | — |
| Independent Medical System | COMM | $177.50 | — |
| SouthWest Medical | WORKERSCOMP | $177.50 | — |
| Prime Health Services | WORKERSCOMP | $177.50 | — |
| Coastal Comp | COMM | $192.29 | — |
| Fiesta Mart, Inc | COMM | $221.87 | — |
| Cigna Behavioral Health | COMMBH | $236.66 | — |
| Beech Street | COMMPPO | $236.66 | — |
| HealthSmart Preferred Care | PPO | $242.58 | — |
| Physicians, INC | COMM | $251.46 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $251.46 | — |
| BCBS | MyBlueHealth | $263.95 | — |
| Multiplan | COMPLEMENTARYPPO | $266.25 | — |
| Affiliated PPO | COMM | $266.25 | — |
| Cigna | CSN | $271.49 | — |
| BCBS | BAV | $291.02 | — |
| Cigna | OpenAccessPlus | $293.50 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Humana | PPO | $315.77 | — |
| Humana | HMO | $315.77 | — |
| Cigna | PPO | $348.53 | — |
| BCBS | HMO | $364.34 | — |
| BCBS | EPOSOA | $376.75 | — |
| BCBS | PPO | $389.16 | — |
| Aetna | QHPExchange | $486.11 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $450.00 | $434.28 – $434.28 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $884.58 | $263.95 – $315.77 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,971.10 | $263.95 – $315.77 |
| Baylor St Luke's Medical Center | Houston | $174.65 | $82.00 – $499.00 |
| St. Joseph Health Madison Hospital | Madisonville | $113.58 | $30.45 – $224.47 |
| St. Luke's Health Memorial Lufkin | Lufkin | $253.49 | $83.24 – $499.40 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $174.65 | $74.00 – $499.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $174.65 | $74.00 – $499.00 |