Fragmenting of kidney stone 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.
$1,120.04 with Texas Health Network vs $16,136.00 with Aetna — 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 | $1,120.04 | — |
| Amerigroup | MGMCD | $1,200.05 | — |
| United | MGMCD | $1,226.38 | — |
| Molina Healthcare | STARPLUS | $1,257.19 | — |
| Molina Healthcare | STARKIDS | $1,257.19 | — |
| Molina Healthcare | CHIP | $1,257.19 | — |
| Molina Healthcare | STAR | $1,257.19 | — |
| Community Health Choice MCD | STAR | $1,280.05 | — |
| Community Health Choice MCD | CHIPPerinatal | $1,280.05 | — |
| Community Health Choice MCD | STAR+PLUS | $1,280.05 | — |
| Community Health Choice MCD | CHIP | $1,280.05 | — |
| Humana | MCD | $1,428.63 | — |
| Aetna Better Health | MGMCD | $1,442.80 | — |
| Superior Health Plan | STAR | $2,843.00 | — |
| Superior Health Plan | STARPLUS | $2,843.00 | — |
| Superior Health Plan | STARKids | $2,843.00 | — |
| Superior Health Plan | CHIP | $2,843.00 | — |
| Superior Health Plan | CHPFC | $2,843.00 | — |
| Fidelis SecureCare of TX | MGMCR | $4,452.00 | — |
| Averde Health | Commercial | $5,000.00 | — |
| BCBS | MyBlueHealth | $5,252.26 | — |
| BCBS | BAV | $5,916.34 | — |
| BCBS | HMO | $6,248.38 | — |
| United | SmallGroup | $6,300.00 | — |
| Multiplan | SAVILITYNETWORK | $6,420.00 | — |
| BCBS | EPOSOA | $6,550.23 | — |
| BCBS | PPO | $6,821.90 | — |
| Oscar | HIX | $7,237.00 | — |
| Humana | PPO | $8,321.00 | — |
| Humana | HMO | $8,321.00 | — |
| United | NarrowNetworkIndivExchange | $8,987.00 | — |
| Aetna | QHPExchange | $8,995.00 | — |
| United | AllPayerAppendix | $9,000.00 | — |
| Cigna | CSN | $10,115.00 | — |
| Healthcare Highways | NarrowNetwork | $10,342.00 | — |
| Evry Health | BroadNetwork | $10,745.00 | — |
| Cigna | OpenAccessPlus | $10,959.00 | — |
| Aetna | NBPOS | $11,947.00 | — |
| Aetna | NBPPO | $11,947.00 | — |
| Aetna | NBHMO | $11,947.00 | — |
| Curative Administrators | COMM | $12,436.00 | — |
| Aetna | COMMHMO | $12,696.00 | — |
| Aetna | COMMPOS | $12,696.00 | — |
| Aetna | COMMPPO | $12,696.00 | — |
| Cigna | PPO | $13,030.00 | — |
| Aetna | OONPOS | $14,937.00 | — |
| Aetna | OONPPO | $14,937.00 | — |
| Aetna | OONHMO | $14,937.00 | — |
| Aetna | ASAPPO | $16,136.00 | — |
| Aetna | ASAPOS | $16,136.00 | — |
| Aetna | ASAHMO | $16,136.00 | — |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $7,211.82 | $12,363.12 – $15,453.90 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $13,091.90 | $1,142.90 – $10,982.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $12,835.46 | $71.00 – $12,407.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,092.17 | $71.00 – $10,982.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $13,091.90 | $1,142.90 – $12,306.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $12,835.46 | $85.00 – $12,407.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $12,835.46 | $1,142.90 – $10,696.22 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,092.17 | $71.00 – $10,982.00 |