Init pm e/m new pat 65+ yrs 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.
$29.89 with Superior Health Plan vs $600.00 with Texas Athletic Network — 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 | STAR | $29.89 | — |
| Superior Health Plan | CHPFC | $29.89 | — |
| Superior Health Plan | CHIP | $29.89 | — |
| Superior Health Plan | STARPLUS | $29.89 | — |
| Superior Health Plan | STARKids | $29.89 | — |
| Community Health Choice MCD | STAR+PLUS | $64.75 | — |
| Community Health Choice MCD | CHIP | $64.75 | — |
| Community Health Choice MCD | CHIPPerinatal | $64.75 | — |
| Community Health Choice MCD | STAR | $64.75 | — |
| Amerigroup | MCDCHIPBH | $69.74 | — |
| Amerigroup | MGMCD | $69.74 | — |
| Texas Childrens Health Plans | CHIP | $87.67 | — |
| United | OptionsPPO | $100.62 | — |
| Christus (USFHP) | TRICARE | $102.93 | — |
| Texas Childrens Health Plans | STARKIDS | $118.05 | — |
| Texas Childrens Health Plans | STAR | $118.05 | — |
| Texas Workforce Commission | WCOMP | $119.55 | — |
| Healthcare Highways | NarrowNetwork | $127.02 | — |
| Molina Healthcare | HIX | $134.49 | — |
| Evry Health | BroadNetwork | $135.98 | — |
| CHC Harris Health | Indigent | $149.43 | — |
| Aetna | NBPPO | $159.89 | — |
| Aetna | NBPOS | $159.89 | — |
| Aetna | NBHMO | $159.89 | — |
| Aetna | COMMHMO | $170.35 | — |
| Aetna | COMMPPO | $170.35 | — |
| Aetna | COMMPOS | $170.35 | — |
| Imagine Health | PPO | $174.34 | — |
| BCBS | Traditional | $174.34 | — |
| Curative Administrators | COMM | $199.24 | — |
| Aetna | OONHMO | $199.74 | — |
| Aetna | OONPOS | $199.74 | — |
| Aetna | OONPPO | $199.74 | — |
| HealthSmart Preferred Care | ACCEL | $214.19 | — |
| Aetna | ASAPOS | $215.68 | — |
| Aetna | ASAPPO | $215.68 | — |
| Aetna | ASAHMO | $215.68 | — |
| United | GlobalAppendix | $224.15 | — |
| Fidelis SecureCare of TX | MGMCR | $224.15 | — |
| Averde Health | Commercial | $224.15 | — |
| Multiplan | SAVILITYNETWORK | $249.06 | — |
| Coventry National First Health | COMM | $265.49 | — |
| Physicians Cooperative of Texas | WC | $273.96 | — |
| Rockport Workers Comp | COMM | $273.96 | — |
| National Healthcare Solutions | COMM | $298.87 | — |
| Beech Street | WCOMP | $298.87 | — |
| SouthWest Medical | WORKERSCOMP | $298.87 | — |
| Prime Health Services | WORKERSCOMP | $298.87 | — |
| Independent Medical System | COMM | $298.87 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| BCBS | MyBlueHealth | $304.43 | — |
| Coastal Comp | COMM | $323.77 | — |
| BCBS | BAV | $335.66 | — |
| Humana | PPO | $352.00 | — |
| Humana | HMO | $352.00 | — |
| Fiesta Mart, Inc | COMM | $373.58 | — |
| Cigna Behavioral Health | COMMBH | $398.49 | — |
| Beech Street | COMMPPO | $398.49 | — |
| HealthSmart Preferred Care | PPO | $408.45 | — |
| BCBS | HMO | $420.22 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $423.39 | — |
| Physicians, INC | COMM | $423.39 | — |
| BCBS | EPOSOA | $434.53 | — |
| Affiliated PPO | COMM | $448.30 | — |
| Multiplan | COMPLEMENTARYPPO | $448.30 | — |
| BCBS | PPO | $448.85 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Init pm e/m new pat 65+ yrs at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Hospital Plainview | Plainview | $131.88 | $274.51 – $281.93 |
| Covenant Hospital Levelland | Levelland | $131.88 | $281.93 – $310.94 |
| Adventhealth Rollins Brook | Lampasas | not published | $500.89 – $500.89 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $102.93 – $352.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $102.93 – $352.00 |
| Covenant Children's Hospital | Lubbock | not published | $443.64 – $443.64 |
| HCA HOUSTON CONROE | CONROE | not published | $89.63 – $352.00 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $93.02 – $352.00 |