MRI upper extremity other than joint without contrast (both sides) at HCA HOUSTON SOUTHEAST

6002 FAIRMONT PKWY, PASADENA, TX · HCA Houston Healthcare · · NPI 1174576698

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$228.80 with Texas Health Network vs $7,824.84 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 →

Payer
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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
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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 $228.80
Amerigroup MGMCD $233.47
Amerigroup MCDCHIPBH $233.47
Texas Childrens Health Plans STAR $233.47
Texas Childrens Health Plans STARKIDS $233.47
Community Health Choice MCD CHIPPerinatal $233.52
Community Health Choice MCD STAR+PLUS $233.52
Community Health Choice MCD STAR $233.52
Community Health Choice MCD CHIP $233.52
United MGMCD $238.19
Aetna Better Health MGMCD $252.20
Molina Healthcare STAR $256.82
Molina Healthcare CHIP $256.82
Molina Healthcare STARPLUS $256.82
Molina Healthcare STARKIDS $256.82
Humana MCD $291.84
United NarrowNetworkIndivExchange $437.25
BCBS MyBlueHealth $501.04
United SmallGroup $517.79
United AllPayerAppendix $517.79
Superior Health Plan CHPFC $521.66
Superior Health Plan STAR $521.66
Superior Health Plan STARPLUS $521.66
Superior Health Plan STARKids $521.66
Superior Health Plan CHIP $521.66
BCBS BAV $577.94
BCBS HMO $878.56
BCBS EPOSOA $929.83
BCBS PPO $978.77
Aetna QHPExchange $1,210.00
Aetna ASAPPO $1,301.00
Texas Childrens Health Plans CHIP $1,530.19
Aetna NBPOS $1,605.00
Aetna NBHMO $1,605.00
Aetna NBPPO $1,605.00
Aetna COMMPPO $1,706.00
Aetna COMMPOS $1,706.00
Aetna COMMHMO $1,706.00
United OptionsPPO $1,756.24
Aetna OONPOS $2,007.00
Aetna OONPPO $2,007.00
Aetna OONHMO $2,007.00
Texas Workforce Commission WCOMP $2,086.62
Cigna CSN $2,127.00
Aetna ASAPOS $2,168.00
Aetna ASAHMO $2,168.00
Cigna OpenAccessPlus $2,304.00
Cigna PPO $2,739.00
BCBS Traditional $3,042.99
Christus (USFHP) TRICARE $3,477.71
HealthSmart Preferred Care ACCEL $3,738.54
Fidelis SecureCare of TX MGMCR $3,912.42
United GlobalAppendix $3,912.42
Coventry National First Health COMM $4,634.05
Rockport Workers Comp COMM $4,781.85
Physicians Cooperative of Texas WC $4,781.85
SouthWest Medical WORKERSCOMP $5,216.56
National Healthcare Solutions COMM $5,216.56
Beech Street WCOMP $5,216.56
Prime Health Services WORKERSCOMP $5,216.56
Independent Medical System COMM $5,216.56
Humana PPO $5,254.49
Humana HMO $5,254.49
Coastal Comp COMM $5,651.28
Fiesta Mart, Inc COMM $6,520.70
Cigna Behavioral Health COMMBH $6,955.42
Beech Street COMMPPO $6,955.42
HealthSmart Preferred Care PPO $7,129.30
Physicians, INC COMM $7,390.13
HealthSmart Preferred Care ACCOUNTABLEPPO $7,390.13
Multiplan COMPLEMENTARYPPO $7,824.84
Affiliated PPO COMM $7,824.84

Visitor-reported prices

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MRI upper extremity other than joint without contrast (both sides) at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Patients Medical Center Pasadena $4,105.50 $221.80 – $3,738.75
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $2,074.10 $227.71 – $2,592.62
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $2,614.40 $314.76 – $3,921.61
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $2,370.78 $227.71 – $2,963.47
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $2,074.10 $227.71 – $2,592.62
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $2,614.40 $227.71 – $3,921.61
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $2,614.40 $233.47 – $3,921.61
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $2,370.78 $227.71 – $3,556.17

All Texas hospitals for this procedure →