Oth resp proc, group 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.
$13.51 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 | CHIP | $13.51 | — |
| Superior Health Plan | CHPFC | $13.51 | — |
| Superior Health Plan | STARPLUS | $13.51 | — |
| Superior Health Plan | STARKids | $13.51 | — |
| Superior Health Plan | STAR | $13.51 | — |
| Community Health Choice MCD | STAR | $29.27 | — |
| Community Health Choice MCD | STAR+PLUS | $29.27 | — |
| Community Health Choice MCD | CHIP | $29.27 | — |
| Community Health Choice MCD | CHIPPerinatal | $29.27 | — |
| BCBS | MyBlueHealth | $29.51 | — |
| Amerigroup | MCDCHIPBH | $31.52 | — |
| Amerigroup | MGMCD | $31.52 | — |
| BCBS | BAV | $32.53 | — |
| Texas Childrens Health Plans | CHIP | $39.62 | — |
| BCBS | HMO | $40.73 | — |
| BCBS | EPOSOA | $42.12 | — |
| BCBS | PPO | $43.50 | — |
| Oscar | HIX | $43.90 | — |
| United | OptionsPPO | $45.47 | — |
| Texas Childrens Health Plans | STAR | $53.35 | — |
| Texas Childrens Health Plans | STARKIDS | $53.35 | — |
| Texas Workforce Commission | WCOMP | $54.03 | — |
| Aetna | QHPExchange | $59.66 | — |
| Aetna | NBPPO | $72.26 | — |
| Aetna | NBHMO | $72.26 | — |
| Aetna | NBPOS | $72.26 | — |
| Aetna | COMMPPO | $76.99 | — |
| Aetna | COMMPOS | $76.99 | — |
| Aetna | COMMHMO | $76.99 | — |
| BCBS | Traditional | $78.79 | — |
| Christus (USFHP) | TRICARE | $90.05 | — |
| Aetna | OONPOS | $90.27 | — |
| Aetna | OONPPO | $90.27 | — |
| Aetna | OONHMO | $90.27 | — |
| HealthSmart Preferred Care | ACCEL | $96.80 | — |
| Aetna | ASAPPO | $97.48 | — |
| Aetna | ASAPOS | $97.48 | — |
| Aetna | ASAHMO | $97.48 | — |
| Fidelis SecureCare of TX | MGMCR | $101.30 | — |
| Averde Health | Commercial | $101.30 | — |
| United | GlobalAppendix | $101.30 | — |
| Multiplan | SAVILITYNETWORK | $112.56 | — |
| Coventry National First Health | COMM | $119.99 | — |
| Humana | HMO | $121.17 | — |
| Humana | PPO | $121.17 | — |
| Rockport Workers Comp | COMM | $123.82 | — |
| Physicians Cooperative of Texas | WC | $123.82 | — |
| National Healthcare Solutions | COMM | $135.07 | — |
| Independent Medical System | COMM | $135.07 | — |
| SouthWest Medical | WORKERSCOMP | $135.07 | — |
| Beech Street | WCOMP | $135.07 | — |
| Prime Health Services | WORKERSCOMP | $135.07 | — |
| Coastal Comp | COMM | $146.33 | — |
| Fiesta Mart, Inc | COMM | $168.84 | — |
| Beech Street | COMMPPO | $180.10 | — |
| Cigna Behavioral Health | COMMBH | $180.10 | — |
| HealthSmart Preferred Care | PPO | $184.60 | — |
| Physicians, INC | COMM | $191.35 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $191.35 | — |
| Affiliated PPO | COMM | $202.61 | — |
| Multiplan | COMPLEMENTARYPPO | $202.61 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
Visitor-reported prices
Comments
Oth resp proc, group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $166.95 | $18.41 – $978.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $487.56 | $29.51 – $121.17 |
| Covenant Children's Hospital | Lubbock | $102.48 | $43.00 – $43.00 |
| HCA HOUSTON KINGWOOD | HUMBLE | $75.86 | $29.51 – $121.17 |
| HCA HOUSTON NORTHWEST | SPRING | $339.63 | $29.51 – $121.17 |
| St. Joseph Health Madison Hospital | Madisonville | $44.80 | $25.09 – $670.00 |
| St. Joseph Health College Station Hospital | College Station | $44.80 | $25.09 – $670.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $13.23 | $5.67 – $26.29 |