Revision of knee joint 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.
$2,428.00 with Aetna vs $62,486.00 with Cigna — 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 |
|---|---|---|---|
| Aetna | QHPExchange | $2,428.00 | — |
| Aetna | NBPOS | $3,227.00 | — |
| Aetna | NBHMO | $3,227.00 | — |
| Aetna | COMMPOS | $3,428.00 | — |
| Aetna | COMMHMO | $3,428.00 | — |
| Aetna | NBPPO | $3,552.00 | — |
| Aetna | COMMPPO | $3,774.00 | — |
| Aetna | OONHMO | $4,036.00 | — |
| Aetna | OONPOS | $4,036.00 | — |
| Aetna | ASAPOS | $4,360.00 | — |
| Aetna | ASAHMO | $4,360.00 | — |
| Aetna | OONPPO | $4,439.00 | — |
| Humana | PPO | $4,690.00 | — |
| Humana | HMO | $4,690.00 | — |
| Aetna | ASAPPO | $4,796.00 | — |
| Oscar | HIX | $9,653.00 | — |
| American Health Plan | MGMCR | $12,000.00 | — |
| ProCare Advantage | MGMCR | $12,000.00 | — |
| Humana | MedicareAdvantagePPOPFFS | $14,000.00 | — |
| Humana | MedicareAdvantageHMO | $14,000.00 | — |
| Evry Health | BroadNetwork | $24,561.00 | — |
| BCBS | MyBlueHealth | $30,339.52 | — |
| BCBS | BAV | $36,868.28 | — |
| BCBS | HMO | $38,404.46 | — |
| BCBS | EPOSOA | $45,189.24 | — |
| Cigna | CSN | $48,506.00 | — |
| BCBS | PPO | $51,974.03 | — |
| Cigna | OpenAccessPlus | $52,553.00 | — |
| Cigna | PPO | $62,486.00 | — |
Visitor-reported prices
Comments
Revision of knee joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $1,627.16 – $4,826.69 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $25,730.98 – $25,730.98 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $33,539.89 – $33,539.89 |
| Covenant Children's Hospital | Lubbock | not published | $1,528.61 – $27,267.16 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $30,339.52 – $30,339.52 |
| HCA HOUSTON PEARLAND | Pearland | not published | $33,539.89 – $33,539.89 |
| Covenant Medical Center | Lubbock | not published | $1,554.43 – $23,042.67 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $30,339.52 – $30,339.52 |