Special physics consult 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.
$73.79 with Community Health Choice MCD vs $1,239.69 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 |
|---|---|---|---|
| Community Health Choice MCD | CHIP | $73.79 | — |
| Community Health Choice MCD | STAR+PLUS | $73.79 | — |
| Community Health Choice MCD | STAR | $73.79 | — |
| Community Health Choice MCD | CHIPPerinatal | $73.79 | — |
| Amerigroup | MCDCHIPBH | $79.46 | — |
| Amerigroup | MGMCD | $79.46 | — |
| Texas Childrens Health Plans | CHIP | $99.90 | — |
| Oscar | HIX | $110.68 | — |
| United | OptionsPPO | $114.66 | — |
| Texas Childrens Health Plans | STARKIDS | $134.52 | — |
| Texas Childrens Health Plans | STAR | $134.52 | — |
| Texas Workforce Commission | WCOMP | $136.22 | — |
| Healthcare Highways | NarrowNetwork | $144.74 | — |
| Evry Health | BroadNetwork | $154.95 | — |
| Humana | PPO | $181.12 | — |
| Humana | HMO | $181.12 | — |
| Imagine Health | PPO | $198.66 | — |
| BCBS | Traditional | $198.66 | — |
| Curative Administrators | COMM | $227.04 | — |
| Christus (USFHP) | TRICARE | $227.04 | — |
| BCBS | MyBlueHealth | $232.15 | — |
| HealthSmart Preferred Care | ACCEL | $244.07 | — |
| Fidelis SecureCare of TX | MGMCR | $255.42 | — |
| Averde Health | Commercial | $255.42 | — |
| United | GlobalAppendix | $255.42 | — |
| BCBS | BAV | $256.26 | — |
| Multiplan | SAVILITYNETWORK | $283.80 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Coventry National First Health | COMM | $302.53 | — |
| Physicians Cooperative of Texas | WC | $312.18 | — |
| Rockport Workers Comp | COMM | $312.18 | — |
| Beech Street | WCOMP | $340.56 | — |
| National Healthcare Solutions | COMM | $340.56 | — |
| Prime Health Services | WORKERSCOMP | $340.56 | — |
| Independent Medical System | COMM | $340.56 | — |
| SouthWest Medical | WORKERSCOMP | $340.56 | — |
| Coastal Comp | COMM | $368.94 | — |
| BCBS | HMO | $380.58 | — |
| BCBS | EPOSOA | $380.58 | — |
| BCBS | PPO | $380.58 | — |
| Fiesta Mart, Inc | COMM | $425.70 | — |
| Beech Street | COMMPPO | $454.08 | — |
| Cigna Behavioral Health | COMMBH | $454.08 | — |
| HealthSmart Preferred Care | PPO | $465.43 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $482.46 | — |
| Physicians, INC | COMM | $482.46 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| Affiliated PPO | COMM | $510.84 | — |
| Multiplan | COMPLEMENTARYPPO | $510.84 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| Aetna | QHPExchange | $690.02 | — |
| Aetna | NBHMO | $917.10 | — |
| Aetna | NBPPO | $917.10 | — |
| Aetna | NBPOS | $917.10 | — |
| Aetna | COMMPOS | $975.57 | — |
| Aetna | COMMHMO | $975.57 | — |
| Aetna | COMMPPO | $975.57 | — |
| Aetna | OONHMO | $1,147.10 | — |
| Aetna | OONPPO | $1,147.10 | — |
| Aetna | OONPOS | $1,147.10 | — |
| Aetna | ASAPOS | $1,239.69 | — |
| Aetna | ASAHMO | $1,239.69 | — |
| Aetna | ASAPPO | $1,239.69 | — |
Visitor-reported prices
Comments
Special physics consult at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $945.67 | $128.27 – $1,182.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $799.57 | $164.58 – $1,199.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $699.60 | $128.27 – $874.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $945.67 | $121.79 – $1,182.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $799.57 | $128.27 – $1,199.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $799.57 | $336.13 – $1,199.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $699.60 | $128.27 – $1,049.40 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $945.67 | $128.27 – $1,182.08 |