X-ray exam of jaw 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.
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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.
$81.20 with Texas Health Network vs $4,608.60 with Multiplan — 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 |
|---|---|---|---|
| Texas Health Network | MCD | $81.20 | — |
| Texas Childrens Health Plans | STARKIDS | $82.86 | — |
| Amerigroup | MGMCD | $82.86 | — |
| Amerigroup | MCDCHIPBH | $82.86 | — |
| Texas Childrens Health Plans | STAR | $82.86 | — |
| Community Health Choice MCD | STAR+PLUS | $85.20 | — |
| Community Health Choice MCD | STAR | $85.20 | — |
| Community Health Choice MCD | CHIP | $85.20 | — |
| Community Health Choice MCD | CHIPPerinatal | $85.20 | — |
| United | MGMCD | $86.90 | — |
| Molina Healthcare | STARKIDS | $91.15 | — |
| Molina Healthcare | STARPLUS | $91.15 | — |
| Molina Healthcare | STAR | $91.15 | — |
| Molina Healthcare | CHIP | $91.15 | — |
| Aetna Better Health | MGMCD | $92.02 | — |
| Humana | MCD | $103.58 | — |
| Cigna | CSN | $214.59 | — |
| Cigna | OpenAccessPlus | $232.23 | — |
| Cigna | PPO | $276.06 | — |
| Superior Health Plan | CHPFC | $307.24 | — |
| Superior Health Plan | STARKids | $307.24 | — |
| Superior Health Plan | STARPLUS | $307.24 | — |
| Superior Health Plan | CHIP | $307.24 | — |
| Superior Health Plan | STAR | $307.24 | — |
| Aetna | QHPExchange | $358.25 | — |
| BCBS | MyBlueHealth | $410.15 | — |
| United | NarrowNetworkIndivExchange | $437.25 | — |
| Aetna | NBPOS | $476.15 | — |
| Aetna | NBHMO | $476.15 | — |
| Aetna | NBPPO | $476.15 | — |
| Aetna | COMMPPO | $506.51 | — |
| Aetna | COMMHMO | $506.51 | — |
| Aetna | COMMPOS | $506.51 | — |
| United | SmallGroup | $517.79 | — |
| United | AllPayerAppendix | $517.79 | — |
| BCBS | BAV | $519.68 | — |
| Aetna | OONPOS | $595.56 | — |
| Aetna | OONHMO | $595.56 | — |
| Aetna | OONPPO | $595.56 | — |
| Aetna | ASAHMO | $643.63 | — |
| Aetna | ASAPPO | $643.63 | — |
| Aetna | ASAPOS | $643.63 | — |
| Humana | PPO | $763.42 | — |
| Humana | HMO | $763.42 | — |
| BCBS | HMO | $792.34 | — |
| BCBS | EPOSOA | $850.60 | — |
| Texas Childrens Health Plans | CHIP | $901.24 | — |
| BCBS | PPO | $908.86 | — |
| United | OptionsPPO | $1,034.38 | — |
| Texas Workforce Commission | WCOMP | $1,228.96 | — |
| Healthcare Highways | NarrowNetwork | $1,305.77 | — |
| Evry Health | BroadNetwork | $1,397.94 | — |
| BCBS | Traditional | $1,792.23 | — |
| Imagine Health | PPO | $1,792.23 | — |
| Curative Administrators | COMM | $2,048.27 | — |
| Christus (USFHP) | TRICARE | $2,048.27 | — |
| HealthSmart Preferred Care | ACCEL | $2,201.89 | — |
| Fidelis SecureCare of TX | MGMCR | $2,304.30 | — |
| Averde Health | Commercial | $2,304.30 | — |
| United | GlobalAppendix | $2,304.30 | — |
| Multiplan | SAVILITYNETWORK | $2,560.34 | — |
| Coventry National First Health | COMM | $2,729.32 | — |
| Physicians Cooperative of Texas | WC | $2,816.37 | — |
| Rockport Workers Comp | COMM | $2,816.37 | — |
| Prime Health Services | WORKERSCOMP | $3,072.40 | — |
| Beech Street | WCOMP | $3,072.40 | — |
| Independent Medical System | COMM | $3,072.40 | — |
| SouthWest Medical | WORKERSCOMP | $3,072.40 | — |
| National Healthcare Solutions | COMM | $3,072.40 | — |
| Coastal Comp | COMM | $3,328.44 | — |
| Fiesta Mart, Inc | COMM | $3,840.50 | — |
| Cigna Behavioral Health | COMMBH | $4,096.54 | — |
| Beech Street | COMMPPO | $4,096.54 | — |
| HealthSmart Preferred Care | PPO | $4,198.95 | — |
| Physicians, INC | COMM | $4,352.57 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $4,352.57 | — |
| Affiliated PPO | COMM | $4,608.60 | — |
| Multiplan | COMPLEMENTARYPPO | $4,608.60 | — |
Visitor-reported prices
Comments
X-ray exam of jaw joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $255.35 | $82.86 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $813.60 | $167.47 – $1,220.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $813.60 | $82.86 – $1,017.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $255.35 | $82.86 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $813.60 | $88.66 – $1,220.40 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $813.60 | $82.86 – $1,220.40 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $813.60 | $82.86 – $1,220.40 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $255.35 | $82.86 – $607.02 |