X-ray mandible ltd <4 views 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

$1,718.97

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.

$1,718.97

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.

$38.31 with Texas Health Network vs $1,547.07 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 →

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 $38.31 ↓ -98%
Community Health Choice MCD CHIPPerinatal $38.76 ↓ -98%
Community Health Choice MCD STAR $38.76 ↓ -98%
Community Health Choice MCD STAR+PLUS $38.76 ↓ -98%
Community Health Choice MCD CHIP $38.76 ↓ -98%
Texas Childrens Health Plans STAR $39.09 ↓ -98%
Texas Childrens Health Plans STARKIDS $39.09 ↓ -98%
Amerigroup MCDCHIPBH $39.09 ↓ -98%
Amerigroup MGMCD $39.09 ↓ -98%
United MGMCD $39.54 ↓ -98%
Aetna Better Health MGMCD $41.86 ↓ -98%
Molina Healthcare STAR $43.00 ↓ -97%
Molina Healthcare CHIP $43.00 ↓ -97%
Molina Healthcare STARKIDS $43.00 ↓ -97%
Molina Healthcare STARPLUS $43.00 ↓ -97%
Humana MCD $48.86 ↓ -97%
Superior Health Plan CHIP $103.14 ↓ -94%
Superior Health Plan STARPLUS $103.14 ↓ -94%
Superior Health Plan STARKids $103.14 ↓ -94%
Superior Health Plan STAR $103.14 ↓ -94%
Superior Health Plan CHPFC $103.14 ↓ -94%
Cigna CSN $108.99 ↓ -94%
Cigna OpenAccessPlus $117.95 ↓ -93%
Cigna PPO $140.21 ↓ -92%
BCBS MyBlueHealth $140.47 ↓ -92%
United NarrowNetworkIndivExchange $153.71 ↓ -91%
Aetna QHPExchange $177.00 ↓ -90%
BCBS BAV $177.98 ↓ -90%
United AllPayerAppendix $182.03 ↓ -89%
United SmallGroup $182.03 ↓ -89%
Aetna NBHMO $235.25 ↓ -86%
Aetna NBPPO $235.25 ↓ -86%
Aetna NBPOS $235.25 ↓ -86%
Aetna COMMPPO $250.25 ↓ -85%
Aetna COMMHMO $250.25 ↓ -85%
Aetna COMMPOS $250.25 ↓ -85%
BCBS HMO $271.35 ↓ -84%
BCBS EPOSOA $291.31 ↓ -83%
Aetna OONPPO $294.25 ↓ -83%
Aetna OONHMO $294.25 ↓ -83%
Aetna OONPOS $294.25 ↓ -83%
Texas Childrens Health Plans CHIP $302.54 ↓ -82%
BCBS PPO $311.26 ↓ -82%
Aetna ASAPOS $318.00 ↓ -82%
Aetna ASAHMO $318.00 ↓ -82%
Aetna ASAPPO $318.00 ↓ -82%
United OptionsPPO $347.23 ↓ -80%
Texas Workforce Commission WCOMP $412.55 ↓ -76%
Humana PPO $415.29 ↓ -76%
Humana HMO $415.29 ↓ -76%
Healthcare Highways NarrowNetwork $438.34 ↓ -74%
Evry Health BroadNetwork $469.28 ↓ -73%
BCBS Traditional $601.64 ↓ -65%
Imagine Health PPO $601.64 ↓ -65%
Curative Administrators COMM $687.59 ↓ -60%
Christus (USFHP) TRICARE $687.59 ↓ -60%
HealthSmart Preferred Care ACCEL $739.16 ↓ -57%
United GlobalAppendix $773.54 ↓ -55%
Averde Health Commercial $773.54 ↓ -55%
Fidelis SecureCare of TX MGMCR $773.54 ↓ -55%
Multiplan SAVILITYNETWORK $859.49 ↓ -50%
Coventry National First Health COMM $916.21 ↓ -47%
Physicians Cooperative of Texas WC $945.43 ↓ -45%
Rockport Workers Comp COMM $945.43 ↓ -45%
Independent Medical System COMM $1,031.38 ↓ -40%
Prime Health Services WORKERSCOMP $1,031.38 ↓ -40%
SouthWest Medical WORKERSCOMP $1,031.38 ↓ -40%
National Healthcare Solutions COMM $1,031.38 ↓ -40%
Beech Street WCOMP $1,031.38 ↓ -40%
Coastal Comp COMM $1,117.33 ↓ -35%
Fiesta Mart, Inc COMM $1,289.23 ↓ -25%
Cigna Behavioral Health COMMBH $1,375.18 ↓ -20%
Beech Street COMMPPO $1,375.18 ↓ -20%
HealthSmart Preferred Care PPO $1,409.56 ↓ -18%
Physicians, INC COMM $1,461.12 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $1,461.12 ↓ -15%
Affiliated PPO COMM $1,547.07 ↓ -10%
Multiplan COMPLEMENTARYPPO $1,547.07 ↓ -10%

Visitor-reported prices

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X-ray mandible ltd <4 views at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $426.98 $307.27 – $307.27
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $121.12 $39.09 – $225.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $261.13 $53.75 – $391.70
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $303.05 $39.09 – $378.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $121.12 $39.09 – $225.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $261.13 $41.83 – $391.70
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $261.13 $39.09 – $391.70
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $303.05 $39.09 – $454.57

All Texas hospitals for this procedure →