Allograft dermis 20x25x1mm decell w/matracell arthroflex at HCA HOUSTON PEARLAND
11100 Shadow Creek Pkwy, Pearland, TX · HCA Houston Healthcare · · NPI 1609275585
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.
$74.06 with Aetna vs $4,690.00 with Humana — 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 |
|---|---|---|---|
| Aetna | MCR | $74.06 | — |
| Community Health Choice MCD | STAR | $145.21 | — |
| Community Health Choice MCD | STAR+PLUS | $145.21 | — |
| Community Health Choice MCD | CHIP | $145.21 | — |
| Community Health Choice MCD | CHIPPerinatal | $145.21 | — |
| Cigna | CSN | $165.32 | — |
| Cigna | OpenAccessPlus | $178.72 | — |
| BCBS | MyBlueHealth | $182.07 | — |
| Texas Childrens Health Plans | CHIP | $185.42 | — |
| United | OptionsPPO | $187.66 | — |
| BCBS | BAV | $201.06 | — |
| United | AllPayerAppendix | $209.78 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| United | SmallGroup | $209.78 | — |
| Cigna | PPO | $212.23 | — |
| BCBS | HMO | $251.32 | — |
| BCBS | EPOSOA | $256.91 | — |
| BCBS | PPO | $261.38 | — |
| Texas Childrens Health Plans | STAR | $264.73 | — |
| Texas Childrens Health Plans | STARKIDS | $264.73 | — |
| Molina Healthcare | HIX | $301.59 | — |
| BCBS | Traditional | $390.95 | — |
| Christus (USFHP) | TRICARE | $446.80 | — |
| United | GlobalAppendix | $502.65 | — |
| Coventry National First Health | COMM | $595.36 | — |
| TriWest Healthcare Alliance | Veterans | $893.60 | — |
| Humana | HMO | $4,690.00 | — |
| Humana | PPO | $4,690.00 | — |
Visitor-reported prices
Comments
Allograft dermis 20x25x1mm decell w/matracell arthroflex at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $7,899.05 | $4,739.43 – $16,926.53 |
| St. Joseph Health Madison Hospital | Madisonville | $6,788.78 | $1,447.65 – $10,226.70 |
| St. Luke's Health Memorial Lufkin | Lufkin | $7,581.58 | $43.77 – $281.34 |
| St. Joseph Health College Station Hospital | College Station | $6,788.78 | $1,931.71 – $10,173.80 |
| St. Joseph Health Grimes Hospital | Navasota | $6,788.78 | $1,931.71 – $12,612.93 |
| St. Luke's Health Memorial Livingston | Livingston | $7,581.58 | $43.77 – $281.34 |
| St. Luke's Health Memorial San Augustine | San Augustine | $7,581.58 | $43.77 – $281.34 |
| St. Joseph Health Burleson Hospital | Caldwell | $6,788.78 | $1,931.71 – $10,226.70 |