Brace fx hum ovr shldr sm 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.
$405.66 with Oscar vs $3,184.10 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 |
|---|---|---|---|
| Oscar | MGMCR | $405.66 | — |
| Cigna HealthSpring | MCRSNP | $413.94 | — |
| Cigna HealthSpring | PFFS | $413.94 | — |
| Cigna HealthSpring | MMP | $413.94 | — |
| TriWest Health Alliance | TRCR | $413.94 | — |
| Christus (USFHP) | TRICARE | $413.94 | — |
| BCBS | MedicareAdvantageHMO | $413.94 | — |
| BCBS | MCRPPO | $413.94 | — |
| Cigna HealthSpring | MCRPPO | $413.94 | — |
| TriWest Healthcare Alliance | Veterans | $413.94 | — |
| Kelsey Seybold | MGMCR | $413.94 | — |
| Humana | MedicareAdvantageHMO | $413.94 | — |
| Humana | MedicareAdvantagePPOPFFS | $413.94 | — |
| Devoted Health | MGMCR | $413.94 | — |
| Cigna HealthSpring | MCRHMO | $413.94 | — |
| WellMed | MGMCR | $416.01 | — |
| Aetna | MCR | $417.46 | — |
| Van Lang IPA | MCR | $418.08 | — |
| United | MCR | $422.22 | — |
| WellCare | MCRHMO | $426.36 | — |
| WellCare | PFFS | $426.36 | — |
| WellCare | POS | $426.36 | — |
| WellCare | PPO | $426.36 | — |
| WellCare | SNP | $426.36 | — |
| Integranet Amerigroup IPA | MCR | $426.36 | — |
| Superior Health Plan | MCRSNP | $434.64 | — |
| American Health Plan | MGMCR | $434.64 | — |
| Superior Health Plan | DualEligible | $434.64 | — |
| Superior Health Plan | MCRHMO | $434.64 | — |
| Superior Health Plan | MCRPOS | $434.64 | — |
| Superior Health Plan | MCRPPO | $434.64 | — |
| Superior Health Plan | PFFS | $434.64 | — |
| ProCare Advantage | MGMCR | $434.64 | — |
| Shared Health | MGMCR | $434.64 | — |
| Provider Partners Health Plan of Texas | PPO | $438.78 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $438.78 | — |
| Provider Partners Health Plan of Texas | SNP | $438.78 | — |
| Provider Partners Health Plan of Texas | POS | $438.78 | — |
| Provider Partners Health Plan of Texas | PFFS | $438.78 | — |
| Molina | MGMCR | $451.19 | — |
| Verda Health Plan | MCR | $538.12 | — |
| Superior | ValueHMO | $600.21 | — |
| Community Health Choice | HIX | $600.21 | — |
| Superior | EPO | $641.61 | — |
| Superior | HMO | $641.61 | — |
| Molina Healthcare | HIX | $889.97 | — |
| Humana | HMO | $3,184.10 | — |
| Humana | PPO | $3,184.10 | — |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $165.75 | $99.45 – $355.17 |
| St. Joseph Health Madison Hospital | Madisonville | $289.80 | $210.98 – $1,490.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $132.15 | $132.15 – $792.86 |
| St. Joseph Health College Station Hospital | College Station | $289.80 | $331.20 – $1,407.60 |
| St. Joseph Health Grimes Hospital | Navasota | $289.80 | $331.20 – $1,838.16 |
| St. Luke's Health Memorial Livingston | Livingston | $132.15 | $132.15 – $792.86 |
| St. Luke's Health Memorial San Augustine | San Augustine | $132.15 | $132.15 – $792.86 |
| St. Joseph Health Burleson Hospital | Caldwell | $289.80 | $331.20 – $1,490.40 |