Calculus analysis qual 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.
$9.73 with Texas Childrens Health Plans vs $154.62 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 |
|---|---|---|---|
| Texas Childrens Health Plans | STAR | $9.73 | — |
| Community Health Choice MCD | CHIP | $9.73 | — |
| Community Health Choice MCD | CHIPPerinatal | $9.73 | — |
| Community Health Choice MCD | STAR | $9.73 | — |
| Community Health Choice MCD | STAR+PLUS | $9.73 | — |
| Texas Childrens Health Plans | STARKIDS | $9.73 | — |
| United | MGMCD | $9.92 | — |
| Aetna Better Health | MGMCD | $10.51 | — |
| Molina Healthcare | STAR | $10.70 | — |
| Molina Healthcare | STARPLUS | $10.70 | — |
| Molina Healthcare | CHIP | $10.70 | — |
| Molina Healthcare | STARKIDS | $10.70 | — |
| Oscar | MGMCR | $11.35 | — |
| TriWest Healthcare Alliance | Veterans | $11.58 | — |
| United | AllPayerAppendix | $11.58 | — |
| United | NarrowNetworkIndivExchange | $11.58 | — |
| United | SmallGroup | $11.58 | — |
| Humana | MedicareAdvantageHMO | $11.58 | — |
| Humana | MedicareAdvantagePPOPFFS | $11.58 | — |
| Devoted Health | MGMCR | $11.58 | — |
| Kelsey Seybold | MGMCR | $11.58 | — |
| BCBS | MedicareAdvantageHMO | $11.58 | — |
| BCBS | MCRPPO | $11.58 | — |
| Cigna HealthSpring | MMP | $11.58 | — |
| Cigna HealthSpring | PFFS | $11.58 | — |
| Cigna HealthSpring | MCRSNP | $11.58 | — |
| Cigna HealthSpring | MCRPPO | $11.58 | — |
| Cigna HealthSpring | MCRHMO | $11.58 | — |
| WellMed | MGMCR | $11.64 | — |
| Aetna | MCR | $11.68 | — |
| Van Lang IPA | MCR | $11.70 | — |
| United | MCR | $11.81 | — |
| WellCare | MCRHMO | $11.93 | — |
| WellCare | POS | $11.93 | — |
| WellCare | PFFS | $11.93 | — |
| WellCare | PPO | $11.93 | — |
| Integranet Amerigroup IPA | MCR | $11.93 | — |
| WellCare | SNP | $11.93 | — |
| American Health Plan | MGMCR | $12.16 | — |
| Humana | MCD | $12.16 | — |
| Superior Health Plan | DualEligible | $12.16 | — |
| Superior Health Plan | MCRHMO | $12.16 | — |
| Superior Health Plan | MCRPOS | $12.16 | — |
| Superior Health Plan | MCRPPO | $12.16 | — |
| Superior Health Plan | MCRSNP | $12.16 | — |
| Superior Health Plan | PFFS | $12.16 | — |
| ProCare Advantage | MGMCR | $12.16 | — |
| Shared Health | MGMCR | $12.16 | — |
| Provider Partners Health Plan of Texas | POS | $12.27 | — |
| Provider Partners Health Plan of Texas | PPO | $12.27 | — |
| Provider Partners Health Plan of Texas | SNP | $12.27 | — |
| Provider Partners Health Plan of Texas | PFFS | $12.27 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $12.27 | — |
| Christus (USFHP) | TRICARE | $12.53 | — |
| TriWest Health Alliance | TRCR | $12.53 | — |
| Molina | MGMCR | $12.62 | — |
| Verda Health Plan | MCR | $15.05 | — |
| Community Health Choice | HIX | $16.79 | — |
| Superior | ValueHMO | $16.79 | — |
| Superior | EPO | $17.95 | — |
| Superior | HMO | $17.95 | — |
| BCBS | MyBlueHealth | $23.39 | — |
| Molina Healthcare | HIX | $24.90 | — |
| BCBS | BAV | $25.82 | — |
| BCBS | HMO | $32.31 | — |
| Oscar | HIX | $33.47 | — |
| BCBS | EPOSOA | $34.62 | — |
| Healthcare Highways | NarrowNetwork | $34.73 | — |
| BCBS | PPO | $36.94 | — |
| Aetna | QHPExchange | $42.42 | — |
| Cigna | CSN | $47.41 | — |
| Cigna | OpenAccessPlus | $51.36 | — |
| Aetna | NBHMO | $56.41 | — |
| Aetna | NBPOS | $56.41 | — |
| Aetna | NBPPO | $56.41 | — |
| Aetna | COMMPPO | $59.93 | — |
| Aetna | COMMPOS | $59.93 | — |
| Aetna | COMMHMO | $59.93 | — |
| Cigna | PPO | $61.10 | — |
| Aetna | OONPOS | $70.40 | — |
| Aetna | OONHMO | $70.40 | — |
| Aetna | OONPPO | $70.40 | — |
| Aetna | ASAPPO | $76.12 | — |
| Aetna | ASAHMO | $76.12 | — |
| Aetna | ASAPOS | $76.12 | — |
| Humana | PPO | $154.62 | — |
| Humana | HMO | $154.62 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Calculus analysis qual at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $98.40 | $12.00 – $147.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $98.40 | $9.73 – $123.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $98.40 | $10.41 – $147.60 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $98.40 | $8.00 – $147.60 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $98.40 | $9.73 – $147.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $98.40 | $9.73 – $123.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $98.40 | $9.73 – $147.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $98.40 | $9.73 – $147.60 |