Cytogenetics 25-99 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$35.60 with Texas Childrens Health Plans vs $465.04 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $35.60 | — |
| Community Health Choice MCD | CHIP | $35.60 | — |
| Community Health Choice MCD | CHIPPerinatal | $35.60 | — |
| Community Health Choice MCD | STAR | $35.60 | — |
| Community Health Choice MCD | STAR+PLUS | $35.60 | — |
| Texas Childrens Health Plans | STARKIDS | $35.60 | — |
| United | MGMCD | $36.31 | — |
| Aetna Better Health | MGMCD | $38.45 | — |
| Molina Healthcare | STAR | $39.16 | — |
| Molina Healthcare | STARPLUS | $39.16 | — |
| Molina Healthcare | CHIP | $39.16 | — |
| Molina Healthcare | STARKIDS | $39.16 | — |
| Oscar | MGMCR | $41.53 | — |
| TriWest Healthcare Alliance | Veterans | $42.38 | — |
| United | AllPayerAppendix | $42.38 | — |
| United | NarrowNetworkIndivExchange | $42.38 | — |
| United | SmallGroup | $42.38 | — |
| Humana | MedicareAdvantageHMO | $42.38 | — |
| Humana | MedicareAdvantagePPOPFFS | $42.38 | — |
| Devoted Health | MGMCR | $42.38 | — |
| Kelsey Seybold | MGMCR | $42.38 | — |
| BCBS | MedicareAdvantageHMO | $42.38 | — |
| BCBS | MCRPPO | $42.38 | — |
| Cigna HealthSpring | MMP | $42.38 | — |
| Cigna HealthSpring | PFFS | $42.38 | — |
| Cigna HealthSpring | MCRSNP | $42.38 | — |
| Cigna HealthSpring | MCRPPO | $42.38 | — |
| Cigna HealthSpring | MCRHMO | $42.38 | — |
| WellMed | MGMCR | $42.59 | — |
| Aetna | MCR | $42.74 | — |
| Van Lang IPA | MCR | $42.80 | — |
| United | MCR | $43.23 | — |
| WellCare | MCRHMO | $43.65 | — |
| WellCare | POS | $43.65 | — |
| WellCare | PFFS | $43.65 | — |
| WellCare | PPO | $43.65 | — |
| Integranet Amerigroup IPA | MCR | $43.65 | — |
| WellCare | SNP | $43.65 | — |
| American Health Plan | MGMCR | $44.50 | — |
| Humana | MCD | $44.50 | — |
| Superior Health Plan | DualEligible | $44.50 | — |
| Superior Health Plan | MCRHMO | $44.50 | — |
| Superior Health Plan | MCRPOS | $44.50 | — |
| Superior Health Plan | MCRPPO | $44.50 | — |
| Superior Health Plan | MCRSNP | $44.50 | — |
| Superior Health Plan | PFFS | $44.50 | — |
| ProCare Advantage | MGMCR | $44.50 | — |
| Shared Health | MGMCR | $44.50 | — |
| Provider Partners Health Plan of Texas | POS | $44.92 | — |
| Provider Partners Health Plan of Texas | PPO | $44.92 | — |
| Provider Partners Health Plan of Texas | SNP | $44.92 | — |
| Provider Partners Health Plan of Texas | PFFS | $44.92 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $44.92 | — |
| Christus (USFHP) | TRICARE | $45.87 | — |
| TriWest Health Alliance | TRCR | $45.87 | — |
| Molina | MGMCR | $46.19 | — |
| Verda Health Plan | MCR | $55.09 | — |
| Community Health Choice | HIX | $61.45 | — |
| Superior | ValueHMO | $61.45 | — |
| Superior | EPO | $65.69 | — |
| Superior | HMO | $65.69 | — |
| BCBS | MyBlueHealth | $85.61 | — |
| Molina Healthcare | HIX | $91.12 | — |
| BCBS | BAV | $94.51 | — |
| Healthcare Highways | NarrowNetwork | $104.44 | — |
| BCBS | HMO | $118.24 | — |
| Oscar | HIX | $122.48 | — |
| BCBS | EPOSOA | $126.72 | — |
| BCBS | PPO | $135.19 | — |
| Aetna | QHPExchange | $155.25 | — |
| Cigna | CSN | $174.24 | — |
| Cigna | OpenAccessPlus | $188.73 | — |
| Aetna | NBHMO | $206.47 | — |
| Aetna | NBPOS | $206.47 | — |
| Aetna | NBPPO | $206.47 | — |
| Aetna | COMMPPO | $219.35 | — |
| Aetna | COMMPOS | $219.35 | — |
| Aetna | COMMHMO | $219.35 | — |
| Cigna | PPO | $224.54 | — |
| Aetna | OONPOS | $257.68 | — |
| Aetna | OONHMO | $257.68 | — |
| Aetna | OONPPO | $257.68 | — |
| Aetna | ASAPPO | $278.62 | — |
| Aetna | ASAHMO | $278.62 | — |
| Aetna | ASAPOS | $278.62 | — |
| Humana | PPO | $465.04 | — |
| Humana | HMO | $465.04 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cytogenetics 25-99 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $246.56 | $35.00 – $308.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $255.92 | $36.00 – $383.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $248.46 | $35.60 – $310.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $246.56 | $35.00 – $308.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $255.92 | $36.00 – $383.88 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $255.92 | $26.00 – $383.88 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $248.46 | $35.60 – $372.69 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $246.56 | $35.00 – $308.20 |