Drain ostomy pouch w/flange 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.
$3.78 with Oscar vs $41.31 with Coventry National First Health — 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 |
|---|---|---|---|
| Oscar | MGMCR | $3.78 | — |
| Cigna HealthSpring | MCRPPO | $3.86 | — |
| Cigna HealthSpring | MCRHMO | $3.86 | — |
| Cigna HealthSpring | PFFS | $3.86 | — |
| Christus (USFHP) | TRICARE | $3.86 | — |
| Kelsey Seybold | MGMCR | $3.86 | — |
| TriWest Health Alliance | TRCR | $3.86 | — |
| Cigna HealthSpring | MMP | $3.86 | — |
| Cigna HealthSpring | MCRSNP | $3.86 | — |
| Humana | MedicareAdvantagePPOPFFS | $3.86 | — |
| BCBS | MCRPPO | $3.86 | — |
| Devoted Health | MGMCR | $3.86 | — |
| BCBS | MedicareAdvantageHMO | $3.86 | — |
| TriWest Healthcare Alliance | Veterans | $3.86 | — |
| Humana | MedicareAdvantageHMO | $3.86 | — |
| WellMed | MGMCR | $3.88 | — |
| BCBS | MyBlueHealth | $3.89 | — |
| Aetna | MCR | $3.89 | — |
| Van Lang IPA | MCR | $3.90 | — |
| United | MCR | $3.94 | — |
| WellCare | POS | $3.98 | — |
| WellCare | PPO | $3.98 | — |
| WellCare | SNP | $3.98 | — |
| WellCare | MCRHMO | $3.98 | — |
| WellCare | PFFS | $3.98 | — |
| Integranet Amerigroup IPA | MCR | $3.98 | — |
| Superior Health Plan | MCRHMO | $4.05 | — |
| Superior Health Plan | PFFS | $4.05 | — |
| Superior Health Plan | MCRSNP | $4.05 | — |
| Superior Health Plan | MCRPPO | $4.05 | — |
| Superior Health Plan | MCRPOS | $4.05 | — |
| Shared Health | MGMCR | $4.05 | — |
| Superior Health Plan | DualEligible | $4.05 | — |
| ProCare Advantage | MGMCR | $4.05 | — |
| American Health Plan | MGMCR | $4.05 | — |
| Provider Partners Health Plan of Texas | SNP | $4.09 | — |
| Provider Partners Health Plan of Texas | PFFS | $4.09 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $4.09 | — |
| Provider Partners Health Plan of Texas | POS | $4.09 | — |
| Provider Partners Health Plan of Texas | PPO | $4.09 | — |
| Molina | MGMCR | $4.21 | — |
| BCBS | BAV | $4.30 | — |
| Superior Health Plan | CHPFC | $4.65 | — |
| Superior Health Plan | STAR | $4.65 | — |
| Superior Health Plan | STARKids | $4.65 | — |
| Superior Health Plan | CHIP | $4.65 | — |
| Superior Health Plan | STARPLUS | $4.65 | — |
| Verda Health Plan | MCR | $5.02 | — |
| BCBS | HMO | $5.37 | — |
| Community Health Choice | HIX | $5.60 | — |
| Superior | ValueHMO | $5.60 | — |
| BCBS | EPOSOA | $5.68 | — |
| Superior | EPO | $5.98 | — |
| Superior | HMO | $5.98 | — |
| BCBS | PPO | $6.00 | — |
| Molina Healthcare | HIX | $8.30 | — |
| Community Health Choice MCD | STAR+PLUS | $10.07 | — |
| Community Health Choice MCD | CHIPPerinatal | $10.07 | — |
| Community Health Choice MCD | STAR | $10.07 | — |
| Community Health Choice MCD | CHIP | $10.07 | — |
| Cigna | CSN | $11.47 | — |
| Cigna | OpenAccessPlus | $12.40 | — |
| Texas Childrens Health Plans | CHIP | $12.87 | — |
| United | OptionsPPO | $13.02 | — |
| Cigna | PPO | $14.72 | — |
| Texas Childrens Health Plans | STARKIDS | $18.37 | — |
| Texas Childrens Health Plans | STAR | $18.37 | — |
| BCBS | Traditional | $27.13 | — |
| Humana | HMO | $29.61 | — |
| Humana | PPO | $29.61 | — |
| United | GlobalAppendix | $34.88 | — |
| Coventry National First Health | COMM | $41.31 | — |
Visitor-reported prices
Comments
Drain ostomy pouch w/flange at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $39.20 | $1.28 – $9.00 |
| St. Joseph Health College Station Hospital | College Station | $39.20 | $4.52 – $8.50 |
| St. Joseph Health Grimes Hospital | Navasota | $39.20 | $3.63 – $11.10 |
| St. Joseph Health Burleson Hospital | Caldwell | $39.20 | $2.20 – $9.00 |
| Ascension Providence | Waco | $7.47 | $3.52 – $3.92 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $32.67 | $3.11 – $3.77 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $32.67 | $3.11 – $3.77 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $15.12 | $3.11 – $3.77 |