Dup scan/ue art/graft/bilat/comp 93930 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.
$200.28 with Superior Health Plan vs $1,779.13 with Coventry National First Health — 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $200.28 | — |
| Superior Health Plan | CHIP | $200.28 | — |
| Superior Health Plan | CHPFC | $200.28 | — |
| Superior Health Plan | STAR | $200.28 | — |
| Superior Health Plan | STARPLUS | $200.28 | — |
| Community Health Choice MCD | STAR | $202.15 | — |
| Community Health Choice MCD | CHIPPerinatal | $202.15 | — |
| Community Health Choice MCD | CHIP | $202.15 | — |
| Community Health Choice MCD | STAR+PLUS | $202.15 | — |
| United | MGMCD | $206.19 | — |
| Molina Healthcare | CHIP | $215.75 | — |
| Molina Healthcare | STAR | $215.75 | — |
| Molina Healthcare | STARKIDS | $215.75 | — |
| Molina Healthcare | STARPLUS | $215.75 | — |
| Aetna Better Health | MGMCD | $218.32 | — |
| Humana | MCD | $245.17 | — |
| BCBS | MyBlueHealth | $395.51 | — |
| BCBS | BAV | $436.07 | — |
| Cigna | CSN | $494.02 | — |
| Cigna | OpenAccessPlus | $534.07 | — |
| BCBS | PPO | $545.93 | — |
| BCBS | EPOSOA | $545.93 | — |
| BCBS | HMO | $545.93 | — |
| Texas Childrens Health Plans | CHIP | $554.10 | — |
| United | OptionsPPO | $560.78 | — |
| Cigna | PPO | $634.21 | — |
| Oscar | HIX | $650.90 | — |
| Texas Childrens Health Plans | STARKIDS | $791.09 | — |
| Texas Childrens Health Plans | STAR | $791.09 | — |
| Healthcare Highways | NarrowNetwork | $851.18 | — |
| Aetna | QHPExchange | $884.56 | — |
| Evry Health | BroadNetwork | $911.26 | — |
| Aetna | NBPPO | $1,071.48 | — |
| Aetna | NBPOS | $1,071.48 | — |
| Aetna | NBHMO | $1,071.48 | — |
| Aetna | COMMPPO | $1,141.58 | — |
| Aetna | COMMHMO | $1,141.58 | — |
| Aetna | COMMPOS | $1,141.58 | — |
| BCBS | Traditional | $1,168.28 | — |
| Christus (USFHP) | TRICARE | $1,335.18 | — |
| Curative Administrators | COMM | $1,335.18 | — |
| Aetna | OONHMO | $1,338.52 | — |
| Aetna | OONPOS | $1,338.52 | — |
| Aetna | OONPPO | $1,338.52 | — |
| Aetna | ASAHMO | $1,445.33 | — |
| Aetna | ASAPPO | $1,445.33 | — |
| Aetna | ASAPOS | $1,445.33 | — |
| United | GlobalAppendix | $1,502.08 | — |
| Humana | PPO | $1,587.62 | — |
| Humana | HMO | $1,587.62 | — |
| Coventry National First Health | COMM | $1,779.13 | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,124.64 | $650.73 – $650.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,005.61 | $197.14 – $1,257.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $904.78 | $186.23 – $1,357.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $838.98 | $197.14 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,005.61 | $197.14 – $1,257.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $904.78 | $210.94 – $1,357.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $904.78 | $197.14 – $1,357.17 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $838.98 | $197.14 – $1,258.47 |