Ghs st - re-eval for alt comm 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.
$70.09 with Oscar vs $694.85 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 |
|---|---|---|---|
| Oscar | MGMCR | $70.09 | — |
| TriWest Healthcare Alliance | Veterans | $71.52 | — |
| BCBS | MCRPPO | $71.52 | — |
| Humana | MedicareAdvantageHMO | $71.52 | — |
| Humana | MedicareAdvantagePPOPFFS | $71.52 | — |
| Devoted Health | MGMCR | $71.52 | — |
| Cigna HealthSpring | MCRHMO | $71.52 | — |
| Cigna HealthSpring | MCRPPO | $71.52 | — |
| Cigna HealthSpring | MCRSNP | $71.52 | — |
| Cigna HealthSpring | PFFS | $71.52 | — |
| Cigna HealthSpring | MMP | $71.52 | — |
| Kelsey Seybold | MGMCR | $71.52 | — |
| BCBS | MedicareAdvantageHMO | $71.52 | — |
| TriWest Health Alliance | TRCR | $71.64 | — |
| Christus (USFHP) | TRICARE | $71.64 | — |
| WellMed | MGMCR | $71.88 | — |
| Aetna | MCR | $72.13 | — |
| Van Lang IPA | MCR | $72.24 | — |
| United | MCR | $72.95 | — |
| WellCare | PFFS | $73.67 | — |
| Integranet Amerigroup IPA | MCR | $73.67 | — |
| WellCare | PPO | $73.67 | — |
| WellCare | SNP | $73.67 | — |
| WellCare | POS | $73.67 | — |
| WellCare | MCRHMO | $73.67 | — |
| Superior Health Plan | MCRPOS | $75.10 | — |
| Superior Health Plan | DualEligible | $75.10 | — |
| American Health Plan | MGMCR | $75.10 | — |
| Superior Health Plan | MCRHMO | $75.10 | — |
| Superior Health Plan | PFFS | $75.10 | — |
| Superior Health Plan | MCRSNP | $75.10 | — |
| Superior Health Plan | MCRPPO | $75.10 | — |
| ProCare Advantage | MGMCR | $75.10 | — |
| Shared Health | MGMCR | $75.10 | — |
| Provider Partners Health Plan of Texas | POS | $75.81 | — |
| Provider Partners Health Plan of Texas | PPO | $75.81 | — |
| Provider Partners Health Plan of Texas | SNP | $75.81 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $75.81 | — |
| Provider Partners Health Plan of Texas | PFFS | $75.81 | — |
| Molina | MGMCR | $77.96 | — |
| Verda Health Plan | MCR | $92.98 | — |
| Superior | ValueHMO | $103.70 | — |
| Community Health Choice | HIX | $103.70 | — |
| Superior | HMO | $110.86 | — |
| Superior | EPO | $110.86 | — |
| Molina Healthcare | HIX | $153.77 | — |
| BCBS | MyBlueHealth | $173.72 | — |
| BCBS | BAV | $191.54 | — |
| BCBS | HMO | $239.80 | — |
| BCBS | EPOSOA | $239.80 | — |
| BCBS | PPO | $239.80 | — |
| Humana | PPO | $694.85 | — |
| Humana | HMO | $694.85 | — |
Visitor-reported prices
Comments
Ghs st - re-eval for alt comm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $407.74 | $112.00 – $577.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $439.36 | $90.43 – $659.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $424.38 | $84.88 – $530.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $407.74 | $108.73 – $577.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $439.36 | $112.00 – $659.03 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $439.36 | $155.00 – $659.03 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $424.38 | $112.00 – $636.57 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $407.74 | $108.73 – $577.63 |