MRI upper extremity other than joint without & w/contrast (both sides) 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.
$366.42 with Texas Childrens Health Plans vs $9,675.52 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 |
|---|---|---|---|
| Texas Childrens Health Plans | STAR | $366.42 | — |
| Texas Childrens Health Plans | STARKIDS | $366.42 | — |
| Community Health Choice MCD | STAR+PLUS | $368.43 | — |
| Community Health Choice MCD | CHIPPerinatal | $368.43 | — |
| Community Health Choice MCD | CHIP | $368.43 | — |
| Community Health Choice MCD | STAR | $368.43 | — |
| United | MGMCD | $375.80 | — |
| Aetna Better Health | MGMCD | $397.90 | — |
| Molina Healthcare | CHIP | $403.06 | — |
| Molina Healthcare | STARPLUS | $403.06 | — |
| Molina Healthcare | STARKIDS | $403.06 | — |
| Molina Healthcare | STAR | $403.06 | — |
| Humana | MCD | $458.03 | — |
| United | NarrowNetworkIndivExchange | $699.43 | — |
| BCBS | MyBlueHealth | $820.98 | — |
| United | SmallGroup | $828.27 | — |
| United | AllPayerAppendix | $828.27 | — |
| BCBS | BAV | $946.99 | — |
| Superior Health Plan | STARKids | $1,089.18 | — |
| Superior Health Plan | STARPLUS | $1,089.18 | — |
| Superior Health Plan | CHIP | $1,089.18 | — |
| Superior Health Plan | CHPFC | $1,089.18 | — |
| Superior Health Plan | STAR | $1,089.18 | — |
| Aetna | QHPExchange | $1,210.00 | — |
| Aetna | ASAPPO | $1,301.00 | — |
| BCBS | HMO | $1,439.57 | — |
| BCBS | EPOSOA | $1,535.04 | — |
| Aetna | NBHMO | $1,605.00 | — |
| Aetna | NBPOS | $1,605.00 | — |
| Aetna | NBPPO | $1,605.00 | — |
| BCBS | PPO | $1,626.68 | — |
| Aetna | COMMHMO | $1,706.00 | — |
| Aetna | COMMPOS | $1,706.00 | — |
| Aetna | COMMPPO | $1,706.00 | — |
| Aetna | OONPPO | $2,007.00 | — |
| Aetna | OONHMO | $2,007.00 | — |
| Aetna | OONPOS | $2,007.00 | — |
| Cigna | CSN | $2,127.00 | — |
| Aetna | ASAHMO | $2,168.00 | — |
| Aetna | ASAPOS | $2,168.00 | — |
| Cigna | OpenAccessPlus | $2,304.00 | — |
| Cigna | PPO | $2,739.00 | — |
| Texas Childrens Health Plans | CHIP | $3,013.39 | — |
| United | OptionsPPO | $3,049.70 | — |
| BCBS | Traditional | $6,353.53 | — |
| Humana | PPO | $6,894.85 | — |
| Humana | HMO | $6,894.85 | — |
| Christus (USFHP) | TRICARE | $7,261.18 | — |
| United | GlobalAppendix | $8,168.83 | — |
| Coventry National First Health | COMM | $9,675.52 | — |
Visitor-reported prices
Comments
MRI upper extremity other than joint without & w/contrast (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,402.00 | $332.94 – $4,252.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,552.73 | $494.01 – $5,329.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,633.38 | $332.94 – $4,541.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,402.00 | $332.94 – $4,252.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,552.73 | $332.94 – $5,329.09 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,552.73 | $366.42 – $5,329.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,633.38 | $332.94 – $5,450.07 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,402.00 | $332.94 – $4,252.50 |