Puncture spinal lumbar diagnostic at HCA HOUSTON PEARLAND
11100 Shadow Creek Pkwy, Pearland, TX · HCA Houston Healthcare · · NPI 1609275585
$4,609.17
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.
$4,609.17
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.
$282.06 with United vs $4,690.00 with Humana — 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 |
|---|---|---|---|
| United | MGMCD | $282.06 | ↓ -94% |
| Molina Healthcare | STAR | $289.15 | ↓ -94% |
| Molina Healthcare | STARKIDS | $289.15 | ↓ -94% |
| Molina Healthcare | STARPLUS | $289.15 | ↓ -94% |
| Molina Healthcare | CHIP | $289.15 | ↓ -94% |
| Community Health Choice MCD | CHIPPerinatal | $294.40 | ↓ -94% |
| Community Health Choice MCD | CHIP | $294.40 | ↓ -94% |
| Community Health Choice MCD | STAR+PLUS | $294.40 | ↓ -94% |
| Community Health Choice MCD | STAR | $294.40 | ↓ -94% |
| Humana | MCD | $328.58 | ↓ -93% |
| Aetna Better Health | MGMCD | $331.84 | ↓ -93% |
| Texas Childrens Health Plans | CHIP | $765.12 | ↓ -83% |
| United | OptionsPPO | $774.34 | ↓ -83% |
| Superior Health Plan | STAR | $948.00 | ↓ -79% |
| Superior Health Plan | CHPFC | $948.00 | ↓ -79% |
| Superior Health Plan | CHIP | $948.00 | ↓ -79% |
| Superior Health Plan | STARKids | $948.00 | ↓ -79% |
| Superior Health Plan | STARPLUS | $948.00 | ↓ -79% |
| Texas Childrens Health Plans | STARKIDS | $1,092.37 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $1,092.37 | ↓ -76% |
| BCBS | MyBlueHealth | $1,281.35 | ↓ -72% |
| BCBS | BAV | $1,293.85 | ↓ -72% |
| BCBS | HMO | $1,293.85 | ↓ -72% |
| Aetna | QHPExchange | $1,430.00 | ↓ -69% |
| BCBS | EPOSOA | $1,500.12 | ↓ -67% |
| United | SmallGroup | $1,534.00 | ↓ -67% |
| BCBS | Traditional | $1,613.21 | ↓ -65% |
| BCBS | PPO | $1,706.39 | ↓ -63% |
| United | NarrowNetworkIndivExchange | $1,732.00 | ↓ -62% |
| Christus (USFHP) | TRICARE | $1,843.67 | ↓ -60% |
| Aetna | NBPOS | $1,899.00 | ↓ -59% |
| Aetna | NBHMO | $1,899.00 | ↓ -59% |
| Curative Administrators | COMM | $2,012.00 | ↓ -56% |
| Aetna | COMMHMO | $2,017.00 | ↓ -56% |
| Aetna | COMMPOS | $2,017.00 | ↓ -56% |
| United | GlobalAppendix | $2,074.13 | ↓ -55% |
| Oscar | HIX | $2,128.00 | ↓ -54% |
| Aetna | NBPPO | $2,181.00 | ↓ -53% |
| United | AllPayerAppendix | $2,191.00 | ↓ -52% |
| Healthcare Highways | NarrowNetwork | $2,251.00 | ↓ -51% |
| Evry Health | BroadNetwork | $2,315.00 | ↓ -50% |
| Aetna | COMMPPO | $2,317.00 | ↓ -50% |
| Aetna | OONHMO | $2,374.00 | ↓ -48% |
| Aetna | OONPOS | $2,374.00 | ↓ -48% |
| Cigna | CSN | $2,428.00 | ↓ -47% |
| Coventry National First Health | COMM | $2,456.69 | ↓ -47% |
| Aetna | ASAPOS | $2,564.00 | ↓ -44% |
| Aetna | ASAHMO | $2,564.00 | ↓ -44% |
| Cigna | OpenAccessPlus | $2,631.00 | ↓ -43% |
| Aetna | OONPPO | $2,727.00 | ↓ -41% |
| Aetna | ASAPPO | $2,947.00 | ↓ -36% |
| Cigna | PPO | $3,128.00 | ↓ -32% |
| Humana | HMO | $4,690.00 | ↑ +2% |
| Humana | PPO | $4,690.00 | ↑ +2% |
Visitor-reported prices
Comments
Puncture spinal lumbar diagnostic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,192.12 | $781.31 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,173.65 | $262.86 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,134.64 | $71.00 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,326.88 | $71.00 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,173.65 | $262.86 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,134.64 | $85.00 – $1,713.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,134.64 | $262.86 – $1,713.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,326.88 | $71.00 – $1,990.32 |