Unlisted ultrasound procedure 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.
$80.90 with Community Health Choice MCD vs $1,571.89 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 |
|---|---|---|---|
| Community Health Choice MCD | CHIPPerinatal | $80.90 | — |
| Community Health Choice MCD | CHIP | $80.90 | — |
| Community Health Choice MCD | STAR+PLUS | $80.90 | — |
| Community Health Choice MCD | STAR | $80.90 | — |
| United | MGMCD | $82.52 | — |
| Texas Childrens Health Plans | STARKIDS | $86.58 | — |
| Texas Childrens Health Plans | STAR | $86.58 | — |
| Aetna Better Health | MGMCD | $87.37 | — |
| Molina Healthcare | CHIP | $95.24 | — |
| Molina Healthcare | STARPLUS | $95.24 | — |
| Molina Healthcare | STARKIDS | $95.24 | — |
| Molina Healthcare | STAR | $95.24 | — |
| Humana | MCD | $108.22 | — |
| BCBS | MyBlueHealth | $140.47 | — |
| United | NarrowNetworkIndivExchange | $153.71 | — |
| Superior Health Plan | CHPFC | $176.95 | — |
| Superior Health Plan | CHIP | $176.95 | — |
| Superior Health Plan | STAR | $176.95 | — |
| Superior Health Plan | STARKids | $176.95 | — |
| Superior Health Plan | STARPLUS | $176.95 | — |
| BCBS | BAV | $177.98 | — |
| United | AllPayerAppendix | $182.03 | — |
| United | SmallGroup | $182.03 | — |
| BCBS | HMO | $271.35 | — |
| BCBS | EPOSOA | $290.51 | — |
| BCBS | PPO | $308.86 | — |
| Texas Childrens Health Plans | CHIP | $489.56 | — |
| United | OptionsPPO | $495.45 | — |
| Healthcare Highways | NarrowNetwork | $752.03 | — |
| Aetna | QHPExchange | $781.52 | — |
| Evry Health | BroadNetwork | $805.11 | — |
| Humana | PPO | $941.07 | — |
| Humana | HMO | $941.07 | — |
| Aetna | NBHMO | $946.67 | — |
| Aetna | NBPOS | $946.67 | — |
| Aetna | NBPPO | $946.67 | — |
| Aetna | COMMHMO | $1,008.60 | — |
| Aetna | COMMPOS | $1,008.60 | — |
| Aetna | COMMPPO | $1,008.60 | — |
| BCBS | Traditional | $1,032.20 | — |
| Christus (USFHP) | TRICARE | $1,179.65 | — |
| Curative Administrators | COMM | $1,179.65 | — |
| Aetna | OONHMO | $1,182.60 | — |
| Aetna | OONPOS | $1,182.60 | — |
| Aetna | OONPPO | $1,182.60 | — |
| Aetna | ASAPPO | $1,276.97 | — |
| Aetna | ASAPOS | $1,276.97 | — |
| Aetna | ASAHMO | $1,276.97 | — |
| United | GlobalAppendix | $1,327.11 | — |
| Coventry National First Health | COMM | $1,571.89 | — |
Visitor-reported prices
Comments
Unlisted ultrasound procedure at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,231.09 | $81.00 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,861.95 | $53.35 – $388.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,075.41 | $83.05 – $340.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,231.09 | $83.05 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,861.95 | $83.05 – $388.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,861.95 | $86.58 – $388.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,075.41 | $83.05 – $408.24 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,231.09 | $83.05 – $225.11 |