Exchange biliary drg cath at HCA HOUSTON NORTHWEST
621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121
$6,104.33
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.
$6,104.33
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.
$948.00 with Superior Health Plan vs $12,918.00 with Cigna — 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 | CHIP | $948.00 | ↓ -84% |
| Superior Health Plan | STARPLUS | $948.00 | ↓ -84% |
| Superior Health Plan | STARKids | $948.00 | ↓ -84% |
| Superior Health Plan | STAR | $948.00 | ↓ -84% |
| Superior Health Plan | CHPFC | $948.00 | ↓ -84% |
| Texas Childrens Health Plans | CHIP | $1,013.32 | ↓ -83% |
| United | OptionsPPO | $1,025.53 | ↓ -83% |
| United | MGMCD | $1,235.65 | ↓ -80% |
| Molina Healthcare | CHIP | $1,266.69 | ↓ -79% |
| Molina Healthcare | STAR | $1,266.69 | ↓ -79% |
| Molina Healthcare | STARKIDS | $1,266.69 | ↓ -79% |
| Molina Healthcare | STARPLUS | $1,266.69 | ↓ -79% |
| Community Health Choice MCD | STAR | $1,289.72 | ↓ -79% |
| Community Health Choice MCD | STAR+PLUS | $1,289.72 | ↓ -79% |
| Community Health Choice MCD | CHIPPerinatal | $1,289.72 | ↓ -79% |
| Community Health Choice MCD | CHIP | $1,289.72 | ↓ -79% |
| Humana | MCD | $1,439.42 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $1,446.73 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $1,446.73 | ↓ -76% |
| Aetna Better Health | MGMCD | $1,453.70 | ↓ -76% |
| Aetna | QHPExchange | $1,579.00 | ↓ -74% |
| Aetna | NBPOS | $2,098.00 | ↓ -66% |
| Aetna | NBHMO | $2,098.00 | ↓ -66% |
| BCBS | Traditional | $2,136.52 | ↓ -65% |
| Aetna | COMMPOS | $2,229.00 | ↓ -63% |
| Aetna | COMMHMO | $2,229.00 | ↓ -63% |
| Aetna | NBPPO | $2,299.00 | ↓ -62% |
| Christus (USFHP) | TRICARE | $2,441.73 | ↓ -60% |
| Aetna | COMMPPO | $2,444.00 | ↓ -60% |
| Aetna | OONPOS | $2,623.00 | ↓ -57% |
| Aetna | OONHMO | $2,623.00 | ↓ -57% |
| United | GlobalAppendix | $2,746.95 | ↓ -55% |
| Aetna | ASAHMO | $2,832.00 | ↓ -54% |
| Aetna | ASAPOS | $2,832.00 | ↓ -54% |
| Aetna | OONPPO | $2,876.00 | ↓ -53% |
| Aetna | ASAPPO | $3,106.00 | ↓ -49% |
| Coventry National First Health | COMM | $3,253.61 | ↓ -47% |
| Humana | PPO | $4,690.00 | ↓ -23% |
| Humana | HMO | $4,690.00 | ↓ -23% |
| United | SmallGroup | $4,760.00 | ↓ -22% |
| Healthcare Highways | NarrowNetwork | $4,988.00 | ↓ -18% |
| BCBS | MyBlueHealth | $5,534.63 | ↓ -9% |
| Curative Administrators | COMM | $5,849.00 | ↓ -4% |
| United | NarrowNetworkIndivExchange | $5,951.00 | ↓ -3% |
| Evry Health | BroadNetwork | $6,077.00 | ↓ -0% |
| BCBS | BAV | $6,094.31 | ↓ -0% |
| BCBS | HMO | $6,436.33 | ↑ +5% |
| United | AllPayerAppendix | $6,800.00 | ↑ +11% |
| BCBS | EPOSOA | $6,996.02 | ↑ +15% |
| Oscar | HIX | $7,014.00 | ↑ +15% |
| BCBS | PPO | $7,524.60 | ↑ +23% |
| Cigna | CSN | $10,028.00 | ↑ +64% |
| Cigna | OpenAccessPlus | $10,865.00 | ↑ +78% |
| Cigna | PPO | $12,918.00 | ↑ +112% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Springwoods Village Hospital | Spring | $3,525.90 | $2,719.98 – $10,074.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,278.56 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,738.58 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,631.78 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,278.56 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,738.58 | $85.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,738.58 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,631.78 | $71.00 – $8,649.00 |