Exome re-evaluation at HCA HOUSTON NORTHWEST
621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121
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.
$313.60 with TriWest Healthcare Alliance vs $3,462.40 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 |
|---|---|---|---|
| TriWest Healthcare Alliance | VeteransPCCC | $313.60 | — |
| Oscar | MGMCR | $313.60 | — |
| United | NarrowNetworkIndivExchange | $320.00 | — |
| United | AllPayerAppendix | $320.00 | — |
| Humana | MedicareAdvantagePPOPFFS | $320.00 | — |
| BCBS | MCRPPO | $320.00 | — |
| Cigna HealthSpring | MMP | $320.00 | — |
| Devoted Health | MGMCR | $320.00 | — |
| Cigna HealthSpring | MCRHMO | $320.00 | — |
| United | SmallGroup | $320.00 | — |
| Cigna HealthSpring | PFFS | $320.00 | — |
| Cigna HealthSpring | MCRSNP | $320.00 | — |
| Cigna HealthSpring | MCRPPO | $320.00 | — |
| BCBS | MedicareAdvantageHMO | $320.00 | — |
| Humana | MedicareAdvantageHMO | $320.00 | — |
| WellMed | MGMCR | $321.60 | — |
| Van Lang IPA | MCR | $323.20 | — |
| United | MCR | $326.40 | — |
| WellCare | PPO | $329.60 | — |
| WellCare | SNP | $329.60 | — |
| WellCare | POS | $329.60 | — |
| WellCare | MCRHMO | $329.60 | — |
| WellCare | PFFS | $329.60 | — |
| Integranet Amerigroup IPA | MCR | $329.60 | — |
| ProCare Advantage | MGMCR | $336.00 | — |
| Shared Health | MGMCR | $336.00 | — |
| Superior Health Plan | MCRPOS | $336.00 | — |
| Superior Health Plan | MCRPPO | $336.00 | — |
| Superior Health Plan | MCRSNP | $336.00 | — |
| Superior Health Plan | PFFS | $336.00 | — |
| American Health Plan | MGMCR | $336.00 | — |
| Superior Health Plan | DualEligible | $336.00 | — |
| Superior Health Plan | MCRHMO | $336.00 | — |
| Provider Partners Health Plan of Texas | PFFS | $339.20 | — |
| Provider Partners Health Plan of Texas | POS | $339.20 | — |
| Provider Partners Health Plan of Texas | SNP | $339.20 | — |
| Provider Partners Health Plan of Texas | PPO | $339.20 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $339.20 | — |
| TriWest Health Alliance | TRCR | $346.34 | — |
| Christus (USFHP) | TRICARE | $346.34 | — |
| Molina | MGMCR | $348.80 | — |
| Verda Health Plan | MCR | $416.00 | — |
| Community Health Choice | HIX | $464.00 | — |
| Superior | ValueHMO | $464.00 | — |
| Superior | EPO | $496.00 | — |
| Superior | HMO | $496.00 | — |
| BCBS | MyBlueHealth | $646.40 | — |
| Molina Healthcare | HIX | $688.00 | — |
| BCBS | BAV | $713.60 | — |
| Healthcare Highways | NarrowNetwork | $777.60 | — |
| BCBS | HMO | $892.80 | — |
| Oscar | HIX | $924.80 | — |
| BCBS | EPOSOA | $956.80 | — |
| TriWest Healthcare Alliance | Veterans | $960.00 | — |
| BCBS | PPO | $1,020.80 | — |
| Aetna | QHPExchange | $1,172.22 | — |
| Cigna | CSN | $1,315.89 | — |
| Cigna | OpenAccessPlus | $1,425.29 | — |
| Aetna | NBPOS | $1,558.91 | — |
| Aetna | NBPPO | $1,558.91 | — |
| Aetna | NBHMO | $1,558.91 | — |
| Aetna | COMMHMO | $1,656.19 | — |
| Aetna | COMMPOS | $1,656.19 | — |
| Aetna | COMMPPO | $1,656.19 | — |
| Cigna | PPO | $1,695.76 | — |
| Aetna | OONPOS | $1,945.60 | — |
| Aetna | OONHMO | $1,945.60 | — |
| Aetna | OONPPO | $1,945.60 | — |
| Aetna | ASAPPO | $2,103.68 | — |
| Aetna | ASAHMO | $2,103.68 | — |
| Aetna | ASAPOS | $2,103.68 | — |
| Humana | HMO | $3,462.40 | — |
| Humana | PPO | $3,462.40 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Exome re-evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $288.00 – $1,232.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $313.60 – $1,315.89 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $313.60 – $1,315.89 |
| Covenant Children's Hospital | Lubbock | not published | $698.88 – $1,395.20 |
| HCA HOUSTON CONROE | CONROE | not published | $313.60 – $1,315.89 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $313.60 – $1,315.89 |