Fern test at HCA HOUSTON NORTHWEST

621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$9.55 with TriWest Healthcare Alliance vs $94.87 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 →

Payer
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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
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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 $9.55
Oscar MGMCR $9.55
United NarrowNetworkIndivExchange $9.74
United AllPayerAppendix $9.74
Humana MedicareAdvantagePPOPFFS $9.74
BCBS MCRPPO $9.74
Cigna HealthSpring MMP $9.74
Devoted Health MGMCR $9.74
Cigna HealthSpring MCRHMO $9.74
United SmallGroup $9.74
Cigna HealthSpring PFFS $9.74
Cigna HealthSpring MCRSNP $9.74
Cigna HealthSpring MCRPPO $9.74
BCBS MedicareAdvantageHMO $9.74
Humana MedicareAdvantageHMO $9.74
WellMed MGMCR $9.79
Van Lang IPA MCR $9.84
United MCR $9.93
WellCare PPO $10.03
WellCare SNP $10.03
WellCare POS $10.03
WellCare MCRHMO $10.03
WellCare PFFS $10.03
Integranet Amerigroup IPA MCR $10.03
American Health Plan MGMCR $10.23
ProCare Advantage MGMCR $10.23
Shared Health MGMCR $10.23
Superior Health Plan DualEligible $10.23
Superior Health Plan MCRHMO $10.23
Superior Health Plan MCRPOS $10.23
Superior Health Plan MCRPPO $10.23
Superior Health Plan MCRSNP $10.23
Superior Health Plan PFFS $10.23
Provider Partners Health Plan of Texas PFFS $10.32
Provider Partners Health Plan of Texas MCRHMO $10.32
Provider Partners Health Plan of Texas POS $10.32
Provider Partners Health Plan of Texas SNP $10.32
Provider Partners Health Plan of Texas PPO $10.32
TriWest Health Alliance TRCR $10.54
Christus (USFHP) TRICARE $10.54
Molina MGMCR $10.62
Verda Health Plan MCR $12.66
Superior ValueHMO $14.12
Community Health Choice HIX $14.12
Superior EPO $15.10
Superior HMO $15.10
BCBS MyBlueHealth $19.67
Molina Healthcare HIX $20.94
BCBS BAV $21.72
Healthcare Highways NarrowNetwork $23.67
BCBS HMO $27.17
Oscar HIX $28.15
BCBS EPOSOA $29.12
TriWest Healthcare Alliance Veterans $29.22
BCBS PPO $31.07
Aetna QHPExchange $35.67
Cigna CSN $40.44
Cigna OpenAccessPlus $43.80
Aetna NBHMO $47.43
Aetna NBPPO $47.43
Aetna NBPOS $47.43
Aetna COMMHMO $50.39
Aetna COMMPOS $50.39
Aetna COMMPPO $50.39
Cigna PPO $52.12
Aetna OONHMO $59.20
Aetna OONPPO $59.20
Aetna OONPOS $59.20
Aetna ASAPOS $64.01
Aetna ASAHMO $64.01
Aetna ASAPPO $64.01
Humana PPO $94.87
Humana HMO $94.87

Visitor-reported prices

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Fern test at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Brazosport Hospital Lake Jackson $9.80 $4.20 – $40.68
Ascension Providence Waco $11.34 $15.53 – $22.69
Dell Seton Medical Center at The University of Texas (Ascension Seton) Austin $70.02 $10.54 – $45.88
Adventhealth Rollins Brook Lampasas not published $8.77 – $37.50
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $9.55 – $40.44
HCA HOUSTON MEDICAL CENTER Houston not published $9.55 – $40.44
Covenant Children's Hospital Lubbock not published $21.27 – $42.47
HCA HOUSTON CONROE CONROE not published $9.55 – $40.44

All Texas hospitals for this procedure →