Ins/rpl pm gen exist sgl lead 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.
$1,944.00 with Aetna vs $40,000.00 with United — 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 |
|---|---|---|---|
| Aetna | QHPExchange | $1,944.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | STAR | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | CHPFC | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Aetna | NBPOS | $2,580.00 | — |
| Aetna | NBHMO | $2,580.00 | — |
| Aetna | COMMHMO | $2,742.00 | — |
| Aetna | COMMPOS | $2,742.00 | — |
| Aetna | NBPPO | $2,986.00 | — |
| Aetna | COMMPPO | $3,174.00 | — |
| Aetna | OONPOS | $3,228.00 | — |
| Aetna | OONHMO | $3,228.00 | — |
| Aetna | ASAPOS | $3,486.00 | — |
| Aetna | ASAHMO | $3,486.00 | — |
| Aetna | OONPPO | $3,732.00 | — |
| Aetna | ASAPPO | $4,034.00 | — |
| Humana | HMO | $4,690.00 | — |
| Humana | PPO | $4,690.00 | — |
| United | MGMCD | $5,901.64 | — |
| Molina Healthcare | STARKIDS | $6,049.91 | — |
| Molina Healthcare | STAR | $6,049.91 | — |
| Molina Healthcare | CHIP | $6,049.91 | — |
| Molina Healthcare | STARPLUS | $6,049.91 | — |
| Community Health Choice MCD | CHIP | $6,159.91 | — |
| Community Health Choice MCD | STAR+PLUS | $6,159.91 | — |
| Community Health Choice MCD | STAR | $6,159.91 | — |
| Community Health Choice MCD | CHIPPerinatal | $6,159.91 | — |
| Humana | MCD | $6,874.90 | — |
| Aetna Better Health | MGMCD | $6,943.10 | — |
| Cigna | CSN | $8,217.00 | — |
| Cigna | OpenAccessPlus | $8,903.00 | — |
| Cigna | PPO | $10,586.00 | — |
| Healthcare Highways | NarrowNetwork | $10,949.00 | — |
| Evry Health | BroadNetwork | $12,193.00 | — |
| BCBS | MyBlueHealth | $13,602.49 | — |
| BCBS | BAV | $14,978.03 | — |
| BCBS | HMO | $15,818.63 | — |
| BCBS | EPOSOA | $17,194.16 | — |
| Oscar | HIX | $17,551.00 | — |
| BCBS | PPO | $18,493.28 | — |
| Curative Administrators | COMM | $24,035.00 | — |
| United | NarrowNetworkIndivExchange | $27,575.00 | — |
| United | SmallGroup | $28,000.00 | — |
| United | AllPayerAppendix | $40,000.00 | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Springwoods Village Hospital | Spring | $8,704.15 | $1,609.00 – $24,869.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,336.78 | $1,510.15 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,030.18 | $5,499.92 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,030.18 | $2,763.00 – $21,045.99 |