Oth resp proc, group at HCA HOUSTON NORTHWEST
621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121
$339.63
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.
$339.63
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.
$20.38 with Superior Health Plan vs $181.02 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 |
|---|---|---|---|
| Superior Health Plan | CHPFC | $20.38 | ↓ -94% |
| Superior Health Plan | STARPLUS | $20.38 | ↓ -94% |
| Superior Health Plan | STARKids | $20.38 | ↓ -94% |
| Superior Health Plan | STAR | $20.38 | ↓ -94% |
| Superior Health Plan | CHIP | $20.38 | ↓ -94% |
| BCBS | MyBlueHealth | $29.51 | ↓ -91% |
| BCBS | BAV | $32.53 | ↓ -90% |
| BCBS | HMO | $40.73 | ↓ -88% |
| BCBS | PPO | $40.73 | ↓ -88% |
| BCBS | EPOSOA | $40.73 | ↓ -88% |
| Community Health Choice MCD | STAR | $44.15 | ↓ -87% |
| Community Health Choice MCD | CHIP | $44.15 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $44.15 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $44.15 | ↓ -87% |
| Texas Childrens Health Plans | CHIP | $56.38 | ↓ -83% |
| United | OptionsPPO | $57.06 | ↓ -83% |
| Oscar | HIX | $66.23 | ↓ -80% |
| Texas Childrens Health Plans | STARKIDS | $80.49 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $80.49 | ↓ -76% |
| Aetna | QHPExchange | $81.85 | ↓ -76% |
| Aetna | NBPPO | $99.17 | ↓ -71% |
| Aetna | NBHMO | $99.17 | ↓ -71% |
| Aetna | NBPOS | $99.17 | ↓ -71% |
| Aetna | COMMPOS | $105.62 | ↓ -69% |
| Aetna | COMMPPO | $105.62 | ↓ -69% |
| Aetna | COMMHMO | $105.62 | ↓ -69% |
| BCBS | Traditional | $118.87 | ↓ -65% |
| Humana | PPO | $121.17 | ↓ -64% |
| Humana | HMO | $121.17 | ↓ -64% |
| Aetna | OONHMO | $124.30 | ↓ -63% |
| Aetna | OONPPO | $124.30 | ↓ -63% |
| Aetna | OONPOS | $124.30 | ↓ -63% |
| Aetna | ASAPOS | $134.49 | ↓ -60% |
| Aetna | ASAHMO | $134.49 | ↓ -60% |
| Aetna | ASAPPO | $134.49 | ↓ -60% |
| Christus (USFHP) | TRICARE | $135.85 | ↓ -60% |
| United | GlobalAppendix | $152.83 | ↓ -55% |
| Coventry National First Health | COMM | $181.02 | ↓ -47% |
Visitor-reported prices
Comments
Oth resp proc, group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $487.56 | $29.51 – $121.17 |
| Covenant Children's Hospital | Lubbock | $102.48 | $43.00 – $43.00 |
| HCA HOUSTON KINGWOOD | HUMBLE | $75.86 | $29.51 – $121.17 |
| St. Luke's Health - Patients Medical Center | Pasadena | $166.95 | $18.41 – $978.00 |
| St. Joseph Health Madison Hospital | Madisonville | $44.80 | $25.09 – $670.00 |
| St. Joseph Health College Station Hospital | College Station | $44.80 | $25.09 – $670.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $13.23 | $5.67 – $26.29 |
| St. Joseph Health Grimes Hospital | Navasota | $44.80 | $25.09 – $670.00 |