Procalcitonin 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.
$22.86 with Community Health Choice MCD vs $357.93 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 |
|---|---|---|---|
| Community Health Choice MCD | CHIPPerinatal | $22.86 | — |
| Texas Childrens Health Plans | STAR | $22.86 | — |
| Community Health Choice MCD | STAR | $22.86 | — |
| Texas Childrens Health Plans | STARKIDS | $22.86 | — |
| Community Health Choice MCD | CHIP | $22.86 | — |
| Community Health Choice MCD | STAR+PLUS | $22.86 | — |
| United | MGMCD | $23.32 | — |
| Aetna Better Health | MGMCD | $24.69 | — |
| Molina Healthcare | STAR | $25.15 | — |
| Molina Healthcare | STARKIDS | $25.15 | — |
| Molina Healthcare | STARPLUS | $25.15 | — |
| Molina Healthcare | CHIP | $25.15 | — |
| Superior Health Plan | STARKids | $25.46 | — |
| Superior Health Plan | STARPLUS | $25.46 | — |
| Superior Health Plan | CHIP | $25.46 | — |
| Superior Health Plan | CHPFC | $25.46 | — |
| Superior Health Plan | STAR | $25.46 | — |
| Oscar | MGMCR | $26.68 | — |
| TriWest Healthcare Alliance | VeteransPCCC | $26.68 | — |
| Devoted Health | MGMCR | $27.22 | — |
| Humana | MedicareAdvantagePPOPFFS | $27.22 | — |
| Humana | MedicareAdvantageHMO | $27.22 | — |
| United | SmallGroup | $27.22 | — |
| BCBS | MedicareAdvantageHMO | $27.22 | — |
| BCBS | MCRPPO | $27.22 | — |
| Cigna HealthSpring | MMP | $27.22 | — |
| Cigna HealthSpring | PFFS | $27.22 | — |
| Cigna HealthSpring | MCRSNP | $27.22 | — |
| Cigna HealthSpring | MCRPPO | $27.22 | — |
| Cigna HealthSpring | MCRHMO | $27.22 | — |
| United | NarrowNetworkIndivExchange | $27.22 | — |
| United | AllPayerAppendix | $27.22 | — |
| WellMed | MGMCR | $27.36 | — |
| Van Lang IPA | MCR | $27.49 | — |
| United | MCR | $27.76 | — |
| WellCare | POS | $28.04 | — |
| WellCare | PFFS | $28.04 | — |
| Integranet Amerigroup IPA | MCR | $28.04 | — |
| WellCare | MCRHMO | $28.04 | — |
| WellCare | PPO | $28.04 | — |
| WellCare | SNP | $28.04 | — |
| Humana | MCD | $28.57 | — |
| Superior Health Plan | MCRPPO | $28.58 | — |
| American Health Plan | MGMCR | $28.58 | — |
| Superior Health Plan | DualEligible | $28.58 | — |
| Superior Health Plan | MCRHMO | $28.58 | — |
| Superior Health Plan | MCRPOS | $28.58 | — |
| Superior Health Plan | MCRSNP | $28.58 | — |
| Superior Health Plan | PFFS | $28.58 | — |
| ProCare Advantage | MGMCR | $28.58 | — |
| Shared Health | MGMCR | $28.58 | — |
| Provider Partners Health Plan of Texas | PFFS | $28.85 | — |
| Provider Partners Health Plan of Texas | POS | $28.85 | — |
| Provider Partners Health Plan of Texas | PPO | $28.85 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $28.85 | — |
| Provider Partners Health Plan of Texas | SNP | $28.85 | — |
| Christus (USFHP) | TRICARE | $29.46 | — |
| TriWest Health Alliance | TRCR | $29.46 | — |
| Molina | MGMCR | $29.67 | — |
| Verda Health Plan | MCR | $35.39 | — |
| Superior | ValueHMO | $39.47 | — |
| Community Health Choice | HIX | $39.47 | — |
| Superior | EPO | $42.19 | — |
| Superior | HMO | $42.19 | — |
| BCBS | MyBlueHealth | $54.98 | — |
| Molina Healthcare | HIX | $58.52 | — |
| BCBS | BAV | $60.70 | — |
| Texas Childrens Health Plans | CHIP | $70.43 | — |
| United | OptionsPPO | $71.28 | — |
| BCBS | HMO | $75.94 | — |
| Oscar | HIX | $78.67 | — |
| Healthcare Highways | NarrowNetwork | $80.39 | — |
| BCBS | EPOSOA | $81.39 | — |
| TriWest Healthcare Alliance | Veterans | $81.66 | — |
| BCBS | PPO | $86.83 | — |
| Aetna | QHPExchange | $99.73 | — |
| Cigna | CSN | $111.50 | — |
| Evry Health | BroadNetwork | $115.83 | — |
| Cigna | OpenAccessPlus | $120.77 | — |
| Aetna | NBPOS | $132.62 | — |
| Aetna | NBPPO | $132.62 | — |
| Aetna | NBHMO | $132.62 | — |
| Aetna | COMMPPO | $140.90 | — |
| Aetna | COMMHMO | $140.90 | — |
| Aetna | COMMPOS | $140.90 | — |
| Cigna | PPO | $143.69 | — |
| BCBS | Traditional | $148.50 | — |
| Aetna | OONPOS | $165.52 | — |
| Aetna | OONHMO | $165.52 | — |
| Aetna | OONPPO | $165.52 | — |
| Aetna | ASAPOS | $178.97 | — |
| Aetna | ASAPPO | $178.97 | — |
| Aetna | ASAHMO | $178.97 | — |
| United | GlobalAppendix | $190.93 | — |
| Coventry National First Health | COMM | $226.14 | — |
| Humana | HMO | $357.93 | — |
| Humana | PPO | $357.93 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Procalcitonin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Springwoods Village Hospital | Spring | $134.75 | $19.60 – $385.00 |
| Adventhealth Rollins Brook | Lampasas | $271.27 | $24.50 – $104.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $194.93 | $10.00 – $243.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $168.69 | $12.00 – $253.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $223.17 | $12.00 – $278.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $194.93 | $10.00 – $243.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $168.69 | $12.00 – $253.03 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $168.69 | $8.00 – $253.03 |