Protein analysis w/probe 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.
$22.02 with Community Health Choice MCD vs $303.83 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 | CHIP | $22.02 | — |
| Texas Childrens Health Plans | STARKIDS | $22.02 | — |
| Community Health Choice MCD | CHIPPerinatal | $22.02 | — |
| Texas Childrens Health Plans | STAR | $22.02 | — |
| Community Health Choice MCD | STAR+PLUS | $22.02 | — |
| Community Health Choice MCD | STAR | $22.02 | — |
| United | MGMCD | $22.46 | — |
| Aetna Better Health | MGMCD | $23.78 | — |
| Molina Healthcare | STAR | $24.22 | — |
| Molina Healthcare | STARKIDS | $24.22 | — |
| Molina Healthcare | STARPLUS | $24.22 | — |
| Molina Healthcare | CHIP | $24.22 | — |
| Oscar | MGMCR | $25.70 | — |
| TriWest Healthcare Alliance | VeteransPCCC | $25.70 | — |
| United | AllPayerAppendix | $26.22 | — |
| BCBS | MCRPPO | $26.22 | — |
| Devoted Health | MGMCR | $26.22 | — |
| Humana | MedicareAdvantageHMO | $26.22 | — |
| Humana | MedicareAdvantagePPOPFFS | $26.22 | — |
| BCBS | MedicareAdvantageHMO | $26.22 | — |
| Cigna HealthSpring | MMP | $26.22 | — |
| Cigna HealthSpring | PFFS | $26.22 | — |
| Cigna HealthSpring | MCRSNP | $26.22 | — |
| Cigna HealthSpring | MCRPPO | $26.22 | — |
| Cigna HealthSpring | MCRHMO | $26.22 | — |
| United | SmallGroup | $26.22 | — |
| United | NarrowNetworkIndivExchange | $26.22 | — |
| WellMed | MGMCR | $26.35 | — |
| Van Lang IPA | MCR | $26.48 | — |
| United | MCR | $26.74 | — |
| Integranet Amerigroup IPA | MCR | $27.01 | — |
| WellCare | MCRHMO | $27.01 | — |
| WellCare | PFFS | $27.01 | — |
| WellCare | POS | $27.01 | — |
| WellCare | PPO | $27.01 | — |
| WellCare | SNP | $27.01 | — |
| Humana | MCD | $27.52 | — |
| ProCare Advantage | MGMCR | $27.53 | — |
| American Health Plan | MGMCR | $27.53 | — |
| Superior Health Plan | DualEligible | $27.53 | — |
| Superior Health Plan | MCRHMO | $27.53 | — |
| Superior Health Plan | MCRPOS | $27.53 | — |
| Superior Health Plan | MCRPPO | $27.53 | — |
| Superior Health Plan | MCRSNP | $27.53 | — |
| Superior Health Plan | PFFS | $27.53 | — |
| Shared Health | MGMCR | $27.53 | — |
| Provider Partners Health Plan of Texas | PPO | $27.79 | — |
| Provider Partners Health Plan of Texas | PFFS | $27.79 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $27.79 | — |
| Provider Partners Health Plan of Texas | POS | $27.79 | — |
| Provider Partners Health Plan of Texas | SNP | $27.79 | — |
| Molina | MGMCR | $28.58 | — |
| Verda Health Plan | MCR | $34.09 | — |
| Community Health Choice | HIX | $38.02 | — |
| Superior | ValueHMO | $38.02 | — |
| Superior | HMO | $40.64 | — |
| Superior | EPO | $40.64 | — |
| BCBS | MyBlueHealth | $52.96 | — |
| Molina Healthcare | HIX | $56.37 | — |
| BCBS | BAV | $58.47 | — |
| Healthcare Highways | NarrowNetwork | $68.24 | — |
| BCBS | HMO | $73.15 | — |
| Oscar | HIX | $75.78 | — |
| BCBS | EPOSOA | $78.40 | — |
| TriWest Healthcare Alliance | Veterans | $78.66 | — |
| BCBS | PPO | $83.64 | — |
| Aetna | QHPExchange | $96.06 | — |
| Cigna | CSN | $107.34 | — |
| Cigna | OpenAccessPlus | $116.27 | — |
| Aetna | NBPOS | $127.75 | — |
| Aetna | NBHMO | $127.75 | — |
| Aetna | NBPPO | $127.75 | — |
| Aetna | COMMHMO | $135.72 | — |
| Aetna | COMMPOS | $135.72 | — |
| Aetna | COMMPPO | $135.72 | — |
| Cigna | PPO | $138.33 | — |
| Aetna | OONPPO | $159.44 | — |
| Aetna | OONHMO | $159.44 | — |
| Aetna | OONPOS | $159.44 | — |
| Aetna | ASAHMO | $172.39 | — |
| Aetna | ASAPOS | $172.39 | — |
| Aetna | ASAPPO | $172.39 | — |
| Humana | PPO | $303.83 | — |
| Humana | HMO | $303.83 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Protein analysis w/probe at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $107.10 | $22.02 – $169.11 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $107.10 | $22.02 – $169.11 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $110.16 | $22.02 – $169.11 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $110.16 | $22.02 – $169.11 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $84.15 | $22.02 – $169.11 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $163.63 | $22.02 – $169.11 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $110.16 | $22.02 – $169.11 |
| Adventhealth Rollins Brook | Lampasas | not published | $23.60 – $100.95 |