Surgical pathology level 4 gross & microscopic examination at HCA HOUSTON NORTHWEST
621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121
$2,246.37
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.
$2,246.37
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.
$49.76 with United vs $1,197.32 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 |
|---|---|---|---|
| United | SmallGroup | $49.76 | ↓ -98% |
| United | AllPayerAppendix | $49.76 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $49.76 | ↓ -98% |
| BCBS | MyBlueHealth | $99.93 | ↓ -96% |
| BCBS | BAV | $110.32 | ↓ -95% |
| Aetna | QHPExchange | $130.28 | ↓ -94% |
| Superior Health Plan | CHPFC | $134.78 | ↓ -94% |
| Superior Health Plan | CHIP | $134.78 | ↓ -94% |
| Superior Health Plan | STARPLUS | $134.78 | ↓ -94% |
| Superior Health Plan | STARKids | $134.78 | ↓ -94% |
| Superior Health Plan | STAR | $134.78 | ↓ -94% |
| BCBS | HMO | $138.02 | ↓ -94% |
| Cigna | CSN | $144.71 | ↓ -94% |
| BCBS | EPOSOA | $147.92 | ↓ -93% |
| Cigna | OpenAccessPlus | $156.74 | ↓ -93% |
| BCBS | PPO | $157.81 | ↓ -93% |
| Aetna | NBPPO | $173.26 | ↓ -92% |
| Aetna | NBPOS | $173.26 | ↓ -92% |
| Aetna | NBHMO | $173.26 | ↓ -92% |
| Aetna | COMMHMO | $184.07 | ↓ -92% |
| Aetna | COMMPOS | $184.07 | ↓ -92% |
| Aetna | COMMPPO | $184.07 | ↓ -92% |
| Cigna | PPO | $186.48 | ↓ -92% |
| Aetna | OONPPO | $216.24 | ↓ -90% |
| Aetna | OONPOS | $216.24 | ↓ -90% |
| Aetna | OONHMO | $216.24 | ↓ -90% |
| Aetna | ASAPPO | $233.81 | ↓ -90% |
| Aetna | ASAHMO | $233.81 | ↓ -90% |
| Aetna | ASAPOS | $233.81 | ↓ -90% |
| Community Health Choice MCD | CHIPPerinatal | $292.03 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $292.03 | ↓ -87% |
| Community Health Choice MCD | STAR | $292.03 | ↓ -87% |
| Community Health Choice MCD | CHIP | $292.03 | ↓ -87% |
| Humana | PPO | $306.42 | ↓ -86% |
| Humana | HMO | $306.42 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $372.90 | ↓ -83% |
| United | OptionsPPO | $377.39 | ↓ -83% |
| Oscar | HIX | $438.04 | ↓ -81% |
| Texas Childrens Health Plans | STARKIDS | $532.39 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $532.39 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $572.82 | ↓ -75% |
| Evry Health | BroadNetwork | $613.26 | ↓ -73% |
| BCBS | Traditional | $786.23 | ↓ -65% |
| Christus (USFHP) | TRICARE | $898.55 | ↓ -60% |
| United | GlobalAppendix | $1,010.87 | ↓ -55% |
| Coventry National First Health | COMM | $1,197.32 | ↓ -47% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Springwoods Village Hospital | Spring | $408.10 | $67.05 – $1,166.00 |
| Adventhealth Rollins Brook | Lampasas | $1,149.92 | $190.46 – $190.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $474.00 | $36.00 – $473.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $474.00 | $36.00 – $272.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $474.00 | $36.00 – $473.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $474.00 | $26.00 – $473.26 |