#tricyclicantidprssnt at HCA HOUSTON NORTHWEST
621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121
$65.40
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.
$65.40
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.
$0.05 with Aetna vs $105.93 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 |
|---|---|---|---|
| Aetna | QHPExchange | $0.05 | ↓ -100% |
| Aetna | NBPOS | $0.06 | ↓ -100% |
| Aetna | NBPPO | $0.06 | ↓ -100% |
| Aetna | NBHMO | $0.06 | ↓ -100% |
| Aetna | COMMPPO | $0.07 | ↓ -100% |
| Aetna | COMMPOS | $0.07 | ↓ -100% |
| Aetna | COMMHMO | $0.07 | ↓ -100% |
| Aetna | OONHMO | $0.08 | ↓ -100% |
| Aetna | OONPPO | $0.08 | ↓ -100% |
| Aetna | OONPOS | $0.08 | ↓ -100% |
| Aetna | ASAPOS | $0.09 | ↓ -100% |
| Aetna | ASAPPO | $0.09 | ↓ -100% |
| Aetna | ASAHMO | $0.09 | ↓ -100% |
| Superior Health Plan | CHIP | $3.92 | ↓ -94% |
| Superior Health Plan | CHPFC | $3.92 | ↓ -94% |
| Superior Health Plan | STAR | $3.92 | ↓ -94% |
| Superior Health Plan | STARKids | $3.92 | ↓ -94% |
| Superior Health Plan | STARPLUS | $3.92 | ↓ -94% |
| Texas Childrens Health Plans | STARKIDS | $8.69 | ↓ -87% |
| Community Health Choice MCD | CHIP | $8.69 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $8.69 | ↓ -87% |
| Community Health Choice MCD | STAR | $8.69 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $8.69 | ↓ -87% |
| Texas Childrens Health Plans | STAR | $8.69 | ↓ -87% |
| United | MGMCD | $8.86 | ↓ -86% |
| Aetna Better Health | MGMCD | $9.39 | ↓ -86% |
| Molina Healthcare | STAR | $9.56 | ↓ -85% |
| Molina Healthcare | STARPLUS | $9.56 | ↓ -85% |
| Molina Healthcare | CHIP | $9.56 | ↓ -85% |
| Molina Healthcare | STARKIDS | $9.56 | ↓ -85% |
| Cigna | CSN | $9.68 | ↓ -85% |
| Cigna | OpenAccessPlus | $10.46 | ↓ -84% |
| BCBS | MyBlueHealth | $10.66 | ↓ -84% |
| Humana | MCD | $10.86 | ↓ -83% |
| Texas Childrens Health Plans | CHIP | $10.86 | ↓ -83% |
| United | OptionsPPO | $10.99 | ↓ -83% |
| BCBS | BAV | $11.77 | ↓ -82% |
| Cigna | PPO | $12.43 | ↓ -81% |
| Oscar | HIX | $12.75 | ↓ -81% |
| BCBS | HMO | $14.72 | ↓ -77% |
| BCBS | EPOSOA | $15.04 | ↓ -77% |
| BCBS | PPO | $15.30 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $16.68 | ↓ -74% |
| Molina Healthcare | HIX | $17.66 | ↓ -73% |
| Evry Health | BroadNetwork | $17.85 | ↓ -73% |
| BCBS | Traditional | $22.89 | ↓ -65% |
| Christus (USFHP) | TRICARE | $26.16 | ↓ -60% |
| United | GlobalAppendix | $29.43 | ↓ -55% |
| Coventry National First Health | COMM | $34.86 | ↓ -47% |
| Humana | HMO | $105.93 | ↑ +62% |
| Humana | PPO | $105.93 | ↑ +62% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
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#tricyclicantidprssnt at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $57.44 | $8.69 – $81.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $57.44 | $8.69 – $81.37 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $57.44 | $8.69 – $81.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $57.44 | $8.69 – $81.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $57.44 | $8.69 – $81.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $57.44 | $8.69 – $81.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $57.44 | $8.69 – $81.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $57.44 | $8.69 – $81.37 |