X-ray exam of middle ear at HCA HOUSTON NORTHWEST

621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$61.81 with Community Health Choice MCD vs $1,757.77 with BCBS — 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 →

Payer
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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
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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 $61.81
Community Health Choice MCD CHIP $61.81
Community Health Choice MCD STAR+PLUS $61.81
Community Health Choice MCD STAR $61.81
Texas Childrens Health Plans STARKIDS $62.15
Texas Childrens Health Plans STAR $62.15
United MGMCD $63.05
Aetna Better Health MGMCD $66.75
Molina Healthcare CHIP $68.37
Molina Healthcare STAR $68.37
Molina Healthcare STARKIDS $68.37
Molina Healthcare STARPLUS $68.37
Humana MCD $77.69
Cigna CSN $162.37
Cigna OpenAccessPlus $175.73
Cigna PPO $208.89
Aetna QHPExchange $264.65
Aetna NBPPO $351.75
Aetna NBPOS $351.75
Aetna NBHMO $351.75
Aetna COMMPPO $374.17
Aetna COMMPOS $374.17
Aetna COMMHMO $374.17
Aetna OONPPO $439.96
Aetna OONHMO $439.96
Aetna OONPOS $439.96
Aetna ASAPPO $475.47
Aetna ASAHMO $475.47
Aetna ASAPOS $475.47
Humana HMO $570.77
Humana PPO $570.77
BCBS MyBlueHealth $847.58
United NarrowNetworkIndivExchange $917.49
BCBS BAV $1,073.92
United AllPayerAppendix $1,086.50
United SmallGroup $1,086.50
BCBS HMO $1,637.37
BCBS EPOSOA $1,699.98
BCBS PPO $1,757.77

Visitor-reported prices

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X-ray exam of middle ear at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $322.45 $66.37 – $1,366.64
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $338.57 $62.15 – $1,366.64
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $322.45 $66.50 – $1,366.64
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $322.45 $62.15 – $1,366.64
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $338.57 $62.15 – $1,366.64
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco $322.45 $62.15 – $1,366.64
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple $322.45 $62.15 – $1,366.64
BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE Suite 100 $338.57 $62.15 – $1,618.11

All Texas hospitals for this procedure →