X-ray mandible complete > 4 views 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.

Full explanation →

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.

$43.44 with Community Health Choice MCD vs $1,474.64 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 →

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 $43.44
Community Health Choice MCD CHIP $43.44
Community Health Choice MCD STAR+PLUS $43.44
Community Health Choice MCD STAR $43.44
Texas Childrens Health Plans STARKIDS $43.78
Texas Childrens Health Plans STAR $43.78
United MGMCD $44.31
Aetna Better Health MGMCD $46.92
Molina Healthcare CHIP $48.16
Molina Healthcare STARPLUS $48.16
Molina Healthcare STARKIDS $48.16
Molina Healthcare STAR $48.16
Humana MCD $54.73
Cigna CSN $115.06
Cigna OpenAccessPlus $124.52
Cigna PPO $148.02
Superior Health Plan CHPFC $166.00
Superior Health Plan STARPLUS $166.00
Superior Health Plan STARKids $166.00
Superior Health Plan STAR $166.00
Superior Health Plan CHIP $166.00
Aetna QHPExchange $190.95
BCBS MyBlueHealth $197.26
United NarrowNetworkIndivExchange $207.04
United SmallGroup $245.18
United AllPayerAppendix $245.18
BCBS BAV $249.94
Aetna NBHMO $253.79
Aetna NBPOS $253.79
Aetna NBPPO $253.79
Aetna COMMPPO $269.97
Aetna COMMHMO $269.97
Aetna COMMPOS $269.97
Aetna OONHMO $317.44
Aetna OONPPO $317.44
Aetna OONPOS $317.44
Aetna ASAPPO $343.06
Aetna ASAHMO $343.06
Aetna ASAPOS $343.06
BCBS HMO $381.07
BCBS EPOSOA $395.64
BCBS PPO $409.09
Humana PPO $440.31
Humana HMO $440.31
Texas Childrens Health Plans CHIP $459.27
United OptionsPPO $464.80
Healthcare Highways NarrowNetwork $705.50
Evry Health BroadNetwork $755.30
BCBS Traditional $968.34
Christus (USFHP) TRICARE $1,106.67
Curative Administrators COMM $1,106.67
United GlobalAppendix $1,245.01
Coventry National First Health COMM $1,474.64

Visitor-reported prices

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X-ray mandible complete > 4 views at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Springwoods Village Hospital Spring $679.35 $43.44 – $1,941.00
Adventhealth Rollins Brook Lampasas $654.13 $431.51 – $431.51
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $181.22 $43.78 – $272.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $361.61 $74.43 – $542.41
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $379.70 $43.78 – $474.62
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $181.22 $43.78 – $272.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $361.61 $46.84 – $542.41
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $361.61 $43.78 – $542.41

All Texas hospitals for this procedure →