X-ray sinus tract/fistula/abscess 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.
$59.81 with Texas Childrens Health Plans 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 →
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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 |
|---|---|---|---|
| Texas Childrens Health Plans | STAR | $59.81 | — |
| Texas Childrens Health Plans | STARKIDS | $59.81 | — |
| Community Health Choice MCD | STAR+PLUS | $60.14 | — |
| Community Health Choice MCD | CHIPPerinatal | $60.14 | — |
| Community Health Choice MCD | CHIP | $60.14 | — |
| Community Health Choice MCD | STAR | $60.14 | — |
| United | MGMCD | $61.34 | — |
| Aetna Better Health | MGMCD | $64.95 | — |
| Molina Healthcare | CHIP | $65.79 | — |
| Molina Healthcare | STARPLUS | $65.79 | — |
| Molina Healthcare | STARKIDS | $65.79 | — |
| Molina Healthcare | STAR | $65.79 | — |
| Humana | MCD | $74.76 | — |
| Superior Health Plan | CHPFC | $108.89 | — |
| Superior Health Plan | STAR | $108.89 | — |
| Superior Health Plan | STARKids | $108.89 | — |
| Superior Health Plan | STARPLUS | $108.89 | — |
| Superior Health Plan | CHIP | $108.89 | — |
| Cigna | CSN | $128.41 | — |
| Cigna | OpenAccessPlus | $138.96 | — |
| Cigna | PPO | $165.19 | — |
| Aetna | QHPExchange | $212.90 | — |
| Aetna | NBHMO | $282.96 | — |
| Aetna | NBPOS | $282.96 | — |
| Aetna | NBPPO | $282.96 | — |
| Aetna | COMMHMO | $301.00 | — |
| Aetna | COMMPPO | $301.00 | — |
| Aetna | COMMPOS | $301.00 | — |
| Texas Childrens Health Plans | CHIP | $301.26 | — |
| United | OptionsPPO | $304.88 | — |
| Aetna | OONPPO | $353.92 | — |
| Aetna | OONHMO | $353.92 | — |
| Aetna | OONPOS | $353.92 | — |
| Aetna | ASAPPO | $382.49 | — |
| Aetna | ASAHMO | $382.49 | — |
| Aetna | ASAPOS | $382.49 | — |
| Healthcare Highways | NarrowNetwork | $462.77 | — |
| Evry Health | BroadNetwork | $495.44 | — |
| Humana | PPO | $502.32 | — |
| Humana | HMO | $502.32 | — |
| BCBS | Traditional | $635.18 | — |
| Christus (USFHP) | TRICARE | $725.92 | — |
| Curative Administrators | COMM | $725.92 | — |
| United | GlobalAppendix | $816.66 | — |
| BCBS | MyBlueHealth | $847.58 | — |
| United | NarrowNetworkIndivExchange | $917.49 | — |
| Coventry National First Health | COMM | $967.28 | — |
| BCBS | BAV | $1,073.92 | — |
| United | SmallGroup | $1,086.50 | — |
| United | AllPayerAppendix | $1,086.50 | — |
| BCBS | HMO | $1,637.37 | — |
| BCBS | EPOSOA | $1,699.98 | — |
| BCBS | PPO | $1,757.77 | — |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Springwoods Village Hospital | Spring | $662.20 | $59.81 – $1,892.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $492.03 | $59.81 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $601.93 | $123.90 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $735.32 | $59.81 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $492.03 | $59.81 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $601.93 | $64.00 – $1,366.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $601.93 | $59.81 – $1,366.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $735.32 | $59.81 – $1,366.64 |