Esophagoscp guide wire dilat 43196 at Houston Methodist Sugar Land Hospital
16655 Southwest Freeway, Sugar Land, TX · Houstonmethodist · · NPI 1497871628
$979.50
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.
?
What you pay up front if you don't use insurance.
$1,959.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,927.65 with Bcbs vs $7,542.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | $1,927.65 | ↑ +97% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,956.57 | ↑ +100% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $1,966.20 | ↑ +101% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $1,985.48 | ↑ +103% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $2,024.03 | ↑ +107% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $2,062.59 | ↑ +111% |
| Procare Advantage | Medicare Managed Care - Hmo | $2,120.42 | ↑ +116% |
| Community Health Choice | Silver & Gold Exchange | $3,142.07 | ↑ +221% |
| Optum Health | Transplant Medicare Managed Care Plan | $3,758.92 | ↑ +284% |
| Molina Healthcare | Exchange | $3,855.30 | ↑ +294% |
| Unitedhealthcare | All Commercial Plans | $3,894.00 | ↑ +298% |
| Bcbs | All Commercial Plans | $6,118.12 | ↑ +525% |
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↑ +647% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↑ +670% |
Visitor-reported prices
Comments
Esophagoscp guide wire dilat 43196 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist The Woodlands Hospital | The Woodlands | $979.50 | $1,927.65 – $3,855.30 |
| Houston Methodist Cypress Hospital | Cypress | $979.50 | $1,927.65 – $3,758.92 |
| Houston Methodist Willowbrook Hospital | Houston | $979.50 | $1,927.65 – $3,758.92 |
| Houston Methodist Continuing Care Hospital | Katy | $979.50 | $3,894.00 – $7,542.00 |
| Houston Methodist Clear Lake Hospital | Nassau Bay | $979.50 | $1,739.47 – $3,758.92 |
| Houston Methodist West Hospital | Houston | $979.50 | $1,927.65 – $7,710.61 |
| Houston Methodist Baytown Hospital | Baytown | $979.50 | $1,927.65 – $3,758.92 |
| Adventhealth Rollins Brook | Lampasas | not published | $3,748.85 – $7,079.01 |