Rtm 1st set-up&pt educaj eqp at Houston Methodist The Woodlands Hospital
17201 Interstate 45 South, The Woodlands, TX · Houstonmethodist · · NPI 1184179194
$243.00
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.
$486.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$133.74 with Bcbs vs $378.61 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 |
|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | $133.74 | ↓ -45% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $135.75 | ↓ -44% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $136.42 | ↓ -44% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $137.76 | ↓ -43% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $140.43 | ↓ -42% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $143.11 | ↓ -41% |
| Community Health Choice | Silver & Gold Exchange | $218.00 | ↓ -10% |
| Optum Health | Transplant Medicare Managed Care Plan | $260.80 | ↑ +7% |
| Advanced Medical Pricing Solutions | All Commercial Plans | $267.49 | ↑ +10% |
| Bcbs | All Commercial Plans | $378.61 | ↑ +56% |
Visitor-reported prices
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Rtm 1st set-up&pt educaj eqp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $162.12 | $413.80 – $413.80 |
| Covenant Medical Center | Lubbock | $162.12 | $133.74 – $413.80 |
| Covenant Hospital Plainview | Plainview | $175.56 | $129.73 – $141.10 |
| Covenant Hospital Levelland | Levelland | $177.66 | $129.73 – $141.10 |
| Covenant Specialty Hospital | Lubbock | $162.12 | not published |
| Houston Methodist Cypress Hospital | Cypress | $243.00 | $133.74 – $260.80 |
| Houston Methodist Willowbrook Hospital | Houston | $243.00 | $133.74 – $260.80 |
| Houston Methodist Continuing Care Hospital | Katy | $243.00 | not published |