Health care · Deer Park area

What does care cost near Deer Park?

The same test can cost very different amounts. It depends on who pays and where you go. Pick a test to see the range.

Pick a test or treatment

Knee MRI: from $264 to $7,548, depending on who pays.

MRI of a knee or other leg joint, without contrast dye. 3 hospitals near Deer Park, plus outside cash prices where posted.

Hospital list pricethe sticker price; few people pay it

$2,487–$7,548

Hospital list price: $2,487 to $7,548.

Paying cash at the hospitalthe hospital’s own price if you pay yourself

$1,244–$2,415

Paying cash at the hospital: $1,244 to $2,415.

What insurers usually paythe middle of each hospital’s posted insurer pricesThis is what insurers pay the hospital. What you pay depends on your insurance.

Lowest $264–$360

What insurers usually pay: $264 to $360.

Paying cash elsewhereMDsave (a website that sells prepaid procedures), sellers within 30 miles

$373–$699

Paying cash elsewhere: $373 to $699.

$0$4,000$8,000

Every number is checked against its source. See the numbers behind it.

What this means

The highest price shown, $7,548, is $7,284 more than the lowest, $264: 28.6 times as much.
The lowest is what insurers usually pay: $264–$360.

Posted prices are not a quote. If you pay for care yourself, federal law gives you the right to a written good-faith estimate before your care.

The numbers behind it

Table view: Knee MRI, by hospital

Hospital	List price	Cash price	Insurers usually pay
Methodist Baytown	$2,487	$1,244	$264
Methodist Clear Lake	$2,487	$1,244	$327
Memorial Hermann SE	$5,032–$7,548	$1,610–$2,415	$360

Every test and treatment, every hospital

Knee MRI — MRI of a leg joint (e.g. knee), without contrast (CPT 73721)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC MRI LOWER EXT JOINT W/O CONTRA The hospital's file doesn't say whether this is a facility or professional rate.	$2,487	$1,243.5	—
Mri jnt of lwr extre w/o dye The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$263.66 [C] middle of 13 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (13)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$565.36	—
Aetna	Medicare Managed Care - Hmo/Ppo	$243.28	—
Aetna	New Business Discount Other Commercial Plan	$548.65	—
Bcbs	All Commercial Plans	$1,691.87	—
Bcbs	Medicare Managed Care - Hmo	$239.69	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$246.88	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$256.47	—
Community Health Choice	Silver & Gold Exchange	$390.69	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$251.67	—
Molina Healthcare	Exchange	$479.38	—
Optum Health	Transplant Medicare Managed Care Plan	$467.39	—
Procare Advantage	Medicare Managed Care - Hmo	$263.66	—
Unitedhealthcare	Medicare Managed Care - Hmo	$244.48	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC MRI LOWER EXT JOINT W/O CONTRA The hospital's file doesn't say whether this is a facility or professional rate.	$2,487	$1,243.5	—
Mri jnt of lwr extre w/o dye The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$327.18 [C] middle of 14 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (14)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$565.36	—
Aetna	Medicare Managed Care - Hmo/Ppo	$243.28	—
Aetna	New Business Discount Other Commercial Plan	$548.65	—
Bcbs	All Commercial Plans	$1,691.87	—
Bcbs	Blue Advantage Exchange	$636.2	—
Bcbs	Medicare Managed Care - Hmo	$239.69	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$246.88	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$256.47	—
Community Health Choice	Silver & Gold Exchange	$390.69	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$251.67	—
Molina Healthcare	Exchange	$479.38	—
Optum Health	Transplant Medicare Managed Care Plan	$467.39	—
Procare Advantage	Medicare Managed Care - Hmo	$263.66	—
Unitedhealthcare	Medicare Managed Care - Hmo	$244.48	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT	$5,031.75–$7,547.63	$1,610.16–$2,415.24	—
Mri jnt of lwr extre w/o dye	—	—	$359.53 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$455.41	—
Aetna	Exchange	$371.52	—
Aetna	Medicare Managed Care Plan	$239.69	—
Community Health	Medicare Managed Care Plan	$263.66	—
Community Health	Prem/Select Exchange	$359.53	—
Community Health	Ultra Exchange	$383.5	—
Procare Advantage	Medicare Managed Care Plan	$275.64	—

Outside cash prices

MDsave “MRI without Contrast”, within 30 miles: $373 (Focus Medcare, Baytown, TX) to $699 (Elite Health Services - Medical Center, Houston, TX); Houston Region list $360–$734 [C] screenshot · source · MDsave sells one MRI-without-contrast product for both.

Lower-back MRI — MRI of the lower spine, without contrast (CPT 72148)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC MRI LUM SPINE W/O CONTRAST The hospital's file doesn't say whether this is a facility or professional rate.	$2,112	$1,056	—
Mri lumbar spine w/o dye The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$263.66 [C] middle of 13 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (13)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$492.4	—
Aetna	Medicare Managed Care - Hmo/Ppo	$243.28	—
Aetna	New Business Discount Other Commercial Plan	$477.84	—
Bcbs	All Commercial Plans	$1,691.87	—
Bcbs	Medicare Managed Care - Hmo	$239.69	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$246.88	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$256.47	—
Community Health Choice	Silver & Gold Exchange	$390.69	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$251.67	—
Molina Healthcare	Exchange	$479.38	—
Optum Health	Transplant Medicare Managed Care Plan	$467.39	—
Procare Advantage	Medicare Managed Care - Hmo	$263.66	—
Unitedhealthcare	Medicare Managed Care - Hmo	$244.48	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC MRI LUM SPINE W/O CONTRAST The hospital's file doesn't say whether this is a facility or professional rate.	$2,112	$1,056	—
Mri lumbar spine w/o dye The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$327.18 [C] middle of 14 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (14)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$492.4	—
Aetna	Medicare Managed Care - Hmo/Ppo	$243.28	—
Aetna	New Business Discount Other Commercial Plan	$477.84	—
Bcbs	All Commercial Plans	$1,691.87	—
Bcbs	Blue Advantage Exchange	$636.2	—
Bcbs	Medicare Managed Care - Hmo	$239.69	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$246.88	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$256.47	—
Community Health Choice	Silver & Gold Exchange	$390.69	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$251.67	—
Molina Healthcare	Exchange	$479.38	—
Optum Health	Transplant Medicare Managed Care Plan	$467.39	—
Procare Advantage	Medicare Managed Care - Hmo	$263.66	—
Unitedhealthcare	Medicare Managed Care - Hmo	$244.48	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$4,734.75	$1,515.12	—
Mri lumbar spine w/o dye	—	—	$359.53 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$455.41	—
Aetna	Exchange	$371.52	—
Aetna	Medicare Managed Care Plan	$239.69	—
Community Health	Medicare Managed Care Plan	$263.66	—
Community Health	Prem/Select Exchange	$359.53	—
Community Health	Ultra Exchange	$383.5	—
Procare Advantage	Medicare Managed Care Plan	$275.64	—

Outside cash prices

MDsave “MRI without Contrast”, within 30 miles: $373 (Focus Medcare, Baytown, TX) to $699 (Elite Health Services - Medical Center, Houston, TX); Houston Region list $360–$734 [C] screenshot · source · MDsave sells one MRI-without-contrast product for both.

Brain MRI — MRI of the brain, with and without contrast (CPT 70553)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC MRI BRAIN/HEAD W/WO CONTRAST The hospital's file doesn't say whether this is a facility or professional rate.	$3,231	$1,615.5	—
Mri brain stem w/o & w/dye The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$385.51 [C] middle of 13 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (13)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$853.82	—
Aetna	Medicare Managed Care - Hmo/Ppo	$355.72	—
Aetna	New Business Discount Other Commercial Plan	$828.58	—
Bcbs	All Commercial Plans	$2,772.23	—
Bcbs	Medicare Managed Care - Hmo	$350.46	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$360.98	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$375	—
Community Health Choice	Silver & Gold Exchange	$571.26	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$367.99	—
Molina Healthcare	Exchange	$700.93	—
Optum Health	Transplant Medicare Managed Care Plan	$683.4	—
Procare Advantage	Medicare Managed Care - Hmo	$385.51	—
Unitedhealthcare	Medicare Managed Care - Hmo	$357.47	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC MRI BRAIN/HEAD W/WO CONTRAST The hospital's file doesn't say whether this is a facility or professional rate.	$3,231	$1,615.5	—
Mri brain stem w/o & w/dye The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$478.39 [C] middle of 14 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (14)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$853.82	—
Aetna	Medicare Managed Care - Hmo/Ppo	$355.72	—
Aetna	New Business Discount Other Commercial Plan	$828.58	—
Bcbs	All Commercial Plans	$2,772.23	—
Bcbs	Blue Advantage Exchange	$1,042.45	—
Bcbs	Medicare Managed Care - Hmo	$350.46	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$360.98	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$375	—
Community Health Choice	Silver & Gold Exchange	$571.26	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$367.99	—
Molina Healthcare	Exchange	$700.93	—
Optum Health	Transplant Medicare Managed Care Plan	$683.4	—
Procare Advantage	Medicare Managed Care - Hmo	$385.51	—
Unitedhealthcare	Medicare Managed Care - Hmo	$357.47	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$6,541.25	$2,093.2	—
Mri brain stem w/o & w/dye	—	—	$525.7 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$665.88	—
Aetna	Exchange	$543.22	—
Aetna	Medicare Managed Care Plan	$350.46	—
Community Health	Medicare Managed Care Plan	$385.51	—
Community Health	Prem/Select Exchange	$525.7	—
Community Health	Ultra Exchange	$560.74	—
Procare Advantage	Medicare Managed Care Plan	$403.03	—

Outside cash prices

MDsave “MRI with and without Contrast”, within 30 miles: $500 (Focus Medcare, Baytown, TX) to $1,037 (Elite Health Services - Medical Center, Houston, TX); Houston Region list $477–$1,169 [C] screenshot · source

Colonoscopy — Colonoscopy, diagnostic (CPT 45378)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC COLON DIAGNOSTIC W/BRUSH OR WASH WHEN PFRMD The hospital's file doesn't say whether this is a facility or professional rate.	$1,732	$866	—
Diagnostic colonoscopy The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$1,845.04 [C] middle of 20 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (20)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$3,081	—
Aetna	Medicare Managed Care - Hmo/Ppo	$948.21	—
Aetna	New Business Discount Other Commercial Plan	$2,989	—
Bcbs	All Commercial Plans	$1,558.32	—
Bcbs	Medicare Managed Care - Hmo	$934.2	—
Cigna	Local Plus/Surefit Hmo/Ppo	$3,849	—
Cigna	Network C-24 Hmo/Ppo	$3,849	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$4,074	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$962.22	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$999.59	—
Community Health Choice	Silver & Gold Exchange	$1,522.74	—
Entrust	All Commercial Plans	$3,695	—
Humana	Hmo/Pos	$2,214.47	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$980.91	—
Molina Healthcare	Exchange	$1,868.39	—
Optum Health	Transplant Medicare Managed Care Plan	$1,821.68	—
Phcs	Ppo	$5,545	—
Procare Advantage	Medicare Managed Care - Hmo	$1,027.61	—
Unitedhealthcare	All Commercial Plans	$3,894	—
Unitedhealthcare	Medicare Managed Care - Hmo	$952.88	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC COLON DIAGNOSTIC W/BRUSH OR WASH WHEN PFRMD The hospital's file doesn't say whether this is a facility or professional rate.	$1,732	$866	—
Diagnostic colonoscopy The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$1,821.68 [C] middle of 21 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (21)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$3,081	—
Aetna	Medicare Managed Care - Hmo/Ppo	$948.21	—
Aetna	New Business Discount Other Commercial Plan	$2,989	—
Bcbs	All Commercial Plans	$1,558.32	—
Bcbs	Blue Advantage Exchange	$443.05	—
Bcbs	Medicare Managed Care - Hmo	$934.2	—
Cigna	Local Plus/Surefit Hmo/Ppo	$3,849	—
Cigna	Network C-24 Hmo/Ppo	$3,849	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$4,074	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$962.22	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$999.59	—
Community Health Choice	Silver & Gold Exchange	$1,522.74	—
Entrust	All Commercial Plans	$3,695	—
Humana	Hmo/Pos	$2,214.47	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$980.91	—
Molina Healthcare	Exchange	$1,868.39	—
Optum Health	Transplant Medicare Managed Care Plan	$1,821.68	—
Phcs	Ppo	$5,545	—
Procare Advantage	Medicare Managed Care - Hmo	$1,027.61	—
Unitedhealthcare	All Commercial Plans	$3,894	—
Unitedhealthcare	Medicare Managed Care - Hmo	$952.88	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$4,588	$1,468.16	—
Diagnostic colonoscopy	—	—	$1,401.29 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$1,774.97	—
Aetna	Exchange	$1,448	—
Aetna	Medicare Managed Care Plan	$934.2	—
Community Health	Medicare Managed Care Plan	$1,027.61	—
Community Health	Prem/Select Exchange	$1,401.29	—
Community Health	Ultra Exchange	$1,494.71	—
Procare Advantage	Medicare Managed Care Plan	$1,074.32	—

Outside cash prices

Surgery Center of Oklahoma (Oklahoma City, OK): Not listed. screenshot

Colonoscopy with biopsy — Colonoscopy with biopsy (CPT 45380)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC COLONSCOPY W/BIOPSY & LAVAGE The hospital's file doesn't say whether this is a facility or professional rate.	$1,791	$895.5	—
Colonoscopy and biopsy The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$2,279.27 [C] middle of 20 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (20)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$3,081	—
Aetna	Medicare Managed Care - Hmo/Ppo	$1,220.13	—
Aetna	New Business Discount Other Commercial Plan	$2,989	—
Bcbs	All Commercial Plans	$2,048.61	—
Bcbs	Medicare Managed Care - Hmo	$1,202.09	—
Cigna	Local Plus/Surefit Hmo/Ppo	$3,849	—
Cigna	Network C-24 Hmo/Ppo	$3,849	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$4,074	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$1,238.16	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$1,286.24	—
Community Health Choice	Silver & Gold Exchange	$1,959.41	—
Entrust	All Commercial Plans	$3,695	—
Humana	Hmo/Pos	$2,214.47	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$1,262.2	—
Molina Healthcare	Exchange	$2,404.19	—
Optum Health	Transplant Medicare Managed Care Plan	$2,344.08	—
Phcs	Ppo	$5,545	—
Procare Advantage	Medicare Managed Care - Hmo	$1,322.3	—
Unitedhealthcare	All Commercial Plans	$3,894	—
Unitedhealthcare	Medicare Managed Care - Hmo	$1,226.14	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC COLONSCOPY W/BIOPSY & LAVAGE The hospital's file doesn't say whether this is a facility or professional rate.	$1,791	$895.5	—
Colonoscopy and biopsy The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$2,214.47 [C] middle of 21 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (21)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$3,081	—
Aetna	Medicare Managed Care - Hmo/Ppo	$1,220.13	—
Aetna	New Business Discount Other Commercial Plan	$2,989	—
Bcbs	All Commercial Plans	$2,048.61	—
Bcbs	Blue Advantage Exchange	$582.45	—
Bcbs	Medicare Managed Care - Hmo	$1,202.09	—
Cigna	Local Plus/Surefit Hmo/Ppo	$3,849	—
Cigna	Network C-24 Hmo/Ppo	$3,849	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$4,074	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$1,238.16	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$1,286.24	—
Community Health Choice	Silver & Gold Exchange	$1,959.41	—
Entrust	All Commercial Plans	$3,695	—
Humana	Hmo/Pos	$2,214.47	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$1,262.2	—
Molina Healthcare	Exchange	$2,404.19	—
Optum Health	Transplant Medicare Managed Care Plan	$2,344.08	—
Phcs	Ppo	$5,545	—
Procare Advantage	Medicare Managed Care - Hmo	$1,322.3	—
Unitedhealthcare	All Commercial Plans	$3,894	—
Unitedhealthcare	Medicare Managed Care - Hmo	$1,226.14	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$4,588	$1,468.16	—
Colonoscopy and biopsy	—	—	$1,803.14 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$2,283.98	—
Aetna	Exchange	$1,863.25	—
Aetna	Medicare Managed Care Plan	$1,202.09	—
Community Health	Medicare Managed Care Plan	$1,322.3	—
Community Health	Prem/Select Exchange	$1,803.14	—
Community Health	Ultra Exchange	$1,923.35	—
Procare Advantage	Medicare Managed Care Plan	$1,382.41	—

Outside cash prices

Surgery Center of Oklahoma (Oklahoma City, OK): Not listed. screenshot

Upper endoscopy — Upper endoscopy (EGD) with biopsy (CPT 43239)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC EGD FLEX ORAL BIOPSY The hospital's file doesn't say whether this is a facility or professional rate.	$1,183	$591.5	—
Egd biopsy single/multiple The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$1,799.46 [C] middle of 20 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (20)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$3,081	—
Aetna	Medicare Managed Care - Hmo/Ppo	$924.78	—
Aetna	New Business Discount Other Commercial Plan	$2,989	—
Bcbs	All Commercial Plans	$1,603.28	—
Bcbs	Medicare Managed Care - Hmo	$911.12	—
Cigna	Local Plus/Surefit Hmo/Ppo	$3,849	—
Cigna	Network C-24 Hmo/Ppo	$3,849	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$4,074	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$938.45	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$974.9	—
Community Health Choice	Silver & Gold Exchange	$1,485.12	—
Entrust	All Commercial Plans	$3,695	—
Humana	Hmo/Pos	$2,214.47	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$956.67	—
Molina Healthcare	Exchange	$1,822.24	—
Optum Health	Transplant Medicare Managed Care Plan	$1,776.68	—
Phcs	Ppo	$5,545	—
Procare Advantage	Medicare Managed Care - Hmo	$1,002.23	—
Unitedhealthcare	All Commercial Plans	$3,894	—
Unitedhealthcare	Medicare Managed Care - Hmo	$929.34	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC EGD FLEX ORAL BIOPSY The hospital's file doesn't say whether this is a facility or professional rate.	$1,183	$591.5	—
Egd biopsy single/multiple The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$1,776.68 [C] middle of 21 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (21)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$3,081	—
Aetna	Medicare Managed Care - Hmo/Ppo	$924.78	—
Aetna	New Business Discount Other Commercial Plan	$2,989	—
Bcbs	All Commercial Plans	$1,603.28	—
Bcbs	Blue Advantage Exchange	$455.83	—
Bcbs	Medicare Managed Care - Hmo	$911.12	—
Cigna	Local Plus/Surefit Hmo/Ppo	$3,849	—
Cigna	Network C-24 Hmo/Ppo	$3,849	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$4,074	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$938.45	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$974.9	—
Community Health Choice	Silver & Gold Exchange	$1,485.12	—
Entrust	All Commercial Plans	$3,695	—
Humana	Hmo/Pos	$2,214.47	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$956.67	—
Molina Healthcare	Exchange	$1,822.24	—
Optum Health	Transplant Medicare Managed Care Plan	$1,776.68	—
Phcs	Ppo	$5,545	—
Procare Advantage	Medicare Managed Care - Hmo	$1,002.23	—
Unitedhealthcare	All Commercial Plans	$3,894	—
Unitedhealthcare	Medicare Managed Care - Hmo	$929.34	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$4,588	$1,468.16	—
Egd biopsy single/multiple	—	—	$1,366.68 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$1,731.12	—
Aetna	Exchange	$1,412.23	—
Aetna	Medicare Managed Care Plan	$911.12	—
Community Health	Medicare Managed Care Plan	$1,002.23	—
Community Health	Prem/Select Exchange	$1,366.68	—
Community Health	Ultra Exchange	$1,457.79	—
Procare Advantage	Medicare Managed Care Plan	$1,047.79	—

Outside cash prices

Surgery Center of Oklahoma (Oklahoma City, OK): Not listed. screenshot

Head CT scan — CT of the head, without contrast (CPT 70450)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC CT HEAD/BRAIN SCAN WO CONTRA The hospital's file doesn't say whether this is a facility or professional rate.	$2,240	$1,120	—
Ct head/brain w/o dye The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$115.52 [C] middle of 13 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (13)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$270.56	—
Aetna	Medicare Managed Care - Hmo/Ppo	$106.6	—
Aetna	New Business Discount Other Commercial Plan	$262.56	—
Bcbs	All Commercial Plans	$813.7	—
Bcbs	Medicare Managed Care - Hmo	$105.02	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$108.17	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$112.37	—
Community Health Choice	Silver & Gold Exchange	$171.19	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$110.27	—
Molina Healthcare	Exchange	$210.04	—
Optum Health	Transplant Medicare Managed Care Plan	$204.79	—
Procare Advantage	Medicare Managed Care - Hmo	$115.52	—
Unitedhealthcare	Medicare Managed Care - Hmo	$107.12	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC CT HEAD/BRAIN SCAN WO CONTRA The hospital's file doesn't say whether this is a facility or professional rate.	$2,240	$1,120	—
Ct head/brain w/o dye The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$143.36 [C] middle of 14 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (14)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$270.56	—
Aetna	Medicare Managed Care - Hmo/Ppo	$106.6	—
Aetna	New Business Discount Other Commercial Plan	$262.56	—
Bcbs	All Commercial Plans	$813.7	—
Bcbs	Blue Advantage Exchange	$305.98	—
Bcbs	Medicare Managed Care - Hmo	$105.02	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$108.17	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$112.37	—
Community Health Choice	Silver & Gold Exchange	$171.19	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$110.27	—
Molina Healthcare	Exchange	$210.04	—
Optum Health	Transplant Medicare Managed Care Plan	$204.79	—
Procare Advantage	Medicare Managed Care - Hmo	$115.52	—
Unitedhealthcare	Medicare Managed Care - Hmo	$107.12	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$3,209	$1,026.88	—
HC CT HEAD OR BRAIN W/O CON	$3,209	$1,026.88	—
Ct head/brain w/o dye	—	—	$157.53 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$199.54	—
Aetna	Exchange	$162.78	—
Aetna	Medicare Managed Care Plan	$105.02	—
Community Health	Medicare Managed Care Plan	$115.52	—
Community Health	Prem/Select Exchange	$157.53	—
Community Health	Ultra Exchange	$168.04	—
Procare Advantage	Medicare Managed Care Plan	$120.78	—

Outside cash prices

MDsave “CT Scan without Contrast”, within 30 miles: $248 (Focus Medcare, Baytown, TX) to $429 (Elite Health Services - West Houston, Houston, TX); Houston Region list $240–$429 [C] screenshot · source

Belly CT scan — CT of the abdomen and pelvis, with contrast (CPT 74177)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC CT ABDOMEN & PELVIS W CONTRA The hospital's file doesn't say whether this is a facility or professional rate.	$4,724	$2,362	—
Ct abd & pelv w/contrast The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$385.51 [C] middle of 13 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (13)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$871.72	—
Aetna	Medicare Managed Care - Hmo/Ppo	$355.72	—
Aetna	New Business Discount Other Commercial Plan	$845.96	—
Bcbs	All Commercial Plans	$2,772.23	—
Bcbs	Medicare Managed Care - Hmo	$350.46	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$360.98	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$375	—
Community Health Choice	Silver & Gold Exchange	$571.26	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$367.99	—
Molina Healthcare	Exchange	$700.93	—
Optum Health	Transplant Medicare Managed Care Plan	$683.4	—
Procare Advantage	Medicare Managed Care - Hmo	$385.51	—
Unitedhealthcare	Medicare Managed Care - Hmo	$357.47	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC CT ABDOMEN & PELVIS W CONTRA The hospital's file doesn't say whether this is a facility or professional rate.	$4,724	$2,362	—
Ct abd & pelv w/contrast The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$478.39 [C] middle of 14 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (14)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$871.72	—
Aetna	Medicare Managed Care - Hmo/Ppo	$355.72	—
Aetna	New Business Discount Other Commercial Plan	$845.96	—
Bcbs	All Commercial Plans	$2,772.23	—
Bcbs	Blue Advantage Exchange	$1,042.45	—
Bcbs	Medicare Managed Care - Hmo	$350.46	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$360.98	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$375	—
Community Health Choice	Silver & Gold Exchange	$571.26	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$367.99	—
Molina Healthcare	Exchange	$700.93	—
Optum Health	Transplant Medicare Managed Care Plan	$683.4	—
Procare Advantage	Medicare Managed Care - Hmo	$385.51	—
Unitedhealthcare	Medicare Managed Care - Hmo	$357.47	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$9,478.75	$3,033.2	—
Ct abd & pelv w/contrast	—	—	$525.7 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$665.88	—
Aetna	Exchange	$543.22	—
Aetna	Medicare Managed Care Plan	$350.46	—
Community Health	Medicare Managed Care Plan	$385.51	—
Community Health	Prem/Select Exchange	$525.7	—
Community Health	Ultra Exchange	$560.74	—
Procare Advantage	Medicare Managed Care Plan	$403.03	—

Outside cash prices

MDsave “CT Abdomen & Pelvis with Contrast”, within 30 miles: $442 (Focus Medcare, Baytown, TX) to $951 (Elite Health Services - West Houston, Houston, TX); Houston Region list $400–$1,120 [C] screenshot · source

Belly ultrasound — Ultrasound of the abdomen (CPT 76700)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC US ABDOMINAL COMPLETE The hospital's file doesn't say whether this is a facility or professional rate.	$5,323	$2,661.5	—
Us exam abdom complete The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$187.99 [C] middle of 16 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (16)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$306.65	—
Aetna	Medicare Managed Care - Hmo/Ppo	$106.6	—
Aetna	New Business Discount Other Commercial Plan	$297.59	—
Bcbs	All Commercial Plans	$443.84	—
Bcbs	Medicare Managed Care - Hmo	$105.02	—
Cigna	Local Plus/Surefit Hmo/Ppo	$668	—
Cigna	Network C-24 Hmo/Ppo	$667.95	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$707.1	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$108.17	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$112.37	—
Community Health Choice	Silver & Gold Exchange	$171.19	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$110.27	—
Molina Healthcare	Exchange	$210.04	—
Optum Health	Transplant Medicare Managed Care Plan	$204.79	—
Procare Advantage	Medicare Managed Care - Hmo	$115.52	—
Unitedhealthcare	Medicare Managed Care - Hmo	$107.12	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC US ABDOMINAL COMPLETE The hospital's file doesn't say whether this is a facility or professional rate.	$5,323	$2,661.5	—
Us exam abdom complete The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$204.79 [C] middle of 17 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (17)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$306.65	—
Aetna	Medicare Managed Care - Hmo/Ppo	$106.6	—
Aetna	New Business Discount Other Commercial Plan	$297.59	—
Bcbs	All Commercial Plans	$443.84	—
Bcbs	Blue Advantage Exchange	$273.48	—
Bcbs	Medicare Managed Care - Hmo	$105.02	—
Cigna	Local Plus/Surefit Hmo/Ppo	$668	—
Cigna	Network C-24 Hmo/Ppo	$667.95	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$707.1	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$108.17	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$112.37	—
Community Health Choice	Silver & Gold Exchange	$171.19	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$110.27	—
Molina Healthcare	Exchange	$210.04	—
Optum Health	Transplant Medicare Managed Care Plan	$204.79	—
Procare Advantage	Medicare Managed Care - Hmo	$115.52	—
Unitedhealthcare	Medicare Managed Care - Hmo	$107.12	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	$3,680	$1,177.6	—
Us exam abdom complete	—	—	$157.53 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$199.54	—
Aetna	Exchange	$162.78	—
Aetna	Medicare Managed Care Plan	$105.02	—
Community Health	Medicare Managed Care Plan	$115.52	—
Community Health	Prem/Select Exchange	$157.53	—
Community Health	Ultra Exchange	$168.04	—
Procare Advantage	Medicare Managed Care Plan	$120.78	—

Outside cash prices

MDsave “Ultrasound (one area)”, within 30 miles: $200 (Focus Medcare, Baytown, TX) to $380 (Elite Health Services - Medical Center, Houston, TX); Houston Region list $192–$380 [C] screenshot · source

Mammogram — Screening mammogram (CPT 77067)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC MAMMOGRAM SCREENING INCL CAD BIL The hospital's file doesn't say whether this is a facility or professional rate.	$1,431	$715.5	—

Other charge lines in the file, not on the default view: “Scr mammo bi incl cad” (bilateral line).

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC MAMMOGRAM SCREENING INCL CAD BIL The hospital's file doesn't say whether this is a facility or professional rate.	$1,431	$715.5	—

Other charge lines in the file, not on the default view: “Scr mammo bi incl cad” (bilateral line).

Memorial Hermann Southeast hospital file, dated 2026-04-01

Not listed in this hospital’s file under this code.

Outside cash prices

MDsave “2D Mammogram Screening”, within 30 miles: $272 (CHI St. Luke's Health - Patients Medical Center, Pasadena, TX) to $470 (Simonmed Imaging- Northpark, Kingwood, TX); Houston Region list $253–$470 [C] screenshot · source
Same hospital, sold through MDsave: CommonSpirit St. Luke's Hospital – Pasadena, $272 (“2D Mammogram Screening”) screenshot
3D (tomosynthesis) — includes an add-on code. MDsave “3D Mammogram Screening (Tomosynthesis)”, within 30 miles: $390 (CHI St. Luke's Health - Patients Medical Center, Pasadena, TX) to $504 (Simonmed Imaging- Northpark, Kingwood, TX); Houston Region list $260–$504 [C] screenshot · source

Full blood panel — Comprehensive metabolic panel (blood test) (CPT 80053)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC COMPREHENSIVE METABOLIC PANEL The hospital's file doesn't say whether this is a facility or professional rate.	$1,145	$572.5	—
Comprehen metabolic panel The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$11.30 [C] middle of 11 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (10)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$10.72	—
Bcbs	All Commercial Plans	$43.93	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$10.56–$10.88	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$11.30	—
Community Health Choice	Silver & Gold Exchange	$17.21	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$11.09	—
Molina Healthcare	Exchange	$21.12	—
Optum Health	Transplant Medicare Managed Care Plan	$20.59	—
Procare Advantage	Medicare Managed Care - Hmo	$11.62	—
Unitedhealthcare	Medicare Managed Care - Hmo	$10.77	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC COMPREHENSIVE METABOLIC PANEL The hospital's file doesn't say whether this is a facility or professional rate.	$1,145	$572.5	—
Comprehen metabolic panel The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$11.46 [C] middle of 12 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (11)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$10.72	—
Bcbs	All Commercial Plans	$43.93	—
Bcbs	Blue Advantage Exchange	$17.32	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$10.56–$10.88	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$11.30	—
Community Health Choice	Silver & Gold Exchange	$17.21	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$11.09	—
Molina Healthcare	Exchange	$21.12	—
Optum Health	Transplant Medicare Managed Care Plan	$20.59	—
Procare Advantage	Medicare Managed Care - Hmo	$11.62	—
Unitedhealthcare	Medicare Managed Care - Hmo	$10.77	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$785.5	$251.36	—
Comprehen metabolic panel	—	—	$15.84 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$20.06	—
Aetna	Exchange	$16.37	—
Aetna	Medicare Managed Care Plan	$10.56	—
Community Health	Medicare Managed Care Plan	$11.62	—
Community Health	Prem/Select Exchange	$15.84	—
Community Health	Ultra Exchange	$16.90	—
Procare Advantage	Medicare Managed Care Plan	$12.14	—

Outside cash prices

Quest Diagnostics “CMP”: $44.10 [C], +$6 physician fee per order screenshot · source

Cholesterol test — Lipid panel (blood test) (CPT 80061)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC LIPID PANEL The hospital's file doesn't say whether this is a facility or professional rate.	$981	$490.5	—
Lipid panel The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$18.28 [C] middle of 14 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (13)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$13.59	—
Bcbs	All Commercial Plans	$55.70	—
Cigna	Local Plus/Surefit Hmo/Ppo	$156.21	—
Cigna	Network C-24 Hmo/Ppo	$156.21	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$165.37	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$13.39–$13.79	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$14.33	—
Community Health Choice	Silver & Gold Exchange	$21.83	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$14.06	—
Molina Healthcare	Exchange	$26.78	—
Optum Health	Transplant Medicare Managed Care Plan	$26.11	—
Procare Advantage	Medicare Managed Care - Hmo	$14.73	—
Unitedhealthcare	Medicare Managed Care - Hmo	$13.66	—

Other charge lines in the file, not on the default view: “HC NMR LIPID” (line not matching the code's own descriptor, gross $24.00).

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC LIPID PANEL The hospital's file doesn't say whether this is a facility or professional rate.	$981	$490.5	—
Lipid panel The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$21.83 [C] middle of 15 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (14)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$13.59	—
Bcbs	All Commercial Plans	$55.70	—
Bcbs	Blue Advantage Exchange	$21.96	—
Cigna	Local Plus/Surefit Hmo/Ppo	$156.21	—
Cigna	Network C-24 Hmo/Ppo	$156.21	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$165.37	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$13.39–$13.79	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$14.33	—
Community Health Choice	Silver & Gold Exchange	$21.83	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$14.06	—
Molina Healthcare	Exchange	$26.78	—
Optum Health	Transplant Medicare Managed Care Plan	$26.11	—
Procare Advantage	Medicare Managed Care - Hmo	$14.73	—
Unitedhealthcare	Medicare Managed Care - Hmo	$13.66	—

Other charge lines in the file, not on the default view: “HC NMR LIPID” (line not matching the code's own descriptor, gross $24.00).

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC LIPID PANEL - BUNDLED CHARGE	$835.75	$267.44	—
HC RL LIPID PANEL - BUNDLED CHARGE	$796	$254.72	—
Lipid panel	—	—	$20.08 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$25.44	—
Aetna	Exchange	$20.75	—
Aetna	Medicare Managed Care Plan	$13.39	—
Community Health	Medicare Managed Care Plan	$14.73	—
Community Health	Prem/Select Exchange	$20.08	—
Community Health	Ultra Exchange	$21.42	—
Procare Advantage	Medicare Managed Care Plan	$15.40	—

Outside cash prices

Quest Diagnostics “Lipid panel”: $59.00 [C], +$6 physician fee per order screenshot · source

Blood count — Complete blood count (blood test) (CPT 85025)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC COMPLETE BLD COUNT W/AUTO DIFF The hospital's file doesn't say whether this is a facility or professional rate.	$291	$145.5	—
Complete cbc w/auto diff wbc The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$10.61 [C] middle of 14 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (13)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$7.89	—
Bcbs	All Commercial Plans	$32.32	—
Cigna	Local Plus/Surefit Hmo/Ppo	$90.65	—
Cigna	Network C-24 Hmo/Ppo	$90.65	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$95.97	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$7.77–$8.00	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$8.31	—
Community Health Choice	Silver & Gold Exchange	$12.67	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$8.16	—
Molina Healthcare	Exchange	$15.54	—
Optum Health	Transplant Medicare Managed Care Plan	$15.15	—
Procare Advantage	Medicare Managed Care - Hmo	$8.55	—
Unitedhealthcare	Medicare Managed Care - Hmo	$7.93	—

Other charge lines in the file, not on the default view: “HC COMPLETE BLOOD COUNT-DONOR PRO” (line not matching the code's own descriptor, gross $266).

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC COMPLETE BLD COUNT W/AUTO DIFF The hospital's file doesn't say whether this is a facility or professional rate.	$291	$145.5	—
Complete cbc w/auto diff wbc The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$12.67 [C] middle of 15 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (14)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$7.89	—
Bcbs	All Commercial Plans	$32.32	—
Bcbs	Blue Advantage Exchange	$12.74	—
Cigna	Local Plus/Surefit Hmo/Ppo	$90.65	—
Cigna	Network C-24 Hmo/Ppo	$90.65	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$95.97	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$7.77–$8.00	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$8.31	—
Community Health Choice	Silver & Gold Exchange	$12.67	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$8.16	—
Molina Healthcare	Exchange	$15.54	—
Optum Health	Transplant Medicare Managed Care Plan	$15.15	—
Procare Advantage	Medicare Managed Care - Hmo	$8.55	—
Unitedhealthcare	Medicare Managed Care - Hmo	$7.93	—

Other charge lines in the file, not on the default view: “HC COMPLETE BLOOD COUNT-DONOR PRO” (line not matching the code's own descriptor, gross $266).

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$285.5	$91.36	—
Complete cbc w/auto diff wbc	—	—	$11.66 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$14.76	—
Aetna	Exchange	$12.04	—
Aetna	Medicare Managed Care Plan	$7.77	—
Community Health	Medicare Managed Care Plan	$8.55	—
Community Health	Prem/Select Exchange	$11.66	—
Community Health	Ultra Exchange	$12.43	—
Procare Advantage	Medicare Managed Care Plan	$8.94	—

Outside cash prices

Quest Diagnostics “CBC”: $29.00 [C], +$6 physician fee per order screenshot · source

Thyroid test — Thyroid-stimulating hormone (blood test) (CPT 84443)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC TSH The hospital's file doesn't say whether this is a facility or professional rate.	$724	$362	—
Assay thyroid stim hormone The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$22.93 [C] middle of 14 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (13)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$17.05	—
Bcbs	All Commercial Plans	$69.89	—
Cigna	Local Plus/Surefit Hmo/Ppo	$195.88	—
Cigna	Network C-24 Hmo/Ppo	$195.88	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$207.36	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$16.80–$17.30	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$17.98	—
Community Health Choice	Silver & Gold Exchange	$27.38	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$17.64	—
Molina Healthcare	Exchange	$33.60	—
Optum Health	Transplant Medicare Managed Care Plan	$32.76	—
Procare Advantage	Medicare Managed Care - Hmo	$18.48	—
Unitedhealthcare	Medicare Managed Care - Hmo	$17.14	—

Other charge lines in the file, not on the default view: “HC TSH WITH HAMA TREATMENT QUEST” (line not matching the code's own descriptor, gross $21.00).

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC TSH The hospital's file doesn't say whether this is a facility or professional rate.	$724	$362	—
Assay thyroid stim hormone The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$27.38 [C] middle of 15 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (14)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$17.05	—
Bcbs	All Commercial Plans	$69.89	—
Bcbs	Blue Advantage Exchange	$27.55	—
Cigna	Local Plus/Surefit Hmo/Ppo	$195.88	—
Cigna	Network C-24 Hmo/Ppo	$195.88	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$207.36	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$16.80–$17.30	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$17.98	—
Community Health Choice	Silver & Gold Exchange	$27.38	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$17.64	—
Molina Healthcare	Exchange	$33.60	—
Optum Health	Transplant Medicare Managed Care Plan	$32.76	—
Procare Advantage	Medicare Managed Care - Hmo	$18.48	—
Unitedhealthcare	Medicare Managed Care - Hmo	$17.14	—

Other charge lines in the file, not on the default view: “HC TSH WITH HAMA TREATMENT QUEST” (line not matching the code's own descriptor, gross $21.00).

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$148.5	$47.52	—
HC RL ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$141.5	$45.28	—
Assay thyroid stim hormone	—	—	$25.20 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$31.92	—
Aetna	Exchange	$26.04	—
Aetna	Medicare Managed Care Plan	$16.80	—
Community Health	Medicare Managed Care Plan	$18.48	—
Community Health	Prem/Select Exchange	$25.20	—
Community Health	Ultra Exchange	$26.88	—
Procare Advantage	Medicare Managed Care Plan	$19.32	—

Outside cash prices

Quest Diagnostics “TSH”: $49.00 [C], +$6 physician fee per order screenshot · source

Basic blood panel — Basic metabolic panel (blood test) (CPT 80048)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC BASIC METABOLIC PANEL TOTAL CA The hospital's file doesn't say whether this is a facility or professional rate.	$1,124	$562	—
Metabolic panel total ca The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$9.05 [C] middle of 11 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (10)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$8.59	—
Bcbs	All Commercial Plans	$35.19	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$8.46–$8.71	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$9.05	—
Community Health Choice	Silver & Gold Exchange	$13.79	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$8.88	—
Molina Healthcare	Exchange	$16.92	—
Optum Health	Transplant Medicare Managed Care Plan	$16.50	—
Procare Advantage	Medicare Managed Care - Hmo	$9.31	—
Unitedhealthcare	Medicare Managed Care - Hmo	$8.63	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC BASIC METABOLIC PANEL TOTAL CA The hospital's file doesn't say whether this is a facility or professional rate.	$1,124	$562	—
Metabolic panel total ca The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$9.18 [C] middle of 12 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (11)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$8.59	—
Bcbs	All Commercial Plans	$35.19	—
Bcbs	Blue Advantage Exchange	$13.87	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$8.46–$8.71	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$9.05	—
Community Health Choice	Silver & Gold Exchange	$13.79	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$8.88	—
Molina Healthcare	Exchange	$16.92	—
Optum Health	Transplant Medicare Managed Care Plan	$16.50	—
Procare Advantage	Medicare Managed Care - Hmo	$9.31	—
Unitedhealthcare	Medicare Managed Care - Hmo	$8.63	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$572.75	$183.28	—
Metabolic panel total ca	—	—	$12.69 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$16.07	—
Aetna	Exchange	$13.11	—
Aetna	Medicare Managed Care Plan	$8.46	—
Community Health	Medicare Managed Care Plan	$9.31	—
Community Health	Prem/Select Exchange	$12.69	—
Community Health	Ultra Exchange	$13.54	—
Procare Advantage	Medicare Managed Care Plan	$9.73	—

Outside cash prices

Quest Diagnostics: Not listed. screenshot

Knee scope — Knee arthroscopy with meniscus repair or removal (CPT 29881)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Knee arthroscopy/surgery The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$4,055 [C] middle of 19 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (19)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$4,331	—
Aetna	Medicare Managed Care - Hmo/Ppo	$3,336.21	—
Aetna	New Business Discount Other Commercial Plan	$4,201	—
Bcbs	All Commercial Plans	$5,584.4	—
Bcbs	Medicare Managed Care - Hmo	$3,286.91	—
Cigna	Local Plus/Surefit Hmo/Ppo	$4,055	—
Cigna	Network C-24 Hmo/Ppo	$4,055	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$4,292	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$3,385.52	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$3,516.99	—
Community Health Choice	Silver & Gold Exchange	$5,357.66	—
Humana	Hmo/Pos	$3,127.85	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$3,451.26	—
Molina Healthcare	Exchange	$6,573.82	—
Optum Health	Transplant Medicare Managed Care Plan	$6,409.48	—
Phcs	Ppo	$7,838	—
Procare Advantage	Medicare Managed Care - Hmo	$3,615.6	—
Unitedhealthcare	All Commercial Plans	$8,126	—
Unitedhealthcare	Medicare Managed Care - Hmo	$3,352.65	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Knee arthroscopy/surgery The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$4,055 [C] middle of 20 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (20)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$4,331	—
Aetna	Medicare Managed Care - Hmo/Ppo	$3,336.21	—
Aetna	New Business Discount Other Commercial Plan	$4,201	—
Bcbs	All Commercial Plans	$5,584.4	—
Bcbs	Blue Advantage Exchange	$1,587.72	—
Bcbs	Medicare Managed Care - Hmo	$3,286.91	—
Cigna	Local Plus/Surefit Hmo/Ppo	$4,055	—
Cigna	Network C-24 Hmo/Ppo	$4,055	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$4,292	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$3,385.52	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$3,516.99	—
Community Health Choice	Silver & Gold Exchange	$5,357.66	—
Humana	Hmo/Pos	$3,127.85	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$3,451.26	—
Molina Healthcare	Exchange	$6,573.82	—
Optum Health	Transplant Medicare Managed Care Plan	$6,409.48	—
Phcs	Ppo	$7,838	—
Procare Advantage	Medicare Managed Care - Hmo	$3,615.6	—
Unitedhealthcare	All Commercial Plans	$8,126	—
Unitedhealthcare	Medicare Managed Care - Hmo	$3,352.65	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Knee arthroscopy/surgery	—	—	$4,930.37 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$6,245.13	—
Aetna	Exchange	$5,094.71	—
Aetna	Medicare Managed Care Plan	$3,286.91	—
Community Health	Medicare Managed Care Plan	$3,615.6	—
Community Health	Prem/Select Exchange	$4,930.37	—
Community Health	Ultra Exchange	$5,259.06	—
Procare Advantage	Medicare Managed Care Plan	$3,779.95	—

Outside cash prices

SCO “Knee Arthroscopy” — no code posted; procedure not specified. $4,458 (Oklahoma City, OK) [N] screenshot

Gallbladder removal — Laparoscopic gallbladder removal (CPT 47562)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Laparoscopic cholecystectomy The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$7,466 [C] middle of 17 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (17)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$7,542	—
Aetna	Medicare Managed Care - Hmo/Ppo	$6,164.17	—
Aetna	New Business Discount Other Commercial Plan	$7,316	—
Bcbs	All Commercial Plans	$9,860.77	—
Bcbs	Medicare Managed Care - Hmo	$6,073.08	—
Cigna	Local Plus/Surefit Hmo/Ppo	$7,466	—
Cigna	Network C-24 Hmo/Ppo	$7,466	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$7,903	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$6,255.27	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$6,498.19	—
Community Health Choice	Silver & Gold Exchange	$9,899.11	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$6,376.73	—
Molina Healthcare	Exchange	$12,146.15	—
Optum Health	Transplant Medicare Managed Care Plan	$11,842.5	—
Procare Advantage	Medicare Managed Care - Hmo	$6,680.38	—
Unitedhealthcare	All Commercial Plans	$10,133	—
Unitedhealthcare	Medicare Managed Care - Hmo	$6,194.54	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Laparoscopic cholecystectomy The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$7,391 [C] middle of 18 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (18)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$7,542	—
Aetna	Medicare Managed Care - Hmo/Ppo	$6,164.17	—
Aetna	New Business Discount Other Commercial Plan	$7,316	—
Bcbs	All Commercial Plans	$9,860.77	—
Bcbs	Blue Advantage Exchange	$2,803.55	—
Bcbs	Medicare Managed Care - Hmo	$6,073.08	—
Cigna	Local Plus/Surefit Hmo/Ppo	$7,466	—
Cigna	Network C-24 Hmo/Ppo	$7,466	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$7,903	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$6,255.27	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$6,498.19	—
Community Health Choice	Silver & Gold Exchange	$9,899.11	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$6,376.73	—
Molina Healthcare	Exchange	$12,146.15	—
Optum Health	Transplant Medicare Managed Care Plan	$11,842.5	—
Procare Advantage	Medicare Managed Care - Hmo	$6,680.38	—
Unitedhealthcare	All Commercial Plans	$10,133	—
Unitedhealthcare	Medicare Managed Care - Hmo	$6,194.54	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Laparoscopic cholecystectomy	—	—	$9,109.61 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$11,538.84	—
Aetna	Exchange	$9,413.27	—
Aetna	Medicare Managed Care Plan	$6,073.08	—
Community Health	Medicare Managed Care Plan	$6,680.38	—
Community Health	Prem/Select Exchange	$9,109.61	—
Community Health	Ultra Exchange	$9,716.92	—
Procare Advantage	Medicare Managed Care Plan	$6,984.04	—

Outside cash prices

Surgery Center of Oklahoma “Laparoscopic Cholecystectomy (Gallbladder Removal Surgery)” (Oklahoma City, OK): $6,836 [C]. + $250 initial consultation fee. SCO lists under "Items or services not included in the published price": diagnostic studies before surgery; hardware or implants (billed at invoice cost); any overnight stay, lodging and travel; complications after discharge. SCO posts no codes; matched by procedure name. screenshot · source

Cataract surgery — Cataract surgery (CPT 66984)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Cataract surg w/iol 1 stage The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$4,578.72 [C] middle of 20 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (20)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$7,609	—
Aetna	Medicare Managed Care - Hmo/Ppo	$2,353.12	—
Aetna	New Business Discount Other Commercial Plan	$7,381	—
Bcbs	All Commercial Plans	$4,124.59	—
Bcbs	Medicare Managed Care - Hmo	$2,318.34	—
Cigna	Local Plus/Surefit Hmo/Ppo	$5,777	—
Cigna	Network C-24 Hmo/Ppo	$5,777	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$6,116	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$2,387.89	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$2,480.62	—
Community Health Choice	Silver & Gold Exchange	$3,778.89	—
Entrust	All Commercial Plans	$8,421	—
Humana	Hmo/Pos	$5,113.96	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$2,434.26	—
Molina Healthcare	Exchange	$4,636.68	—
Optum Health	Transplant Medicare Managed Care Plan	$4,520.76	—
Phcs	Ppo	$12,189	—
Procare Advantage	Medicare Managed Care - Hmo	$2,550.17	—
Unitedhealthcare	All Commercial Plans	$5,860	—
Unitedhealthcare	Medicare Managed Care - Hmo	$2,364.71	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Cataract surg w/iol 1 stage The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$4,520.76 [C] middle of 21 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (21)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$7,609	—
Aetna	Medicare Managed Care - Hmo/Ppo	$2,353.12	—
Aetna	New Business Discount Other Commercial Plan	$7,381	—
Bcbs	All Commercial Plans	$4,124.59	—
Bcbs	Blue Advantage Exchange	$1,172.68	—
Bcbs	Medicare Managed Care - Hmo	$2,318.34	—
Cigna	Local Plus/Surefit Hmo/Ppo	$5,777	—
Cigna	Network C-24 Hmo/Ppo	$5,777	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$6,116	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$2,387.89	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$2,480.62	—
Community Health Choice	Silver & Gold Exchange	$3,778.89	—
Entrust	All Commercial Plans	$8,421	—
Humana	Hmo/Pos	$5,113.96	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$2,434.26	—
Molina Healthcare	Exchange	$4,636.68	—
Optum Health	Transplant Medicare Managed Care Plan	$4,520.76	—
Phcs	Ppo	$12,189	—
Procare Advantage	Medicare Managed Care - Hmo	$2,550.17	—
Unitedhealthcare	All Commercial Plans	$5,860	—
Unitedhealthcare	Medicare Managed Care - Hmo	$2,364.71	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Not listed in this hospital’s file under this code.

Outside cash prices

Surgery Center of Oklahoma “Cataract Surgery (one side)” (Oklahoma City, OK): $4,800 [C]. + $250 initial consultation fee. SCO lists under "Items or services not included in the published price": diagnostic studies before surgery; hardware or implants (billed at invoice cost); any overnight stay, lodging and travel; complications after discharge. SCO posts no codes; matched by procedure name. SCO excludes implants; SCO's page doesn't say whether the cataract price includes the lens. screenshot · source

Birth: doctor’s care — Vaginal delivery, with prenatal and postpartum care (global) (CPT 59400)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Obstetrical care The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$7,316 [C] middle of 3 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (3)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$7,542	—
Aetna	New Business Discount Other Commercial Plan	$7,316	—
Bcbs	All Commercial Plans	$5,205.04	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Obstetrical care The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$6,260.52 [C] middle of 4 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (4)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$7,542	—
Aetna	New Business Discount Other Commercial Plan	$7,316	—
Bcbs	All Commercial Plans	$5,205.04	—
Bcbs	Blue Advantage Exchange	$1,263.15	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Not listed in this hospital’s file under this code.

Hospital stay, billed by DRG (MS-DRG 807, vaginal delivery without sterilization/D&C, without CC/MCC)

A different bill from the 59400 obstetric-care code; the two are not comparable and not additive. Inpatient only. MS-DRG 807 is not on CMS’s required list; added by CLR. The newborn’s care is billed separately (MS-DRG 795, normal newborn).

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$9,222.76 [C] middle of 34 posted insurer-plan rates (computed by CLR from the hospital’s file) · inpatient
Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc The hospital's file doesn't say whether this is a facility or professional rate.	—	—	· inpatient Hospital’s own posted medians (10 insurer-plans): $3,959.21–$24,156.03

Rates by insurer (26)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$8,915.33	—
Bcbs	All Commercial Plans	$8,548	—
Bcbs	Medicare Managed Care - Hmo	$8,783.58	—
Bcbs	Medicare Managed Care - Ppo	$8,783.58	—
Cigna	Local Plus/Surefit Hmo/Ppo	$4,825	—
Cigna	Network C-24 Hmo/Ppo	$4,825	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$5,108	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$9,047.09–$10,979.48	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$9,398.43	—
Community Health Choice	Silver & Gold Exchange	$14,317.24–$16,688.8	—
Devoted Health	Medicare Managed Care - Hmo	$9,398.43–$10,979.48	—
Entrust	All Commercial Plans	$6,647	—
Humana	Hmo/Pos	$8,616.64	—
Humana	Medicare Managed Care - Ppo	$8,783.58	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$9,222.76–$9,661.94	—
Molina Healthcare	Exchange	$17,567.16	—
Molina Healthcare	Medicare/Medicaid Managed Care Plan	$9,222.76–$9,661.94	—
Optum Health	Transplant Medicare Managed Care Plan	$9,222.76–$17,127.98	—
Oscar	Medicare Managed Care - Hmo	$9,222.76	—
Procare Advantage	Medicare Managed Care - Hmo	$9,661.94–$10,979.48	—
Texas Annual Conference	All Commercial Plans	$14,317.24–$16,688.8	—
Texas Monarch	Preferred Care Medicare Managed Care Plan	$8,783.58	—
Triwest Healthcare	Government	$8,783.58	—
Unitedhealthcare	Medicare Managed Care - Hmo	$8,959.25	—
Unitedhealthcare	Medicare Managed Care - Ppo	$8,783.58	—
Wellpoint	Medicare Managed Care Plan	$9,047.09	—

Rates by insurer (39)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo percentage or algorithm rate (not counted)	—	$10,674.2 ($8,447.31–$16,299.04)
Aetna	Medicare Managed Care - Hmo/Ppo percentage or algorithm rate (not counted)	—	—
Aetna	New Business Discount Other Commercial Plan percentage or algorithm rate (not counted)	—	—
Aetna	Transplant percentage or algorithm rate (not counted)	—	—
Bcbs	All Commercial Plans percentage or algorithm rate (not counted)	—	$7,413.34 ($4,601.16–$8,952.76)
Bcbs	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Bcbs	Medicare Managed Care - Ppo percentage or algorithm rate (not counted)	—	—
Cigna	All Other Benefit Plans Ppo percentage or algorithm rate (not counted)	—	$24,156.03 ($24,156.03–$24,156.03)
Cigna	Lifesource Transplant percentage or algorithm rate (not counted)	—	—
Cigna	Local Plus/Surefit Hmo/Ppo percentage or algorithm rate (not counted)	—	$4,577.85 ($4,577.85–$4,577.85)
Cigna	Network C-24 Hmo/Ppo percentage or algorithm rate (not counted)	—	$9,938.74 ($5,024–$26,092.32)
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo percentage or algorithm rate (not counted)	—	$9,388.7 ($5,888.36–$14,409.3)
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo percentage or algorithm rate (not counted)	—	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Community Health Choice	Silver & Gold Exchange percentage or algorithm rate (not counted)	—	$14,459.28 ($14,459.28–$14,459.28)
Community Health Choice	Star+Plus Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Community Health Choice	Star/Chip/Chip Perinatal Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Devoted Health	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Entrust	All Commercial Plans percentage or algorithm rate (not counted)	—	—
First Health/Coventry	First Health/Coventry Ppo percentage or algorithm rate (not counted)	—	$7,609.01 ($7,609.01–$12,067.78)
Humana	Medicare Managed Care - Ppo percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Advantage Medicare Managed Care Plan percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Exchange percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Medicare/Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Optum Health	Transplant percentage or algorithm rate (not counted)	—	—
Optum Health	Transplant Medicare Managed Care Plan percentage or algorithm rate (not counted)	—	—
Phcs	Ppo percentage or algorithm rate (not counted)	—	—
Procare Advantage	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Texas Childrens Health Plan	Chip Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Texas Childrens Health Plan	Star Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Triwest Healthcare	Government percentage or algorithm rate (not counted)	—	$3,959.21 ($3,690.62–$3,969.53)
Unitedhealthcare	All Commercial Plans percentage or algorithm rate (not counted)	—	$9,217.5 ($6,100.13–$16,642.14)
Unitedhealthcare	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Unitedhealthcare	Medicare Managed Care - Ppo percentage or algorithm rate (not counted)	—	—
Unitedhealthcare	Star & Star Plus Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Us Family Health Plan	Government percentage or algorithm rate (not counted)	—	—
Wellpoint	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Wellpoint	Medicare Managed Care Plan percentage or algorithm rate (not counted)	—	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$6,794.21 [C] middle of 34 posted insurer-plan rates (computed by CLR from the hospital’s file) · inpatient
Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc The hospital's file doesn't say whether this is a facility or professional rate.	—	—	· inpatient Hospital’s own posted medians (13 insurer-plans): $2,882.92–$16,197.2

Rates by insurer (26)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$6,567.74	—
Bcbs	All Commercial Plans	$8,548	—
Bcbs	Blue Advantage Exchange	$4,022	—
Bcbs	Medicare Managed Care - Hmo	$6,470.68	—
Bcbs	Medicare Managed Care - Ppo	$6,470.68	—
Cigna	Local Plus/Surefit Hmo/Ppo	$4,825	—
Cigna	Network C-24 Hmo/Ppo	$4,825	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$5,108	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$6,664.8–$8,088.35	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$6,923.63	—
Community Health Choice	Silver & Gold Exchange	$10,547.21–$12,294.29	—
Devoted Health	Medicare Managed Care - Hmo	$6,923.63–$8,088.35	—
Entrust	All Commercial Plans	$6,647	—
Humana	Hmo/Pos	$8,616.64	—
Humana	Medicare Managed Care - Ppo	$6,470.68	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$6,794.21–$7,117.75	—
Molina Healthcare	Exchange	$12,941.36	—
Molina Healthcare	Medicare/Medicaid Managed Care Plan	$6,794.21–$7,117.75	—
Optum Health	Transplant Medicare Managed Care Plan	$6,794.21–$12,617.83	—
Oscar	Medicare Managed Care - Hmo	$6,794.21	—
Procare Advantage	Medicare Managed Care - Hmo	$7,117.75–$8,088.35	—
Texas Annual Conference	All Commercial Plans	$10,547.21–$12,294.29	—
Triwest Healthcare	Government	$6,470.68	—
Unitedhealthcare	Medicare Managed Care - Hmo	$6,600.09	—
Unitedhealthcare	Medicare Managed Care - Ppo	$6,470.68	—
Wellpoint	Medicare Managed Care Plan	$6,664.8	—

Rates by insurer (39)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo percentage or algorithm rate (not counted)	—	$9,006.72 ($7,148.34–$15,167.79)
Aetna	Medicare Managed Care - Hmo/Ppo percentage or algorithm rate (not counted)	—	—
Aetna	New Business Discount Other Commercial Plan percentage or algorithm rate (not counted)	—	$8,118.05 ($4,805.99–$11,485.44)
Bcbs	All Commercial Plans percentage or algorithm rate (not counted)	—	$8,239 ($5,973.81–$8,548)
Bcbs	Blue Advantage Exchange percentage or algorithm rate (not counted)	—	$3,627 ($2,061.81–$4,022)
Bcbs	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Bcbs	Medicare Managed Care - Ppo percentage or algorithm rate (not counted)	—	—
Cigna	All Other Benefit Plans Ppo percentage or algorithm rate (not counted)	—	$16,197.2 ($3,185.52–$23,090.7)
Cigna	Lifesource Transplant percentage or algorithm rate (not counted)	—	—
Cigna	Local Plus/Surefit Hmo/Ppo percentage or algorithm rate (not counted)	—	—
Cigna	Network C-24 Hmo/Ppo percentage or algorithm rate (not counted)	—	$7,362.01 ($5,737.71–$12,975.77)
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo percentage or algorithm rate (not counted)	—	$8,446.09 ($6,753.78–$12,478.72)
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo percentage or algorithm rate (not counted)	—	$6,058.9 ($6,058.9–$6,058.9)
Community Health Choice	Silver & Gold Exchange percentage or algorithm rate (not counted)	—	$8,345.42 ($7,058.06–$9,435.21)
Community Health Choice	Star+Plus Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Community Health Choice	Star/Chip/Chip Perinatal Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Devoted Health	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Entrust	All Commercial Plans percentage or algorithm rate (not counted)	—	—
First Health/Coventry	First Health/Coventry Ppo percentage or algorithm rate (not counted)	—	$6,249.03 ($6,249.03–$6,249.03)
Humana	Medicare Managed Care - Ppo percentage or algorithm rate (not counted)	—	—
International	Miscellaneous Other Commercial Plan percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Advantage Medicare Managed Care Plan percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Exchange percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Medicare/Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Multiplan	Ppo percentage or algorithm rate (not counted)	—	—
Optum Health	Transplant percentage or algorithm rate (not counted)	—	—
Optum Health	Transplant Medicare Managed Care Plan percentage or algorithm rate (not counted)	—	—
Phcs	Ppo percentage or algorithm rate (not counted)	—	$2,882.92 ($2,882.92–$2,882.92)
Texas Annual Conference	All Commercial Plans percentage or algorithm rate (not counted)	—	—
Texas Childrens Health Plan	Star Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Triwest Healthcare	Government percentage or algorithm rate (not counted)	—	$3,907.75 ($3,531.22–$3,915.92)
Unitedhealthcare	All Commercial Plans percentage or algorithm rate (not counted)	—	$8,995.61 ($6,945.62–$13,352.91)
Unitedhealthcare	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Unitedhealthcare	Medicare Managed Care - Ppo percentage or algorithm rate (not counted)	—	—
Unitedhealthcare	Star & Star Plus Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Us Family Health Plan	Government percentage or algorithm rate (not counted)	—	—
Wellpoint	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Wellpoint	Medicare Managed Care Plan percentage or algorithm rate (not counted)	—	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc	—	—	$9,574.14 [C] middle of 27 posted insurer-plan rates (computed by CLR from the hospital’s file) · inpatient · facility Hospital’s own posted medians (16 insurer-plans): $2,002.19–$19,882.64

Rates by insurer (46)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$18,190.87	—
Aetna	Aco Other Commercial Plan percentage or algorithm rate (not counted)	—	—
Aetna	Exchange percentage or algorithm rate (not counted)	$15,797.33	$15,653.8 ($15,653.8–$16,679.8)
Aetna	Hmo/Pos percentage or algorithm rate (not counted)	—	$9,591.17 ($5,333.17–$10,685.75)
Aetna	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$9,574.14	—
Aetna	Multi-Tier Other Commercial Plan percentage or algorithm rate (not counted)	—	—
Aetna	Ppo percentage or algorithm rate (not counted)	—	$19,882.64 ($19,882.64–$19,882.64)
Amerivantage	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$9,574.14	—
Bcbs	Blue Advantage Hmo percentage or algorithm rate (not counted)	—	$4,815.72 ($2,775.72–$7,038.51)
Bcbs	Hmo percentage or algorithm rate (not counted)	—	$6,780.32 ($4,578.28–$122,468.45)
Bcbs	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Bcbs	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$9,574.14	—
Bcbs	Ppo percentage or algorithm rate (not counted)	—	$8,635.85 ($7,070.18–$11,122.82)
Bcbs	Traditional percentage or algorithm rate (not counted)	—	—
Christus Health	Medicaid Managed Care Plan	$9,574.14	—
Cigna	C24/City Houston Other Commercial Plan percentage or algorithm rate (not counted)	—	$4,267.82 ($4,138.44–$4,534)
Cigna	Hmo/Pos/Ppo percentage or algorithm rate (not counted)	—	$4,534 ($2,581.31–$6,408)
Cigna	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$9,574.14	—
Cigna	Surefit/Local Plus Other Commercial Plan percentage or algorithm rate (not counted)	—	$6,145.1 ($6,145.1–$6,145.1)
Community Health	Medicare Managed Care Plan	$10,531.55	—
Community Health	Prem/Select Exchange	$14,361.21	—
Community Health	Ultra Exchange	$15,318.62	—
Devoted Health	Medicare Managed Care Plan	$9,574.14	—
Driscoll Childrens	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Humana	Medicare Managed Care Plan	$9,574.14	—
Kaiser Permanente	Medicare Managed Care Plan	$9,574.14	—
Kelseycare	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$9,286.92	—
Memorial Hermann	Medicare Managed Care Plan	$9,574.14	—
Molina Healthcare	Exchange	$18,478.09	—
Molina Healthcare	Medicare Managed Care Plan	$10,531.55	—
Oscar	Exchange percentage or algorithm rate (not counted)	$15,318.62	$15,416.26 ($15,416.26–$15,416.26)
Procare Advantage	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$11,010.26	—
Superior Healthplan	Exchange percentage or algorithm rate (not counted)	$15,318.62	$15,381.87 ($15,381.87–$15,416.26)
Superior Healthplan	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	$2,002.19 ($2,002.19–$2,002.19)
Tdc Prisoner	Medicare Managed Care Plan	$9,574.14	—
United Kelseyseybold	Exchange	$14,839.92	—
Unitedhealthcare	Exchange	$15,318.62	—
Unitedhealthcare	Hmo/Pos percentage or algorithm rate (not counted)	—	$10,453.47 ($10,453.47–$12,771.72)
Unitedhealthcare	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	$5,132.57 ($5,132.57–$5,846.39)
Unitedhealthcare	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$9,574.14	—
Unitedhealthcare	Nexus Other Commercial Plan percentage or algorithm rate (not counted)	—	$9,461.41 ($9,461.41–$9,461.41)
Unitedhealthcare	Ppo percentage or algorithm rate (not counted)	—	—
Wellcare	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$9,574.14	—
Wellpoint	Exchange	$15,318.62	—
Wellpoint	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	$5,523.62 ($3,631.97–$6,291.84)
Wellpoint	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$9,574.14	—

Outside cash prices

No outside cash price on this page for this code yet.

C-section: doctor’s care — Cesarean delivery, with prenatal and postpartum care (global) (CPT 59510)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Cesarean delivery The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$7,316 [C] middle of 3 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (3)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$7,542	—
Aetna	New Business Discount Other Commercial Plan	$7,316	—
Bcbs	All Commercial Plans	$5,770.94	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Cesarean delivery The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$6,543.47 [C] middle of 4 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (4)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo	$7,542	—
Aetna	New Business Discount Other Commercial Plan	$7,316	—
Bcbs	All Commercial Plans	$5,770.94	—
Bcbs	Blue Advantage Exchange	$1,400.48	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Not listed in this hospital’s file under this code.

Hospital stay, billed by DRG (MS-DRG 788, cesarean section without sterilization, without CC/MCC)

A different bill from the 59510 obstetric-care code; the two are not comparable and not additive. Inpatient only. MS-DRG 788 is not on CMS’s required list; added by CLR. The newborn’s care is billed separately (MS-DRG 795, normal newborn).

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Cesarean Section Without Sterilization Without Cc/Mcc The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$11,512.12 [C] middle of 33 posted insurer-plan rates (computed by CLR from the hospital’s file) · inpatient
Cesarean Section Without Sterilization Without Cc/Mcc The hospital's file doesn't say whether this is a facility or professional rate.	—	—	· inpatient Hospital’s own posted medians (8 insurer-plans): $7,257.2–$20,976.29

Rates by insurer (25)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$11,128.38	—
Bcbs	Medicare Managed Care - Hmo	$10,963.92	—
Bcbs	Medicare Managed Care - Ppo	$10,963.92	—
Cigna	Local Plus/Surefit Hmo/Ppo	$7,596	—
Cigna	Network C-24 Hmo/Ppo	$7,596	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$8,041	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$11,292.84–$13,704.9	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$11,731.39	—
Community Health Choice	Silver & Gold Exchange	$17,871.19–$20,831.45	—
Devoted Health	Medicare Managed Care - Hmo	$11,731.39–$13,704.9	—
Entrust	All Commercial Plans	$10,343	—
Humana	Hmo/Pos	$11,847.86	—
Humana	Medicare Managed Care - Ppo	$10,963.92	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$11,512.12–$12,060.31	—
Molina Healthcare	Exchange	$21,927.84	—
Molina Healthcare	Medicare/Medicaid Managed Care Plan	$11,512.12–$12,060.31	—
Optum Health	Transplant Medicare Managed Care Plan	$11,512.12–$21,379.64	—
Oscar	Medicare Managed Care - Hmo	$11,512.12	—
Procare Advantage	Medicare Managed Care - Hmo	$12,060.31–$13,704.9	—
Texas Annual Conference	All Commercial Plans	$17,871.19–$20,831.45	—
Texas Monarch	Preferred Care Medicare Managed Care Plan	$10,963.92	—
Triwest Healthcare	Government	$10,963.92	—
Unitedhealthcare	Medicare Managed Care - Hmo	$11,183.2	—
Unitedhealthcare	Medicare Managed Care - Ppo	$10,963.92	—
Wellpoint	Medicare Managed Care Plan	$11,292.84	—

Rates by insurer (39)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo percentage or algorithm rate (not counted)	—	$16,601.21 ($13,663.81–$21,091.54)
Aetna	Medicare Managed Care - Hmo/Ppo percentage or algorithm rate (not counted)	—	—
Aetna	New Business Discount Other Commercial Plan percentage or algorithm rate (not counted)	—	$13,014.64 ($13,014.64–$13,014.64)
Aetna	Transplant percentage or algorithm rate (not counted)	—	—
Bcbs	All Commercial Plans percentage or algorithm rate (not counted)	—	$9,768.21 ($7,454.68–$11,172)
Bcbs	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Bcbs	Medicare Managed Care - Ppo percentage or algorithm rate (not counted)	—	—
Cigna	All Other Benefit Plans Ppo percentage or algorithm rate (not counted)	—	—
Cigna	Lifesource Transplant percentage or algorithm rate (not counted)	—	—
Cigna	Local Plus/Surefit Hmo/Ppo percentage or algorithm rate (not counted)	—	—
Cigna	Network C-24 Hmo/Ppo percentage or algorithm rate (not counted)	—	$20,976.29 ($20,976.29–$20,976.29)
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo percentage or algorithm rate (not counted)	—	$18,049.83 ($14,188.83–$22,883.76)
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo percentage or algorithm rate (not counted)	—	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Community Health Choice	Silver & Gold Exchange percentage or algorithm rate (not counted)	—	$14,026.4 ($14,026.4–$14,026.4)
Community Health Choice	Star+Plus Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Community Health Choice	Star/Chip/Chip Perinatal Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Devoted Health	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Entrust	All Commercial Plans percentage or algorithm rate (not counted)	—	—
First Health/Coventry	First Health/Coventry Ppo percentage or algorithm rate (not counted)	—	—
Humana	Medicare Managed Care - Ppo percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Advantage Medicare Managed Care Plan percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Exchange percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Medicare/Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Optum Health	Transplant percentage or algorithm rate (not counted)	—	—
Optum Health	Transplant Medicare Managed Care Plan percentage or algorithm rate (not counted)	—	—
Phcs	Ppo percentage or algorithm rate (not counted)	—	—
Procare Advantage	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Texas Childrens Health Plan	Chip Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Texas Childrens Health Plan	Star Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Triwest Healthcare	Government percentage or algorithm rate (not counted)	—	$7,257.2 ($7,257.2–$7,257.2)
Unitedhealthcare	All Commercial Plans percentage or algorithm rate (not counted)	—	$14,700.34 ($13,867.9–$18,893.24)
Unitedhealthcare	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Unitedhealthcare	Medicare Managed Care - Ppo percentage or algorithm rate (not counted)	—	—
Unitedhealthcare	Star & Star Plus Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Us Family Health Plan	Government percentage or algorithm rate (not counted)	—	—
Wellpoint	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Wellpoint	Medicare Managed Care Plan percentage or algorithm rate (not counted)	—	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Cesarean Section Without Sterilization Without Cc/Mcc The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$9,060.66 [C] middle of 32 posted insurer-plan rates (computed by CLR from the hospital’s file) · inpatient
Cesarean Section Without Sterilization Without Cc/Mcc The hospital's file doesn't say whether this is a facility or professional rate.	—	—	· inpatient Hospital’s own posted medians (9 insurer-plans): $5,791–$17,877.9

Rates by insurer (24)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$8,676.01	—
Bcbs	Medicare Managed Care - Hmo	$8,547.79	—
Bcbs	Medicare Managed Care - Ppo	$8,547.79	—
Cigna	Local Plus/Surefit Hmo/Ppo	$7,596	—
Cigna	Network C-24 Hmo/Ppo	$7,596	—
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo	$8,041	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$8,804.22–$10,684.74	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$9,146.14	—
Community Health Choice	Silver & Gold Exchange	$13,932.9–$16,240.8	—
Devoted Health	Medicare Managed Care - Hmo	$9,146.14–$10,684.74	—
Entrust	All Commercial Plans	$10,343	—
Humana	Hmo/Pos	$11,847.86	—
Humana	Medicare Managed Care - Ppo	$8,547.79	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$8,975.18–$9,402.57	—
Molina Healthcare	Exchange	$17,095.58	—
Molina Healthcare	Medicare/Medicaid Managed Care Plan	$8,975.18–$9,402.57	—
Optum Health	Transplant Medicare Managed Care Plan	$8,975.18–$16,668.19	—
Oscar	Medicare Managed Care - Hmo	$8,975.18	—
Procare Advantage	Medicare Managed Care - Hmo	$9,402.57–$10,684.74	—
Texas Annual Conference	All Commercial Plans	$13,932.9–$16,240.8	—
Triwest Healthcare	Government	$8,547.79	—
Unitedhealthcare	Medicare Managed Care - Hmo	$8,718.75	—
Unitedhealthcare	Medicare Managed Care - Ppo	$8,547.79	—
Wellpoint	Medicare Managed Care Plan	$8,804.22	—

Rates by insurer (39)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Hmo/Pos/Ppo percentage or algorithm rate (not counted)	—	$10,736.69 ($9,110.4–$11,192.49)
Aetna	Medicare Managed Care - Hmo/Ppo percentage or algorithm rate (not counted)	—	—
Aetna	New Business Discount Other Commercial Plan percentage or algorithm rate (not counted)	—	—
Bcbs	All Commercial Plans percentage or algorithm rate (not counted)	—	$10,768 ($8,227.39–$11,627.24)
Bcbs	Blue Advantage Exchange percentage or algorithm rate (not counted)	—	$5,791 ($5,791–$5,791)
Bcbs	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Bcbs	Medicare Managed Care - Ppo percentage or algorithm rate (not counted)	—	—
Cigna	All Other Benefit Plans Ppo percentage or algorithm rate (not counted)	—	$17,877.9 ($17,877.9–$17,877.9)
Cigna	Lifesource Transplant percentage or algorithm rate (not counted)	—	—
Cigna	Local Plus/Surefit Hmo/Ppo percentage or algorithm rate (not counted)	—	—
Cigna	Network C-24 Hmo/Ppo percentage or algorithm rate (not counted)	—	$9,160 ($9,160–$9,160)
Cigna	Pcp Optional/Pcp Required Benefit Plans Hmo percentage or algorithm rate (not counted)	—	$10,578.38 ($8,896.17–$14,547.02)
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo percentage or algorithm rate (not counted)	—	—
Community Health Choice	Silver & Gold Exchange percentage or algorithm rate (not counted)	—	$10,589.8 ($10,589.8–$10,589.8)
Community Health Choice	Star+Plus Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Community Health Choice	Star/Chip/Chip Perinatal Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Devoted Health	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Entrust	All Commercial Plans percentage or algorithm rate (not counted)	—	—
First Health/Coventry	First Health/Coventry Ppo percentage or algorithm rate (not counted)	—	—
Humana	Medicare Managed Care - Ppo percentage or algorithm rate (not counted)	—	—
International	Miscellaneous Other Commercial Plan percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Advantage Medicare Managed Care Plan percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Exchange percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Molina Healthcare	Medicare/Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Multiplan	Ppo percentage or algorithm rate (not counted)	—	—
Optum Health	Transplant percentage or algorithm rate (not counted)	—	—
Optum Health	Transplant Medicare Managed Care Plan percentage or algorithm rate (not counted)	—	—
Phcs	Ppo percentage or algorithm rate (not counted)	—	—
Texas Annual Conference	All Commercial Plans percentage or algorithm rate (not counted)	—	—
Texas Childrens Health Plan	Star Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Triwest Healthcare	Government percentage or algorithm rate (not counted)	—	$7,023.73 ($6,277.25–$7,038.4)
Unitedhealthcare	All Commercial Plans percentage or algorithm rate (not counted)	—	$12,814.88 ($11,595.5–$19,305.85)
Unitedhealthcare	Medicare Managed Care - Hmo percentage or algorithm rate (not counted)	—	—
Unitedhealthcare	Medicare Managed Care - Ppo percentage or algorithm rate (not counted)	—	—
Unitedhealthcare	Star & Star Plus Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Us Family Health Plan	Government percentage or algorithm rate (not counted)	—	—
Wellpoint	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Wellpoint	Medicare Managed Care Plan percentage or algorithm rate (not counted)	—	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
Cesarean Section Without Sterilization Without Cc/Mcc	—	—	$11,746.24 [C] middle of 27 posted insurer-plan rates (computed by CLR from the hospital’s file) · inpatient · facility Hospital’s own posted medians (11 insurer-plans): $6,524.93–$19,177.14

Rates by insurer (46)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$22,317.86	—
Aetna	Aco Other Commercial Plan percentage or algorithm rate (not counted)	—	—
Aetna	Exchange percentage or algorithm rate (not counted)	$19,381.3	$19,177.14 ($19,177.14–$19,861.14)
Aetna	Hmo/Pos percentage or algorithm rate (not counted)	—	$14,872.72 ($14,872.72–$14,872.72)
Aetna	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$11,746.24	—
Aetna	Multi-Tier Other Commercial Plan percentage or algorithm rate (not counted)	—	—
Aetna	Ppo percentage or algorithm rate (not counted)	—	—
Amerivantage	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$11,746.24	—
Bcbs	Blue Advantage Hmo percentage or algorithm rate (not counted)	—	$6,533.38 ($4,680–$8,066.71)
Bcbs	Hmo percentage or algorithm rate (not counted)	—	$9,165.16 ($9,008.25–$9,565.4)
Bcbs	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Bcbs	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$11,746.24	—
Bcbs	Ppo percentage or algorithm rate (not counted)	—	$13,066.35 ($11,082.08–$13,781.43)
Bcbs	Traditional percentage or algorithm rate (not counted)	—	—
Christus Health	Medicaid Managed Care Plan	$11,746.24	—
Cigna	C24/City Houston Other Commercial Plan percentage or algorithm rate (not counted)	—	$8,756 ($8,756–$8,756)
Cigna	Hmo/Pos/Ppo percentage or algorithm rate (not counted)	—	$6,524.93 ($6,193.81–$8,278.95)
Cigna	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$11,746.24	—
Cigna	Surefit/Local Plus Other Commercial Plan percentage or algorithm rate (not counted)	—	—
Community Health	Medicare Managed Care Plan	$12,920.86	—
Community Health	Prem/Select Exchange	$17,619.36	—
Community Health	Ultra Exchange	$18,793.98	—
Devoted Health	Medicare Managed Care Plan	$11,746.24	—
Driscoll Childrens	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Humana	Medicare Managed Care Plan	$11,746.24	—
Kaiser Permanente	Medicare Managed Care Plan	$11,746.24	—
Kelseycare	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$11,393.85	—
Memorial Hermann	Medicare Managed Care Plan	$11,746.24	—
Molina Healthcare	Exchange	$22,670.24	—
Molina Healthcare	Medicare Managed Care Plan	$12,920.86	—
Oscar	Exchange percentage or algorithm rate (not counted)	$18,793.98	—
Procare Advantage	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$13,508.18	—
Superior Healthplan	Exchange percentage or algorithm rate (not counted)	$18,793.98	$18,854.86 ($16,132.53–$69,113.17)
Superior Healthplan	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	—
Tdc Prisoner	Medicare Managed Care Plan	$11,746.24	—
United Kelseyseybold	Exchange	$18,206.67	—
Unitedhealthcare	Exchange	$18,793.98	—
Unitedhealthcare	Hmo/Pos percentage or algorithm rate (not counted)	—	$14,866.19 ($14,866.19–$17,526.44)
Unitedhealthcare	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	$7,986.58 ($7,921.44–$9,900.67)
Unitedhealthcare	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$11,746.24	—
Unitedhealthcare	Nexus Other Commercial Plan percentage or algorithm rate (not counted)	—	—
Unitedhealthcare	Ppo percentage or algorithm rate (not counted)	—	—
Wellcare	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$11,746.24	—
Wellpoint	Exchange	$18,793.98	—
Wellpoint	Medicaid Managed Care Plan percentage or algorithm rate (not counted)	—	$8,595.11 ($8,595.11–$10,654.99)
Wellpoint	Medicare Managed Care Plan percentage or algorithm rate (not counted)	$11,746.24	—

Outside cash prices

No outside cash price on this page for this code yet.

New-patient visit — New-patient office visit (low complexity) (CPT 99203)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC E&M VISIT NEW LOW 30 MINS The hospital's file doesn't say whether this is a facility or professional rate.	$544	$272	—
Office/outpatient visit new The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$241.74 (posted insurer-plan rate, shown one by one: fewer than 3) · outpatient

Rates by insurer (1)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Bcbs	All Commercial Plans	$241.74	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC E&M VISIT NEW LOW 30 MINS The hospital's file doesn't say whether this is a facility or professional rate.	$544	$272	—
Office/outpatient visit new The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$134.82; $241.74 (posted insurer-plan rates, shown one by one: fewer than 3) · outpatient

Rates by insurer (2)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Bcbs	All Commercial Plans	$241.74	—
Bcbs	Blue Advantage Exchange	$134.82	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC NEW PT OUTPT VISIT LEVEL 3	$150	$48.00	—

Other charge lines in the file, not on the default view: “HC CONSULTATION - DETAILED 30 MIN” (consultation line, gross $70.50).

Outside cash prices

No outside cash price on this page for this code yet.

Longer new-patient visit — New-patient office visit (moderate complexity) (CPT 99204)

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC E&M VISIT NEW MOD 45 MINS The hospital's file doesn't say whether this is a facility or professional rate.	$626	$313	—
Office/outpatient visit new The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$409.28 (posted insurer-plan rate, shown one by one: fewer than 3) · outpatient

Rates by insurer (1)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Bcbs	All Commercial Plans	$409.28	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC E&M VISIT NEW MOD 45 MINS The hospital's file doesn't say whether this is a facility or professional rate.	$626	$313	—
Office/outpatient visit new The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$228.25; $409.28 (posted insurer-plan rates, shown one by one: fewer than 3) · outpatient

Rates by insurer (2)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Bcbs	All Commercial Plans	$409.28	—
Bcbs	Blue Advantage Exchange	$228.25	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC NEW PT OUTPT VISIT LEVEL 4	$160	$51.20	—

Other charge lines in the file, not on the default view: “HC CONSULTATION -COMPREHENSIVE” (consultation line, gross $66.00); “HC TIRR - NEW PT OUTPT VISIT LEVEL 4” (line for another facility (TIRR), gross $437.5).

Outside cash prices

No outside cash price on this page for this code yet.

ER visit — Emergency room visit, level 3 (CPT 99283)

ER visit levels — not on CMS's required list; added by CLR.

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC ER VISIT LEVEL III The hospital's file doesn't say whether this is a facility or professional rate.	$2,435	$1,217.5	—
Emergency dept visit The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$290.68 [C] middle of 10 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (10)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$278.33	—
Bcbs	Medicare Managed Care - Hmo	$274.22	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$282.45	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$293.42	—
Community Health Choice	Silver & Gold Exchange	$446.98	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$287.93	—
Molina Healthcare	Exchange	$548.44	—
Optum Health	Transplant Medicare Managed Care Plan	$534.73	—
Procare Advantage	Medicare Managed Care - Hmo	$301.64	—
Unitedhealthcare	Medicare Managed Care - Hmo	$279.71	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC ER VISIT LEVEL III The hospital's file doesn't say whether this is a facility or professional rate.	$2,435	$1,217.5	—
Emergency dept visit The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$290.68 [C] middle of 10 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (10)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$278.33	—
Bcbs	Medicare Managed Care - Hmo	$274.22	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$282.45	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$293.42	—
Community Health Choice	Silver & Gold Exchange	$446.98	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$287.93	—
Molina Healthcare	Exchange	$548.44	—
Optum Health	Transplant Medicare Managed Care Plan	$534.73	—
Procare Advantage	Medicare Managed Care - Hmo	$301.64	—
Unitedhealthcare	Medicare Managed Care - Hmo	$279.71	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$2,474.75	$791.92	—
Emergency dept visit	—	—	$411.33 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$521.02	—
Aetna	Exchange	$425.04	—
Aetna	Medicare Managed Care Plan	$274.22	—
Community Health	Medicare Managed Care Plan	$301.64	—
Community Health	Prem/Select Exchange	$411.33	—
Community Health	Ultra Exchange	$438.75	—
Procare Advantage	Medicare Managed Care Plan	$315.35	—

Outside cash prices

No outside cash price on this page for this code yet.

Serious ER visit — Emergency room visit, level 4 (CPT 99284)

ER visit levels — not on CMS's required list; added by CLR.

Houston Methodist Baytown hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC ER VISIT LEVEL IV The hospital's file doesn't say whether this is a facility or professional rate.	$3,902	$1,951	—
Emergency dept visit The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$444.32 [C] middle of 10 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (10)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$425.45	—
Bcbs	Medicare Managed Care - Hmo	$419.16	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$431.74	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$448.51	—
Community Health Choice	Silver & Gold Exchange	$683.24	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$440.12	—
Molina Healthcare	Exchange	$838.33	—
Optum Health	Transplant Medicare Managed Care Plan	$817.37	—
Procare Advantage	Medicare Managed Care - Hmo	$461.08	—
Unitedhealthcare	Medicare Managed Care - Hmo	$427.55	—

Houston Methodist Clear Lake hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC ER VISIT LEVEL IV The hospital's file doesn't say whether this is a facility or professional rate.	$3,902	$1,951	—
Emergency dept visit The hospital's file doesn't say whether this is a facility or professional rate.	—	—	$444.32 [C] middle of 10 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient

Rates by insurer (10)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
Aetna	Medicare Managed Care - Hmo/Ppo	$425.45	—
Bcbs	Medicare Managed Care - Hmo	$419.16	—
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	$431.74	—
Community Health Choice	D-Snp Medicare Managed Care - Hmo	$448.51	—
Community Health Choice	Silver & Gold Exchange	$683.24	—
Molina Healthcare	Advantage Medicare Managed Care Plan	$440.12	—
Molina Healthcare	Exchange	$838.33	—
Optum Health	Transplant Medicare Managed Care Plan	$817.37	—
Procare Advantage	Medicare Managed Care - Hmo	$461.08	—
Unitedhealthcare	Medicare Managed Care - Hmo	$427.55	—

Memorial Hermann Southeast hospital file, dated 2026-04-01

Charge line as filed	Gross charge	Discounted cash	Insurers (negotiated)
HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$4,093	$1,309.76	—
Emergency dept visit	—	—	$628.75 [C] middle of 7 posted insurer-plan rates (computed by CLR from the hospital’s file) · outpatient · facility

Rates by insurer (7)

Insurer	Plan	Posted rate	Hospital’s own median (10th–90th)
90 Degrees	All Commercial Plans	$796.41	—
Aetna	Exchange	$649.7	—
Aetna	Medicare Managed Care Plan	$419.16	—
Community Health	Medicare Managed Care Plan	$461.08	—
Community Health	Prem/Select Exchange	$628.75	—
Community Health	Ultra Exchange	$670.66	—
Procare Advantage	Medicare Managed Care Plan	$482.04	—

Outside cash prices

No outside cash price on this page for this code yet.

Primary care by monthly membership

Archway Family Medicine, Membership, adult: $100 a month [C] — One-time initiation fee of $150 (clinic's site). screenshot · source
Archway Family Medicine, Membership, child: $50.00 a month [C] screenshot · source
First Primary Care, Membership, adult 18+: $150 a month [C] — One-time onboarding fee of $99 (clinic's site). screenshot · source
First Primary Care, Membership, child <18 add-on: $50.00 a month [C] screenshot · source

Texas Medical Management: No Houston prices posted (checked 2026-10-06). screenshot

The hospitals, and what each one posts

CommonSpirit St. Luke's Hospital – Pasadena — Prices pending CLR review.
File posted · File opened · File’s own date: 2026-02-28 · Server date: 2026-06-10 · Dated within 12 months: yes · Footer link · Estimator
Estimator: Disclaimer or 'Get Started' step before use.
HCA Houston Healthcare Clear Lake — Prices pending CLR review.
File posted · File opened · File’s own date: 2026-09-01 · Server date: 2026-09-20 · Dated within 12 months: yes · Footer link · Estimator
Estimator: Disclaimer or 'Get Started' step before use.
HCA Houston Healthcare Southeast — Prices pending CLR review.
File posted · File opened · File’s own date: 2026-09-01 · Server date: 2026-09-20 · Dated within 12 months: yes · Footer link · Estimator
Estimator: Disclaimer or 'Get Started' step before use.
Houston Methodist Baytown
File posted · File opened · File’s own date: 2026-04-01 · Server date: 2026-07-06 · Dated within 12 months: yes · Footer link · Estimator
Estimator: Disclaimer or 'Get Started' step before use.
Houston Methodist Clear Lake
File posted · File opened · File’s own date: 2026-04-01 · Server date: 2026-03-25 · Dated within 12 months: yes · Footer link · Estimator
Estimator: Disclaimer or 'Get Started' step before use.
Memorial Hermann Southeast
File posted · File opened · File’s own date: 2026-04-01 · Dated within 12 months: yes · Footer link · Estimator
Estimator: Disclaimer or 'Get Started' step before use.
UTMB Clear Lake / League City — Prices pending CLR review.
File posted · File opened · File’s own date: 2023-03-31 · Server date: 2026-04-04 · Dated within 12 months: no · Footer link · Estimator
UTMB Health — prices from one file covering all four UTMB campuses (Galveston, League City, Angleton Danbury, Clear Lake). The file doesn't say which campus a price applies to.
Estimator: Disclaimer or 'Get Started' step before use. Request form; reply in 2–3 business days.

File posted: The hospital’s cms-hpt.txt index lists a machine-readable file for this location.
File opened: CLR downloaded and read the listed file.
File’s own date: The last_updated_on date written inside the file.
Server date: The Last-Modified date the hospital’s server reported for the file.
Dated within 12 months: Whether the file’s own date is within 12 months of the check date.
Footer link: The hospital site has a price-transparency link in its footer (browser check).
Estimator: A price-estimate tool anyone can open without an account (browser check).

Where these numbers come from

Every hospital must post its prices in a machine-readable file under federal law (45 CFR 180), listed in its cms-hpt.txt index. CLR read each hospital’s own file and validated it against the CMS v3.0.0 template. List price is the file’s gross charge and cash price its discounted cash price, both as filed. Insurers usually pay is the middle of the posted insurer-plan rates for that code: only rows with a dollar amount, in one setting and one billing class, unweighted; with an even count, the average of the two middle values. CLR computes it from the hospital’s file, and anyone can repeat it from the linked file. With fewer than 3 posted rates, each is shown. Where a file posts its own median, it is shown as the hospital’s own. Outside cash prices were captured on 2026-10-06 in an ordinary browser, each with a screenshot. [C] certified from the source [N] not yet confirmed

Hospitals still being checked: CommonSpirit St. Luke's Hospital – Pasadena, HCA Houston Healthcare Clear Lake, HCA Houston Healthcare Southeast, UTMB Clear Lake / League City. Their files are posted; CLR adds their prices once our review is complete.