HCA Healthcare · Tomball, TX
30
In-network payers
370
Disclosed rate categories
350
Beds
3
Care quality
Hca Houston Healthcare Tomball is a 350-bed proprietary hospital in Tomball, TX, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 370 disclosed rate categories.
CCN (Medicare provider number)
450670
NPI
1750819025
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
350
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Hca Houston Healthcare Tomball most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$6,725 - $10,661
from 4 insurers · median $8,250
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,966 - $12,300
from 4 insurers · median $9,919
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$699 - $1,864
from 4 insurers · median $1,370
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,725 - $10,661
from 4 insurers · median $8,250
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 216
$71,672 - $157,878
from 4 insurers · median $115,084
Hospital reports cardiac thoracic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$347 - $3,189
from 4 insurers · median $1,936
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,538 - $4,537
from 4 insurers · median $4,251
281 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$3,672 - $11,756
from 4 insurers · median $8,850
44 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,438 - $3,158
from 4 insurers · median $2,555
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$18,647 - $38,313
from 4 insurers · median $28,089
11 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 70450
$207 - $1,771
from 4 insurers · median $478
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,130 - $3,158
from 4 insurers · median $2,574
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,059 - $3,158
from 4 insurers · median $2,555
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$184 - $645
from 4 insurers · median $312
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$437 - $1,771
from 4 insurers · median $775
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,387 - $8,942
from 4 insurers · median $7,230
44 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$21,532 - $64,499
from 4 insurers · median $36,635
Hospital reports neurosurgical services to CMS
Gynecology
CPT 58571
$3,613 - $16,490
from 4 insurers · median $9,773
Typical for a hospital with this service line
CT imaging
CPT 71275
$339 - $1,771
from 4 insurers · median $748
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$699 - $2,304
from 4 insurers · median $1,267
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,415 - $2,874
from 3 insurers · median $2,631
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,392 - $4,168
from 4 insurers · median $2,648
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$100 - $304
from 4 insurers · median $161
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$387 - $2,304
from 4 insurers · median $1,065
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 336% | 10 | 11 |
| Insurer B* | 24 | 323% | 14 | 6 |
| Insurer C* | 24 | 185% | 1 | 19 |
| Insurer D* | 23 | 178% | 12 | 4 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Hca Houston Healthcare Tomball.
605 Holderrieth Street, Tomball, TX 77375
(281) 351-1623
The nearest hospitals of similar type and size. Their rates are compared with Hca Houston Healthcare Tomball for the same insurers and services above.
Methodist Willowbrook Hospital
▲ Rates typically 15% higher than Hca Houston Healthcare Tomball (21 services)
Chi St. Lukes Health - The Woodlands Hospital
▼ Rates typically 19% lower than Hca Houston Healthcare Tomball (21 services)
Houston Methodist The Woodlands Hospital
▲ Rates typically 15% higher than Hca Houston Healthcare Tomball (21 services)
Methodist West Houston Hospital
▲ Rates typically 15% higher than Hca Houston Healthcare Tomball (21 services)
Memorial Hermann Northeast
▲ Rates typically 37% higher than Hca Houston Healthcare Tomball (21 services)
Memorial Hermann Memorial City Medical Center
▲ Rates typically 37% higher than Hca Houston Healthcare Tomball (21 services)
Hca Houston Healthcare Northwest
Methodist Hospital Atascosa
Methodist Hospital Stone Oak
Medical City Fort Worth
About Hca Houston Healthcare Tomball's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hca Houston Healthcare Tomball range from $699 to $2,304 across 4 insurers. Aetna's rate is $1,530. The median at nearby comparable hospitals is $1,168. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Hca Houston Healthcare Tomball range from $699 to $1,864 across 4 insurers. Blue Cross Blue Shield's rate is $970. The median at nearby comparable hospitals is $1,711. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Hca Houston Healthcare Tomball range from $2,130 to $3,158 across 4 insurers. Cigna's rate is $3,158. The median at nearby comparable hospitals is $1,994. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Hca Houston Healthcare Tomball range from $6,725 to $10,661 across 4 insurers. UnitedHealthcare's rate is $6,725. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hca Houston Healthcare Tomball range from $184 to $645 across 4 insurers. Cigna's rate is $299. The median at nearby comparable hospitals is $307. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Hca Houston Healthcare Tomball range from $18,647 to $38,313 across 4 insurers. Aetna's rate is $18,647. The median at nearby comparable hospitals is $28,219. What a patient pays depends on their plan's deductible, coinsurance and network status.
Hca Houston Healthcare Tomball has 350 beds. Facility type: Short Term Acute Care Hospital.
Hca Houston Healthcare Tomball is located at 605 Holderrieth Street, Tomball, TX 77375. Its main phone number is (281) 351-1623.
Hca Houston Healthcare Tomball's CMS Certification Number (CCN), also called its Medicare provider number, is 450670.
The National Provider Identifier (NPI) on file for Hca Houston Healthcare Tomball is 1750819025.
Hca Houston Healthcare Tomball is affiliated with HCA Healthcare.
Hca Houston Healthcare Tomball lists 30 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
370 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers