Adenosine 3 mg/250 ml bag for osm at HCA HOUSTON CLEAR LAKE
225 E PARKWOOD AVE, FRIENDSWOOD, TX · HCA Houston Healthcare · · NPI 1063466035
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$0.39 with Christus (USFHP) vs $909.35 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Christus (USFHP) | TRICARE | $0.39 | — |
| TriWest Health Alliance | TRCR | $0.39 | — |
| United | SmallGroup | $0.87 | — |
| United | AllPayerAppendix | $0.87 | — |
| United | NarrowNetworkIndivExchange | $0.87 | — |
| Cigna | CSN | $1.11 | — |
| Cigna | OpenAccessPlus | $1.21 | — |
| Cigna | PPO | $1.44 | — |
| BCBS | MyBlueHealth | $2.47 | — |
| BCBS | BAV | $2.72 | — |
| BCBS | PPO | $3.40 | — |
| BCBS | HMO | $3.40 | — |
| BCBS | EPOSOA | $3.40 | — |
| Humana | PPO | $8.08 | — |
| Humana | HMO | $8.08 | — |
| Superior Health Plan | CHIP | $60.62 | — |
| Superior Health Plan | STARPLUS | $60.62 | — |
| Superior Health Plan | STARKids | $60.62 | — |
| Superior Health Plan | STAR | $60.62 | — |
| Superior Health Plan | CHPFC | $60.62 | — |
| Aetna | MCR | $66.99 | — |
| Community Health Choice MCD | STAR | $131.35 | — |
| Community Health Choice MCD | STAR+PLUS | $131.35 | — |
| Community Health Choice MCD | CHIP | $131.35 | — |
| Community Health Choice MCD | CHIPPerinatal | $131.35 | — |
| Amerigroup | MGMCD | $141.45 | — |
| Amerigroup | MCDCHIPBH | $141.45 | — |
| Texas Childrens Health Plans | CHIP | $167.72 | — |
| United | OptionsPPO | $177.83 | — |
| Texas Childrens Health Plans | STARKIDS | $239.46 | — |
| Texas Childrens Health Plans | STAR | $239.46 | — |
| Texas Workforce Commission | WCOMP | $242.49 | — |
| IPA Management Services | COMM | $252.60 | — |
| Molina Healthcare | HIX | $272.81 | — |
| CHC Harris Health | Indigent | $303.12 | — |
| BCBS | Traditional | $353.64 | — |
| HealthSmart Preferred Care | ACCEL | $434.47 | — |
| United | GlobalAppendix | $454.68 | — |
| Coventry National First Health | COMM | $538.54 | — |
| Physicians Cooperative of Texas | WC | $555.71 | — |
| Rockport Workers Comp | COMM | $555.71 | — |
| SouthWest Medical | WORKERSCOMP | $606.23 | — |
| Independent Medical System | COMM | $606.23 | — |
| National Healthcare Solutions | COMM | $606.23 | — |
| Beech Street | WCOMP | $606.23 | — |
| Coastal Comp | COMM | $656.75 | — |
| Cigna Behavioral Health | COMMBH | $808.31 | — |
| TriWest Healthcare Alliance | Veterans | $808.31 | — |
| Beech Street | COMMPPO | $808.31 | — |
| HealthSmart Preferred Care | PPO | $828.52 | — |
| Physicians, INC | COMM | $858.83 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $858.83 | — |
| Affiliated PPO | COMM | $909.35 | — |
| Multiplan | COMPLEMENTARYPPO | $909.35 | — |
Visitor-reported prices
Comments
Adenosine 3 mg/250 ml bag for osm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $762.46 | $4.85 – $4.85 |
| St. Luke's Health - Patients Medical Center | Pasadena | $413.70 | $0.46 – $885.75 |
| Baylor St Luke's Medical Center | Houston | $672.25 | $0.56 – $55.97 |
| St. Luke's Health Memorial Lufkin | Lufkin | $234.26 | $0.45 – $35.06 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $672.25 | $0.46 – $55.97 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $672.25 | $0.46 – $55.97 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $672.25 | $0.46 – $55.97 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $32.64 | $0.46 – $60.62 |