Diphenhydramine 12.5 mg/5 ml oral elixir at HCA HOUSTON CLEAR LAKE

225 E PARKWOOD AVE, FRIENDSWOOD, TX · HCA Houston Healthcare · · NPI 1063466035

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

$2.27

Cash price

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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.

$2.27

Gross charge

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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.

$0.04 with BCBS vs $2.63 with Humana — 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.

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Payer
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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
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
BCBS MyBlueHealth $0.04 ↓ -98%
BCBS BAV $0.04 ↓ -98%
BCBS PPO $0.05 ↓ -98%
BCBS EPOSOA $0.05 ↓ -98%
Cigna CSN $0.05 ↓ -98%
Cigna OpenAccessPlus $0.05 ↓ -98%
BCBS HMO $0.05 ↓ -98%
Cigna PPO $0.06 ↓ -97%
Superior Health Plan STAR $0.14 ↓ -94%
Superior Health Plan STARKids $0.14 ↓ -94%
Superior Health Plan CHIP $0.14 ↓ -94%
Superior Health Plan STARPLUS $0.14 ↓ -94%
Superior Health Plan CHPFC $0.14 ↓ -94%
Aetna MCR $0.15 ↓ -93%
Community Health Choice MCD CHIPPerinatal $0.30 ↓ -87%
Community Health Choice MCD STAR+PLUS $0.30 ↓ -87%
Community Health Choice MCD STAR $0.30 ↓ -87%
Community Health Choice MCD CHIP $0.30 ↓ -87%
Amerigroup MCDCHIPBH $0.32 ↓ -86%
Amerigroup MGMCD $0.32 ↓ -86%
Texas Childrens Health Plans CHIP $0.38 ↓ -83%
United OptionsPPO $0.46 ↓ -80%
Texas Childrens Health Plans STAR $0.54 ↓ -76%
Texas Childrens Health Plans STARKIDS $0.54 ↓ -76%
IPA Management Services COMM $0.57 ↓ -75%
Molina Healthcare HIX $0.61 ↓ -73%
BCBS Traditional $0.79 ↓ -65%
Christus (USFHP) TRICARE $0.91 ↓ -60%
HealthSmart Preferred Care ACCEL $0.98 ↓ -57%
United GlobalAppendix $1.02 ↓ -55%
Coventry National First Health COMM $1.21 ↓ -47%
Rockport Workers Comp COMM $1.25 ↓ -45%
Physicians Cooperative of Texas WC $1.25 ↓ -45%
Independent Medical System COMM $1.36 ↓ -40%
SouthWest Medical WORKERSCOMP $1.36 ↓ -40%
Beech Street WCOMP $1.36 ↓ -40%
National Healthcare Solutions COMM $1.36 ↓ -40%
Coastal Comp COMM $1.48 ↓ -35%
Beech Street COMMPPO $1.82 ↓ -20%
Cigna Behavioral Health COMMBH $1.82 ↓ -20%
HealthSmart Preferred Care PPO $1.86 ↓ -18%
HealthSmart Preferred Care ACCOUNTABLEPPO $1.93 ↓ -15%
Physicians, INC COMM $1.93 ↓ -15%
Affiliated PPO COMM $2.04 ↓ -10%
Multiplan COMPLEMENTARYPPO $2.04 ↓ -10%
United SmallGroup $2.34 ↑ +3%
United AllPayerAppendix $2.34 ↑ +3%
United NarrowNetworkIndivExchange $2.34 ↑ +3%
Humana PPO $2.63 ↑ +16%
Humana HMO $2.63 ↑ +16%

Visitor-reported prices

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Diphenhydramine 12.5 mg/5 ml oral elixir at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Children's Hospital Lubbock $2.10 $0.07 – $4.83
St. Luke's Health - Patients Medical Center Pasadena $2.58 $0.02 – $7.35
Baylor St Luke's Medical Center Houston $0.70 $0.02 – $0.41
St. Joseph Health Madison Hospital Madisonville $0.42 $0.02 – $2.14
St. Luke's Health Memorial Lufkin Lufkin $0.49 $0.02 – $2.58
St. Luke's Health - Springwoods Village Hospital Spring $0.70 $0.02 – $0.41
St. Luke's Health - Sugar Land Hospital Sugar Land $0.70 $0.02 – $0.41
St. Joseph Health College Station Hospital College Station $0.42 $0.02 – $2.02

All Texas hospitals for this procedure →