Diphtheria-tetanus toxoids 0.5 ml (peds) 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.
$7.01 with Superior Health Plan vs $575.34 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.
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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $7.01 | — |
| Superior Health Plan | STARPLUS | $7.01 | — |
| Superior Health Plan | STARKids | $7.01 | — |
| Superior Health Plan | STAR | $7.01 | — |
| Superior Health Plan | CHPFC | $7.01 | — |
| Aetna | MCR | $7.74 | — |
| Community Health Choice MCD | STAR+PLUS | $15.18 | — |
| Community Health Choice MCD | CHIP | $15.18 | — |
| Community Health Choice MCD | CHIPPerinatal | $15.18 | — |
| Community Health Choice MCD | STAR | $15.18 | — |
| Amerigroup | MGMCD | $16.35 | — |
| Amerigroup | MCDCHIPBH | $16.35 | — |
| Texas Childrens Health Plans | CHIP | $19.39 | — |
| United | OptionsPPO | $20.56 | — |
| Texas Childrens Health Plans | STARKIDS | $27.68 | — |
| Texas Childrens Health Plans | STAR | $27.68 | — |
| Texas Workforce Commission | WCOMP | $28.03 | — |
| United | SmallGroup | $30.31 | — |
| United | AllPayerAppendix | $30.31 | — |
| United | NarrowNetworkIndivExchange | $30.31 | — |
| Molina Healthcare | HIX | $31.54 | — |
| CHC Harris Health | Indigent | $35.04 | — |
| BCBS | Traditional | $40.88 | — |
| Christus (USFHP) | TRICARE | $46.72 | — |
| HealthSmart Preferred Care | ACCEL | $50.22 | — |
| United | GlobalAppendix | $52.56 | — |
| Coventry National First Health | COMM | $62.25 | — |
| Physicians Cooperative of Texas | WC | $64.24 | — |
| Rockport Workers Comp | COMM | $64.24 | — |
| Beech Street | WCOMP | $70.08 | — |
| Independent Medical System | COMM | $70.08 | — |
| National Healthcare Solutions | COMM | $70.08 | — |
| SouthWest Medical | WORKERSCOMP | $70.08 | — |
| BCBS | MyBlueHealth | $73.62 | — |
| Coastal Comp | COMM | $75.92 | — |
| BCBS | BAV | $81.13 | — |
| Beech Street | COMMPPO | $93.44 | — |
| TriWest Healthcare Alliance | Veterans | $93.44 | — |
| HealthSmart Preferred Care | PPO | $95.78 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $99.28 | — |
| Physicians, INC | COMM | $99.28 | — |
| BCBS | EPOSOA | $101.41 | — |
| BCBS | HMO | $101.41 | — |
| BCBS | PPO | $101.41 | — |
| Multiplan | COMPLEMENTARYPPO | $105.12 | — |
| Affiliated PPO | COMM | $105.12 | — |
| Cigna | CSN | $179.13 | — |
| Cigna | OpenAccessPlus | $193.93 | — |
| Cigna | PPO | $230.94 | — |
| Humana | HMO | $575.34 | — |
| Humana | PPO | $575.34 | — |
Visitor-reported prices
Comments
Diphtheria-tetanus toxoids 0.5 ml (peds) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CONROE | CONROE | $145.63 | $30.31 – $575.34 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,011.19 | $30.31 – $575.34 |
| St. Luke's Health Memorial Lufkin | Lufkin | $133.96 | $80.38 – $803.75 |
| HCA HOUSTON SOUTHEAST | PASADENA | $521.18 | $30.31 – $575.34 |
| St. Luke's Health Memorial Livingston | Livingston | $133.96 | $80.38 – $803.75 |
| St. Luke's Health Memorial San Augustine | San Augustine | $133.96 | $80.38 – $803.75 |
| Covenant Hospital Plainview | Plainview | $5.88 | $139.35 – $139.35 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $67.32 | $126.20 – $157.38 |