Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr 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

$308.45

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.

$308.45

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.88 with BCBS vs $277.61 with Affiliated PPO — 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 →

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 $0.88 ↓ -100%
BCBS BAV $0.97 ↓ -100%
BCBS EPOSOA $1.22 ↓ -100%
BCBS HMO $1.22 ↓ -100%
BCBS PPO $1.22 ↓ -100%
Christus (USFHP) TRICARE $1.60 ↓ -99%
TriWest Health Alliance TRCR $1.60 ↓ -99%
United SmallGroup $3.42 ↓ -99%
United AllPayerAppendix $3.42 ↓ -99%
United NarrowNetworkIndivExchange $3.42 ↓ -99%
Cigna CSN $5.95 ↓ -98%
Cigna OpenAccessPlus $6.45 ↓ -98%
Cigna PPO $7.68 ↓ -98%
Superior Health Plan STARKids $18.51 ↓ -94%
Superior Health Plan CHPFC $18.51 ↓ -94%
Superior Health Plan CHIP $18.51 ↓ -94%
Superior Health Plan STAR $18.51 ↓ -94%
Superior Health Plan STARPLUS $18.51 ↓ -94%
Aetna MCR $20.45 ↓ -93%
Humana PPO $32.14 ↓ -90%
Humana HMO $32.14 ↓ -90%
Community Health Choice MCD STAR+PLUS $40.10 ↓ -87%
Community Health Choice MCD CHIP $40.10 ↓ -87%
Community Health Choice MCD CHIPPerinatal $40.10 ↓ -87%
Community Health Choice MCD STAR $40.10 ↓ -87%
Amerigroup MGMCD $43.18 ↓ -86%
Amerigroup MCDCHIPBH $43.18 ↓ -86%
Texas Childrens Health Plans CHIP $51.20 ↓ -83%
United OptionsPPO $54.29 ↓ -82%
Texas Childrens Health Plans STAR $73.10 ↓ -76%
Texas Childrens Health Plans STARKIDS $73.10 ↓ -76%
Texas Workforce Commission WCOMP $74.03 ↓ -76%
Molina Healthcare HIX $83.28 ↓ -73%
CHC Harris Health Indigent $92.53 ↓ -70%
BCBS Traditional $107.96 ↓ -65%
HealthSmart Preferred Care ACCEL $132.63 ↓ -57%
United GlobalAppendix $138.80 ↓ -55%
Coventry National First Health COMM $164.40 ↓ -47%
Physicians Cooperative of Texas WC $169.65 ↓ -45%
Rockport Workers Comp COMM $169.65 ↓ -45%
SouthWest Medical WORKERSCOMP $185.07 ↓ -40%
Independent Medical System COMM $185.07 ↓ -40%
National Healthcare Solutions COMM $185.07 ↓ -40%
Beech Street WCOMP $185.07 ↓ -40%
Coastal Comp COMM $200.49 ↓ -35%
Beech Street COMMPPO $246.76 ↓ -20%
TriWest Healthcare Alliance Veterans $246.76 ↓ -20%
HealthSmart Preferred Care PPO $252.93 ↓ -18%
Physicians, INC COMM $262.18 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $262.18 ↓ -15%
Multiplan COMPLEMENTARYPPO $277.61 ↓ -10%
Affiliated PPO COMM $277.61 ↓ -10%

Visitor-reported prices

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Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $69.87 $1.73 – $1.73
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $228.45 $2.22 – $14.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $228.45 $2.08 – $15.19
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $228.45 $2.03 – $12.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $228.45 $2.22 – $14.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $228.45 $2.22 – $15.19
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $228.45 $2.22 – $15.19
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $228.45 $2.22 – $15.19

All Texas hospitals for this procedure →