Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
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.
$0.27 with BCBS vs $13.32 with TriWest Healthcare Alliance — 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $0.27 | — |
| BCBS | BAV | $0.30 | — |
| BCBS | PPO | $0.38 | — |
| BCBS | EPOSOA | $0.38 | — |
| BCBS | HMO | $0.38 | — |
| Cigna | CSN | $0.56 | — |
| Cigna | OpenAccessPlus | $0.60 | — |
| Cigna | PPO | $0.72 | — |
| United | NarrowNetworkIndivExchange | $0.87 | — |
| United | SmallGroup | $0.87 | — |
| United | AllPayerAppendix | $0.87 | — |
| Superior Health Plan | CHPFC | $1.00 | — |
| Superior Health Plan | STARPLUS | $1.00 | — |
| Superior Health Plan | STARKids | $1.00 | — |
| Superior Health Plan | STAR | $1.00 | — |
| Superior Health Plan | CHIP | $1.00 | — |
| Community Health Choice MCD | STAR | $2.16 | — |
| Community Health Choice MCD | CHIP | $2.16 | — |
| Community Health Choice MCD | CHIPPerinatal | $2.16 | — |
| Community Health Choice MCD | STAR+PLUS | $2.16 | — |
| United | OptionsPPO | $2.80 | — |
| Oscar | HIX | $3.25 | — |
| Healthcare Highways | NarrowNetwork | $4.25 | — |
| Aetna | QHPExchange | $4.41 | — |
| Molina Healthcare | HIX | $4.50 | — |
| Evry Health | BroadNetwork | $4.55 | — |
| Aetna | NBHMO | $5.34 | — |
| Aetna | NBPPO | $5.34 | — |
| Aetna | NBPOS | $5.34 | — |
| Aetna | COMMPOS | $5.69 | — |
| Aetna | COMMPPO | $5.69 | — |
| Aetna | COMMHMO | $5.69 | — |
| BCBS | Traditional | $5.83 | — |
| Curative Administrators | COMM | $6.66 | — |
| Christus (USFHP) | TRICARE | $6.66 | — |
| Aetna | OONPOS | $6.68 | — |
| Aetna | OONPPO | $6.68 | — |
| Aetna | OONHMO | $6.68 | — |
| Aetna | ASAHMO | $7.21 | — |
| Aetna | ASAPOS | $7.21 | — |
| Aetna | ASAPPO | $7.21 | — |
| United | GlobalAppendix | $7.49 | — |
| Coventry National First Health | COMM | $8.87 | — |
| Humana | PPO | $9.16 | — |
| Humana | HMO | $9.16 | — |
| TriWest Healthcare Alliance | FED | $13.32 | — |
Visitor-reported prices
Comments
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $46.09 | $0.06 – $0.25 |
| St. Luke's Health - The Vintage Hospital | Houston | $46.09 | $0.06 – $0.25 |
| HCA HOUSTON WEST | HOUSTON | not published | $0.27 – $9.16 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $0.27 – $9.16 |
| Adventhealth Rollins Brook | Lampasas | $42.99 | $0.54 – $0.54 |
| St. Luke's Health - Patients Medical Center | Pasadena | $432.55 | $0.15 – $420.00 |
| St. Joseph Health Madison Hospital | Madisonville | $49.63 | $0.01 – $0.56 |
| St. Luke's Health Memorial Lufkin | Lufkin | $93.49 | $0.26 – $116.85 |