In-111 capromab pendet at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$11,947.62
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.
$11,947.62
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.
$716.86 with Superior Health Plan vs $13,989.86 with Cigna — 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 | CHPFC | $716.86 | ↓ -94% |
| Superior Health Plan | STAR | $716.86 | ↓ -94% |
| Superior Health Plan | STARKids | $716.86 | ↓ -94% |
| Superior Health Plan | STARPLUS | $716.86 | ↓ -94% |
| Superior Health Plan | CHIP | $716.86 | ↓ -94% |
| Community Health Choice MCD | CHIPPerinatal | $1,553.19 | ↓ -87% |
| Community Health Choice MCD | CHIP | $1,553.19 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $1,553.19 | ↓ -87% |
| Community Health Choice MCD | STAR | $1,553.19 | ↓ -87% |
| United | OptionsPPO | $2,007.20 | ↓ -83% |
| Oscar | HIX | $2,329.79 | ↓ -80% |
| United | SmallGroup | $2,854.98 | ↓ -76% |
| United | AllPayerAppendix | $2,854.98 | ↓ -76% |
| United | NarrowNetworkIndivExchange | $2,854.98 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $3,046.64 | ↓ -75% |
| Molina Healthcare | HIX | $3,225.86 | ↓ -73% |
| Evry Health | BroadNetwork | $3,261.70 | ↓ -73% |
| Aetna | NBHMO | $3,835.19 | ↓ -68% |
| Aetna | NBPOS | $3,835.19 | ↓ -68% |
| Aetna | NBPPO | $3,835.19 | ↓ -68% |
| Aetna | COMMHMO | $4,086.09 | ↓ -66% |
| Aetna | COMMPPO | $4,086.09 | ↓ -66% |
| Aetna | COMMPOS | $4,086.09 | ↓ -66% |
| BCBS | Traditional | $4,181.67 | ↓ -65% |
| Christus (USFHP) | TRICARE | $4,779.05 | ↓ -60% |
| Curative Administrators | COMM | $4,779.05 | ↓ -60% |
| Aetna | OONPPO | $4,791.00 | ↓ -60% |
| Aetna | OONPOS | $4,791.00 | ↓ -60% |
| Aetna | OONHMO | $4,791.00 | ↓ -60% |
| Aetna | ASAPOS | $5,173.32 | ↓ -57% |
| Aetna | ASAHMO | $5,173.32 | ↓ -57% |
| Aetna | ASAPPO | $5,173.32 | ↓ -57% |
| United | GlobalAppendix | $5,376.43 | ↓ -55% |
| Coventry National First Health | COMM | $6,368.08 | ↓ -47% |
| Humana | HMO | $8,563.41 | ↓ -28% |
| Humana | PPO | $8,563.41 | ↓ -28% |
| BCBS | MyBlueHealth | $8,581.70 | ↓ -28% |
| BCBS | BAV | $9,457.39 | ↓ -21% |
| TriWest Healthcare Alliance | FED | $9,558.10 | ↓ -20% |
| Cigna | CSN | $10,851.11 | ↓ -9% |
| Cigna | OpenAccessPlus | $11,747.90 | ↓ -2% |
| BCBS | EPOSOA | $11,821.73 | ↓ -1% |
| BCBS | HMO | $11,821.73 | ↓ -1% |
| BCBS | PPO | $11,821.73 | ↓ -1% |
| Cigna | PPO | $13,989.86 | ↑ +17% |
Visitor-reported prices
Comments
In-111 capromab pendet at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $2,854.98 – $10,851.11 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $2,854.98 – $10,851.11 |
| St. Joseph Health Madison Hospital | Madisonville | $1,564.68 | $1,139.09 – $8,046.90 |
| St. Joseph Health College Station Hospital | College Station | $1,564.68 | $1,313.59 – $7,599.85 |
| St. Joseph Health Grimes Hospital | Navasota | $1,564.68 | $1,313.59 – $9,924.51 |
| St. Joseph Health Burleson Hospital | Caldwell | $1,564.68 | $1,313.59 – $8,046.90 |
| Adventhealth Rollins Brook | Lampasas | not published | $16,856.92 – $16,856.92 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $2,854.98 – $10,851.11 |