Nm radiopharmaceutical therapy oral administration at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$1,373.03
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.
$1,373.03
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.
$82.38 with Superior Health Plan vs $731.82 with Coventry National First Health — 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 | STARKids | $82.38 | ↓ -94% |
| Superior Health Plan | CHIP | $82.38 | ↓ -94% |
| Superior Health Plan | CHPFC | $82.38 | ↓ -94% |
| Superior Health Plan | STAR | $82.38 | ↓ -94% |
| Superior Health Plan | STARPLUS | $82.38 | ↓ -94% |
| BCBS | MyBlueHealth | $89.44 | ↓ -93% |
| BCBS | BAV | $113.33 | ↓ -92% |
| Community Health Choice MCD | CHIPPerinatal | $132.99 | ↓ -90% |
| Community Health Choice MCD | CHIP | $132.99 | ↓ -90% |
| Community Health Choice MCD | STAR | $132.99 | ↓ -90% |
| Community Health Choice MCD | STAR+PLUS | $132.99 | ↓ -90% |
| United | MGMCD | $135.65 | ↓ -90% |
| Aetna Better Health | MGMCD | $143.63 | ↓ -90% |
| Molina Healthcare | STARPLUS | $147.76 | ↓ -89% |
| Molina Healthcare | CHIP | $147.76 | ↓ -89% |
| Molina Healthcare | STAR | $147.76 | ↓ -89% |
| Molina Healthcare | STARKIDS | $147.76 | ↓ -89% |
| Humana | MCD | $167.91 | ↓ -88% |
| BCBS | HMO | $172.79 | ↓ -87% |
| BCBS | EPOSOA | $184.98 | ↓ -87% |
| BCBS | PPO | $196.67 | ↓ -86% |
| United | OptionsPPO | $230.67 | ↓ -83% |
| Aetna | QHPExchange | $300.26 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $350.12 | ↓ -75% |
| Evry Health | BroadNetwork | $374.84 | ↓ -73% |
| Aetna | NBHMO | $399.08 | ↓ -71% |
| Aetna | NBPPO | $399.08 | ↓ -71% |
| Aetna | NBPOS | $399.08 | ↓ -71% |
| Aetna | COMMHMO | $424.52 | ↓ -69% |
| Aetna | COMMPOS | $424.52 | ↓ -69% |
| Aetna | COMMPPO | $424.52 | ↓ -69% |
| Humana | PPO | $438.13 | ↓ -68% |
| Humana | HMO | $438.13 | ↓ -68% |
| United | NarrowNetworkIndivExchange | $474.28 | ↓ -65% |
| BCBS | Traditional | $480.56 | ↓ -65% |
| Aetna | OONPPO | $499.17 | ↓ -64% |
| Aetna | OONPOS | $499.17 | ↓ -64% |
| Aetna | OONHMO | $499.17 | ↓ -64% |
| Aetna | ASAPOS | $539.46 | ↓ -61% |
| Aetna | ASAHMO | $539.46 | ↓ -61% |
| Aetna | ASAPPO | $539.46 | ↓ -61% |
| Christus (USFHP) | TRICARE | $549.21 | ↓ -60% |
| Curative Administrators | COMM | $549.21 | ↓ -60% |
| United | SmallGroup | $561.65 | ↓ -59% |
| United | AllPayerAppendix | $561.65 | ↓ -59% |
| United | GlobalAppendix | $617.86 | ↓ -55% |
| Coventry National First Health | COMM | $731.82 | ↓ -47% |
Visitor-reported prices
Comments
Nm radiopharmaceutical therapy oral administration at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,329.65 | $60.98 – $3,799.00 |
| HCA HOUSTON WEST | HOUSTON | $8,889.00 | $89.44 – $300.26 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,329.65 | $71.66 – $3,799.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $1,535.66 | $89.44 – $300.26 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,514.24 | $101.64 – $1,892.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,203.89 | $170.76 – $1,805.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,020.34 | $134.99 – $1,275.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,514.24 | $116.38 – $1,892.80 |