Sm-153 lexidron ther at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$25,584.87
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.
$25,584.87
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.
$1,535.09 with Superior Health Plan vs $146,997.15 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 | STARPLUS | $1,535.09 | ↓ -94% |
| Superior Health Plan | CHPFC | $1,535.09 | ↓ -94% |
| Superior Health Plan | STARKids | $1,535.09 | ↓ -94% |
| Superior Health Plan | CHIP | $1,535.09 | ↓ -94% |
| Superior Health Plan | STAR | $1,535.09 | ↓ -94% |
| Community Health Choice MCD | CHIP | $3,326.03 | ↓ -87% |
| Community Health Choice MCD | STAR | $3,326.03 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $3,326.03 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $3,326.03 | ↓ -87% |
| United | OptionsPPO | $4,298.26 | ↓ -83% |
| Oscar | HIX | $4,989.05 | ↓ -80% |
| United | NarrowNetworkIndivExchange | $5,213.67 | ↓ -80% |
| United | SmallGroup | $5,213.67 | ↓ -80% |
| United | AllPayerAppendix | $5,213.67 | ↓ -80% |
| Healthcare Highways | NarrowNetwork | $6,524.14 | ↓ -75% |
| Aetna | QHPExchange | $6,779.99 | ↓ -74% |
| Evry Health | BroadNetwork | $6,984.67 | ↓ -73% |
| Aetna | NBPPO | $8,212.74 | ↓ -68% |
| Aetna | NBPOS | $8,212.74 | ↓ -68% |
| Aetna | NBHMO | $8,212.74 | ↓ -68% |
| Aetna | COMMPPO | $8,750.03 | ↓ -66% |
| Aetna | COMMHMO | $8,750.03 | ↓ -66% |
| Aetna | COMMPOS | $8,750.03 | ↓ -66% |
| BCBS | Traditional | $8,954.70 | ↓ -65% |
| Christus (USFHP) | TRICARE | $10,233.95 | ↓ -60% |
| Curative Administrators | COMM | $10,233.95 | ↓ -60% |
| Aetna | OONPOS | $10,259.53 | ↓ -60% |
| Aetna | OONHMO | $10,259.53 | ↓ -60% |
| Aetna | OONPPO | $10,259.53 | ↓ -60% |
| Aetna | ASAPPO | $11,078.25 | ↓ -57% |
| Aetna | ASAPOS | $11,078.25 | ↓ -57% |
| Aetna | ASAHMO | $11,078.25 | ↓ -57% |
| United | GlobalAppendix | $11,513.19 | ↓ -55% |
| Coventry National First Health | COMM | $13,636.74 | ↓ -47% |
| BCBS | MyBlueHealth | $29,707.27 | ↑ +16% |
| BCBS | BAV | $32,738.62 | ↑ +28% |
| Cigna | CSN | $40,192.67 | ↑ +57% |
| BCBS | PPO | $40,923.28 | ↑ +60% |
| BCBS | HMO | $40,923.28 | ↑ +60% |
| BCBS | EPOSOA | $40,923.28 | ↑ +60% |
| Cigna | OpenAccessPlus | $43,514.37 | ↑ +70% |
| Cigna | PPO | $51,818.64 | ↑ +103% |
| Humana | HMO | $146,997.15 | ↑ +475% |
| Humana | PPO | $146,997.15 | ↑ +475% |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $11,563.30 | $7,551.09 – $33,038.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $11,563.30 | $6,161.69 – $33,038.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $5,213.67 – $146,997.15 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $5,213.67 – $146,997.15 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $30,877.91 | $5,213.67 – $146,997.15 |
| St. Joseph Health Madison Hospital | Madisonville | $5,363.75 | $3,904.81 – $27,585.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,543.50 | $3,883.42 – $10,290.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $11,563.30 | $6,161.69 – $33,038.00 |