Tc-99m bicisate at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$3,372.43
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.
$3,372.43
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.
$202.35 with Superior Health Plan vs $11,667.71 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 | CHIP | $202.35 | ↓ -94% |
| Superior Health Plan | STARPLUS | $202.35 | ↓ -94% |
| Superior Health Plan | STARKids | $202.35 | ↓ -94% |
| Superior Health Plan | STAR | $202.35 | ↓ -94% |
| Superior Health Plan | CHPFC | $202.35 | ↓ -94% |
| Community Health Choice MCD | STAR+PLUS | $438.42 | ↓ -87% |
| Community Health Choice MCD | CHIP | $438.42 | ↓ -87% |
| Community Health Choice MCD | STAR | $438.42 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $438.42 | ↓ -87% |
| United | OptionsPPO | $566.57 | ↓ -83% |
| Oscar | HIX | $657.62 | ↓ -81% |
| BCBS | MyBlueHealth | $726.38 | ↓ -78% |
| BCBS | BAV | $800.50 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $859.97 | ↓ -74% |
| Evry Health | BroadNetwork | $920.67 | ↓ -73% |
| BCBS | HMO | $1,000.62 | ↓ -70% |
| BCBS | EPOSOA | $1,000.62 | ↓ -70% |
| BCBS | PPO | $1,000.62 | ↓ -70% |
| Aetna | NBHMO | $1,082.55 | ↓ -68% |
| Aetna | NBPPO | $1,082.55 | ↓ -68% |
| Aetna | NBPOS | $1,082.55 | ↓ -68% |
| Aetna | COMMPPO | $1,153.37 | ↓ -66% |
| Aetna | COMMHMO | $1,153.37 | ↓ -66% |
| Aetna | COMMPOS | $1,153.37 | ↓ -66% |
| BCBS | Traditional | $1,180.35 | ↓ -65% |
| United | AllPayerAppendix | $1,279.61 | ↓ -62% |
| United | NarrowNetworkIndivExchange | $1,279.61 | ↓ -62% |
| United | SmallGroup | $1,279.61 | ↓ -62% |
| Christus (USFHP) | TRICARE | $1,348.97 | ↓ -60% |
| Curative Administrators | COMM | $1,348.97 | ↓ -60% |
| Aetna | OONPOS | $1,352.34 | ↓ -60% |
| Aetna | OONPPO | $1,352.34 | ↓ -60% |
| Aetna | OONHMO | $1,352.34 | ↓ -60% |
| Aetna | ASAHMO | $1,460.26 | ↓ -57% |
| Aetna | ASAPPO | $1,460.26 | ↓ -57% |
| Aetna | ASAPOS | $1,460.26 | ↓ -57% |
| United | GlobalAppendix | $1,517.59 | ↓ -55% |
| Coventry National First Health | COMM | $1,797.51 | ↓ -47% |
| Humana | PPO | $4,349.01 | ↑ +29% |
| Humana | HMO | $4,349.01 | ↑ +29% |
| Cigna | CSN | $9,049.95 | ↑ +168% |
| Cigna | OpenAccessPlus | $9,797.88 | ↑ +191% |
| Cigna | PPO | $11,667.71 | ↑ +246% |
Visitor-reported prices
Comments
Tc-99m bicisate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,969.45 | $100.00 – $5,627.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,969.45 | $100.00 – $5,627.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $726.38 – $9,049.95 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $726.38 – $9,049.95 |
| St. Joseph Health Madison Hospital | Madisonville | $374.68 | $272.77 – $1,926.90 |
| St. Luke's Health Memorial Lufkin | Lufkin | $436.80 | $100.00 – $2,620.80 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,969.45 | $100.00 – $5,627.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,969.45 | $100.00 – $5,627.00 |