Tc-99m mebrofenin 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$31.66 with Superior Health Plan vs $646.54 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | STAR | $31.66 | — |
| Superior Health Plan | STARPLUS | $31.66 | — |
| Superior Health Plan | STARKids | $31.66 | — |
| Superior Health Plan | CHIP | $31.66 | — |
| Superior Health Plan | CHPFC | $31.66 | — |
| Community Health Choice MCD | CHIPPerinatal | $68.59 | — |
| Community Health Choice MCD | CHIP | $68.59 | — |
| Community Health Choice MCD | STAR+PLUS | $68.59 | — |
| Community Health Choice MCD | STAR | $68.59 | — |
| United | OptionsPPO | $88.65 | — |
| Oscar | HIX | $102.89 | — |
| BCBS | MyBlueHealth | $108.00 | — |
| BCBS | BAV | $119.02 | — |
| Healthcare Highways | NarrowNetwork | $134.55 | — |
| Cigna | CSN | $136.54 | — |
| Molina Healthcare | HIX | $142.47 | — |
| Evry Health | BroadNetwork | $144.05 | — |
| Cigna | OpenAccessPlus | $147.82 | — |
| BCBS | EPOSOA | $148.77 | — |
| BCBS | PPO | $148.77 | — |
| BCBS | HMO | $148.77 | — |
| Aetna | NBHMO | $169.38 | — |
| Aetna | NBPPO | $169.38 | — |
| Aetna | NBPOS | $169.38 | — |
| Cigna | PPO | $176.03 | — |
| Aetna | COMMHMO | $180.46 | — |
| Aetna | COMMPOS | $180.46 | — |
| Aetna | COMMPPO | $180.46 | — |
| BCBS | Traditional | $184.68 | — |
| United | AllPayerAppendix | $187.21 | — |
| United | NarrowNetworkIndivExchange | $187.21 | — |
| United | SmallGroup | $187.21 | — |
| Curative Administrators | COMM | $211.06 | — |
| Christus (USFHP) | TRICARE | $211.06 | — |
| Aetna | OONPOS | $211.59 | — |
| Aetna | OONPPO | $211.59 | — |
| Aetna | OONHMO | $211.59 | — |
| Aetna | ASAPOS | $228.47 | — |
| Aetna | ASAPPO | $228.47 | — |
| Aetna | ASAHMO | $228.47 | — |
| United | GlobalAppendix | $237.44 | — |
| Coventry National First Health | COMM | $281.24 | — |
| TriWest Healthcare Alliance | FED | $422.12 | — |
| Humana | HMO | $646.54 | — |
| Humana | PPO | $646.54 | — |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $103.60 | $49.59 – $296.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $103.60 | $60.06 – $296.00 |
| HCA HOUSTON WEST | HOUSTON | not published | $108.00 – $646.54 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $108.00 – $646.54 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $893.78 | $108.00 – $646.54 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,280.09 | $108.00 – $646.54 |
| HCA HOUSTON NORTHWEST | SPRING | $1,328.96 | $108.00 – $646.54 |
| St. Luke's Health - Patients Medical Center | Pasadena | $239.40 | $60.06 – $498.13 |